Gender dysphoria; what age?

Anonymous
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Anonymous wrote:Op here. Definitely not my kid. A friend...and I am extremely skeptical. Hence this post to gather some anecdata.

Seems like 3 is too young for the concept of gender to be understood. Hence emphatically expressing one is one or the other gender definitively seems outlandish this young. I can see and understand other stories about a kid feeling uncomfortable in their body, etc


It's remarkable how few of the commenters here are parents who have direct experience relevant to your question. I think you're at risk of taking away the wrong takeaway here.


Parents with direct experience provide valuable perspectives but are also very invested in the decisions they made.


And yet these are the perspectives the OP asked for.

Some of you just can't be quiet even when that is specifically requested. It's notable and seems ideological.


One of the notable aspects of gender ideology and specifically treatment for a medical condition such as gender dysphoria is that personal experience elevated far above scientific evidence (or lack thereof). It’s hard to think of other medical conditions where hard looks at available evidence are so universally discouraged. OP did indeed ask about direct experience, but in nearly any other medical context, a sober discourse about the actual evidence would typically be welcome, not frantically discouraged.


The ironic thing here is that the you say this but then the discouragement is going the opposite way of the way you claim. You (or someone else here) is claiming that people discussing their first hand experience should be discouraged and only those that don't have first hand experience should be discussing other people's gender dysphoria.


I think it's at least worth acknowledging, that once you've taken the position of pushing the medical model of care onto children in spite of its experimental nature, it's unlikely you'll ever go 'woops my bad'. Otherwise you're admitting you may have ruined children's lives, whether your own or otherwise.


If someone has had their life ruined because they detransition then do people that go through their full natal puberty then transition as an adult have their lives ruined also?


No.


Exactly. And people that detransition haven't had their lives ruined either.


According to you. According to them, they have. Who should we believe?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Op here. Definitely not my kid. A friend...and I am extremely skeptical. Hence this post to gather some anecdata.

Seems like 3 is too young for the concept of gender to be understood. Hence emphatically expressing one is one or the other gender definitively seems outlandish this young. I can see and understand other stories about a kid feeling uncomfortable in their body, etc


It's remarkable how few of the commenters here are parents who have direct experience relevant to your question. I think you're at risk of taking away the wrong takeaway here.


Parents with direct experience provide valuable perspectives but are also very invested in the decisions they made.


And yet these are the perspectives the OP asked for.

Some of you just can't be quiet even when that is specifically requested. It's notable and seems ideological.


One of the notable aspects of gender ideology and specifically treatment for a medical condition such as gender dysphoria is that personal experience elevated far above scientific evidence (or lack thereof). It’s hard to think of other medical conditions where hard looks at available evidence are so universally discouraged. OP did indeed ask about direct experience, but in nearly any other medical context, a sober discourse about the actual evidence would typically be welcome, not frantically discouraged.


The ironic thing here is that the you say this but then the discouragement is going the opposite way of the way you claim. You (or someone else here) is claiming that people discussing their first hand experience should be discouraged and only those that don't have first hand experience should be discussing other people's gender dysphoria.


No one is saying that. This is a straw man. PP are saying yes, personal experience reports are important, but not to the exclusion of science and medical evidence. It's not either/or; it's both/and.


Exactly. Nobody is discouraging sharing direct experiences. What is being added is a discussion of the medical evidence or lack thereof. Any reasonable discussion should be both/and, but with this particular medical condition, advocates for medicalized treatments often do not want any rigorous discussion of medical evidence and prefer to direct the conversation only to personal experience.


So in your view, when should a transgender person be allowed to access cross sex hormones therapy?


At the age of majority. If you can't get a tattoo or smoke a cigarette or have sex with an adult, surely you shouldn't be getting a double mastectomy or flooding your body with experimental hormones.


This is 18 in most states. I find it strange that people discuss double mastectomy so often as though that's all that common under 18. It's also not exactly a double mastectomy. Top surgery is technically a little different but I wouldn't expect you to know that. I would definitely have no issues banning surgery up till 18 but I think that in the blue states you're never going to have teenagers banned from being on HRT. In fact, Maryland and DC shields doctors and patients as well as their families. It's going the opposite way


No one said it's all that common or that it is not "technically a little different" from a mastectomy. You sound like a 12-year-old who goes around saying "actually..." and "technically..." and "in fact..." when grown ups are having a real conversation grounded in common sense. Go away, you've already taken up too much space.


When people go around saying folks lives are ruined because they detransitioned or act like they're experts of what transition care is then call top surgery a double mastectomy, that shows more about you than it does about me as does your desire to attack me for pointing out that you are using a term that is medically incorrect in a post ostensibly about research and scientific knowledge.


How is top surgery not a mastectomy?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Op here. Definitely not my kid. A friend...and I am extremely skeptical. Hence this post to gather some anecdata.

Seems like 3 is too young for the concept of gender to be understood. Hence emphatically expressing one is one or the other gender definitively seems outlandish this young. I can see and understand other stories about a kid feeling uncomfortable in their body, etc


It's remarkable how few of the commenters here are parents who have direct experience relevant to your question. I think you're at risk of taking away the wrong takeaway here.


Parents with direct experience provide valuable perspectives but are also very invested in the decisions they made.


And yet these are the perspectives the OP asked for.

Some of you just can't be quiet even when that is specifically requested. It's notable and seems ideological.


One of the notable aspects of gender ideology and specifically treatment for a medical condition such as gender dysphoria is that personal experience elevated far above scientific evidence (or lack thereof). It’s hard to think of other medical conditions where hard looks at available evidence are so universally discouraged. OP did indeed ask about direct experience, but in nearly any other medical context, a sober discourse about the actual evidence would typically be welcome, not frantically discouraged.


The ironic thing here is that the you say this but then the discouragement is going the opposite way of the way you claim. You (or someone else here) is claiming that people discussing their first hand experience should be discouraged and only those that don't have first hand experience should be discussing other people's gender dysphoria.


I think it's at least worth acknowledging, that once you've taken the position of pushing the medical model of care onto children in spite of its experimental nature, it's unlikely you'll ever go 'woops my bad'. Otherwise you're admitting you may have ruined children's lives, whether your own or otherwise.


If someone has had their life ruined because they detransition then do people that go through their full natal puberty then transition as an adult have their lives ruined also?


In what sense? Their lives are ruined because they went through puberty instead of not? If say, a trans woman was deprived hormone treatment until after puberty and their sole happiness in life was derived from how well they 'pass' as a conventionally beautiful woman, then yes their life was ruined from that perspective. If they ever cared about reproduction, experiencing orgasm, or avoiding some of the other side effects of hormone treatments the answer isn't as clear to me.


Who should define the criteria for that person?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Op here. Definitely not my kid. A friend...and I am extremely skeptical. Hence this post to gather some anecdata.

Seems like 3 is too young for the concept of gender to be understood. Hence emphatically expressing one is one or the other gender definitively seems outlandish this young. I can see and understand other stories about a kid feeling uncomfortable in their body, etc


It's remarkable how few of the commenters here are parents who have direct experience relevant to your question. I think you're at risk of taking away the wrong takeaway here.


Parents with direct experience provide valuable perspectives but are also very invested in the decisions they made.


And yet these are the perspectives the OP asked for.

Some of you just can't be quiet even when that is specifically requested. It's notable and seems ideological.


One of the notable aspects of gender ideology and specifically treatment for a medical condition such as gender dysphoria is that personal experience elevated far above scientific evidence (or lack thereof). It’s hard to think of other medical conditions where hard looks at available evidence are so universally discouraged. OP did indeed ask about direct experience, but in nearly any other medical context, a sober discourse about the actual evidence would typically be welcome, not frantically discouraged.


The ironic thing here is that the you say this but then the discouragement is going the opposite way of the way you claim. You (or someone else here) is claiming that people discussing their first hand experience should be discouraged and only those that don't have first hand experience should be discussing other people's gender dysphoria.


I think it's at least worth acknowledging, that once you've taken the position of pushing the medical model of care onto children in spite of its experimental nature, it's unlikely you'll ever go 'woops my bad'. Otherwise you're admitting you may have ruined children's lives, whether your own or otherwise.


If someone has had their life ruined because they detransition then do people that go through their full natal puberty then transition as an adult have their lives ruined also?


No.


Exactly. And people that detransition haven't had their lives ruined either.


According to you. According to them, they have. Who should we believe?


You are spokesperson for every single person who has or may detransition?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Op here. Definitely not my kid. A friend...and I am extremely skeptical. Hence this post to gather some anecdata.

Seems like 3 is too young for the concept of gender to be understood. Hence emphatically expressing one is one or the other gender definitively seems outlandish this young. I can see and understand other stories about a kid feeling uncomfortable in their body, etc


It's remarkable how few of the commenters here are parents who have direct experience relevant to your question. I think you're at risk of taking away the wrong takeaway here.


Parents with direct experience provide valuable perspectives but are also very invested in the decisions they made.


And yet these are the perspectives the OP asked for.

Some of you just can't be quiet even when that is specifically requested. It's notable and seems ideological.


One of the notable aspects of gender ideology and specifically treatment for a medical condition such as gender dysphoria is that personal experience elevated far above scientific evidence (or lack thereof). It’s hard to think of other medical conditions where hard looks at available evidence are so universally discouraged. OP did indeed ask about direct experience, but in nearly any other medical context, a sober discourse about the actual evidence would typically be welcome, not frantically discouraged.


The ironic thing here is that the you say this but then the discouragement is going the opposite way of the way you claim. You (or someone else here) is claiming that people discussing their first hand experience should be discouraged and only those that don't have first hand experience should be discussing other people's gender dysphoria.


No one is saying that. This is a straw man. PP are saying yes, personal experience reports are important, but not to the exclusion of science and medical evidence. It's not either/or; it's both/and.


Exactly. Nobody is discouraging sharing direct experiences. What is being added is a discussion of the medical evidence or lack thereof. Any reasonable discussion should be both/and, but with this particular medical condition, advocates for medicalized treatments often do not want any rigorous discussion of medical evidence and prefer to direct the conversation only to personal experience.


So in your view, when should a transgender person be allowed to access cross sex hormones therapy?


At the age of majority. If you can't get a tattoo or smoke a cigarette or have sex with an adult, surely you shouldn't be getting a double mastectomy or flooding your body with experimental hormones.


This is 18 in most states. I find it strange that people discuss double mastectomy so often as though that's all that common under 18. It's also not exactly a double mastectomy. Top surgery is technically a little different but I wouldn't expect you to know that. I would definitely have no issues banning surgery up till 18 but I think that in the blue states you're never going to have teenagers banned from being on HRT. In fact, Maryland and DC shields doctors and patients as well as their families. It's going the opposite way


My BCBS federal plan literally just lowered the age of coverage for breast removal from 18 to 16 this year. Also reduced the required length of time on hormones to 6 months prior to surgery, and just one therapist letter instead of 2.


How many letters do teens need for breast reduction surgery?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Op here. Definitely not my kid. A friend...and I am extremely skeptical. Hence this post to gather some anecdata.

Seems like 3 is too young for the concept of gender to be understood. Hence emphatically expressing one is one or the other gender definitively seems outlandish this young. I can see and understand other stories about a kid feeling uncomfortable in their body, etc


It's remarkable how few of the commenters here are parents who have direct experience relevant to your question. I think you're at risk of taking away the wrong takeaway here.


Parents with direct experience provide valuable perspectives but are also very invested in the decisions they made.


And yet these are the perspectives the OP asked for.

Some of you just can't be quiet even when that is specifically requested. It's notable and seems ideological.


One of the notable aspects of gender ideology and specifically treatment for a medical condition such as gender dysphoria is that personal experience elevated far above scientific evidence (or lack thereof). It’s hard to think of other medical conditions where hard looks at available evidence are so universally discouraged. OP did indeed ask about direct experience, but in nearly any other medical context, a sober discourse about the actual evidence would typically be welcome, not frantically discouraged.


The ironic thing here is that the you say this but then the discouragement is going the opposite way of the way you claim. You (or someone else here) is claiming that people discussing their first hand experience should be discouraged and only those that don't have first hand experience should be discussing other people's gender dysphoria.


I think it's at least worth acknowledging, that once you've taken the position of pushing the medical model of care onto children in spite of its experimental nature, it's unlikely you'll ever go 'woops my bad'. Otherwise you're admitting you may have ruined children's lives, whether your own or otherwise.


If someone has had their life ruined because they detransition then do people that go through their full natal puberty then transition as an adult have their lives ruined also?


No.


Exactly. And people that detransition haven't had their lives ruined either.


According to you. According to them, they have. Who should we believe?


You are spokesperson for every single person who has or may detransition?


No, they are their own spokespersons. If you listen to them you will understand. I have been listening. You should try it.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Op here. Definitely not my kid. A friend...and I am extremely skeptical. Hence this post to gather some anecdata.

Seems like 3 is too young for the concept of gender to be understood. Hence emphatically expressing one is one or the other gender definitively seems outlandish this young. I can see and understand other stories about a kid feeling uncomfortable in their body, etc


It's remarkable how few of the commenters here are parents who have direct experience relevant to your question. I think you're at risk of taking away the wrong takeaway here.


Parents with direct experience provide valuable perspectives but are also very invested in the decisions they made.


And yet these are the perspectives the OP asked for.

Some of you just can't be quiet even when that is specifically requested. It's notable and seems ideological.


One of the notable aspects of gender ideology and specifically treatment for a medical condition such as gender dysphoria is that personal experience elevated far above scientific evidence (or lack thereof). It’s hard to think of other medical conditions where hard looks at available evidence are so universally discouraged. OP did indeed ask about direct experience, but in nearly any other medical context, a sober discourse about the actual evidence would typically be welcome, not frantically discouraged.


The ironic thing here is that the you say this but then the discouragement is going the opposite way of the way you claim. You (or someone else here) is claiming that people discussing their first hand experience should be discouraged and only those that don't have first hand experience should be discussing other people's gender dysphoria.


I think it's at least worth acknowledging, that once you've taken the position of pushing the medical model of care onto children in spite of its experimental nature, it's unlikely you'll ever go 'woops my bad'. Otherwise you're admitting you may have ruined children's lives, whether your own or otherwise.


If someone has had their life ruined because they detransition then do people that go through their full natal puberty then transition as an adult have their lives ruined also?


In what sense? Their lives are ruined because they went through puberty instead of not? If say, a trans woman was deprived hormone treatment until after puberty and their sole happiness in life was derived from how well they 'pass' as a conventionally beautiful woman, then yes their life was ruined from that perspective. If they ever cared about reproduction, experiencing orgasm, or avoiding some of the other side effects of hormone treatments the answer isn't as clear to me.


Who should define the criteria for that person?


when the person is a child, then the medical (and legal) profession decide whether the child can consent to such risks. I believe those risks were covered up and are now becoming better understood; and the relative lack of benefits as well.

Imagine someone deciding for you at 9 or 10 that you would never be able to have sex or children!!!
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Op here. Definitely not my kid. A friend...and I am extremely skeptical. Hence this post to gather some anecdata.

Seems like 3 is too young for the concept of gender to be understood. Hence emphatically expressing one is one or the other gender definitively seems outlandish this young. I can see and understand other stories about a kid feeling uncomfortable in their body, etc


It's remarkable how few of the commenters here are parents who have direct experience relevant to your question. I think you're at risk of taking away the wrong takeaway here.


Parents with direct experience provide valuable perspectives but are also very invested in the decisions they made.


And yet these are the perspectives the OP asked for.

Some of you just can't be quiet even when that is specifically requested. It's notable and seems ideological.


One of the notable aspects of gender ideology and specifically treatment for a medical condition such as gender dysphoria is that personal experience elevated far above scientific evidence (or lack thereof). It’s hard to think of other medical conditions where hard looks at available evidence are so universally discouraged. OP did indeed ask about direct experience, but in nearly any other medical context, a sober discourse about the actual evidence would typically be welcome, not frantically discouraged.


The ironic thing here is that the you say this but then the discouragement is going the opposite way of the way you claim. You (or someone else here) is claiming that people discussing their first hand experience should be discouraged and only those that don't have first hand experience should be discussing other people's gender dysphoria.


No one is saying that. This is a straw man. PP are saying yes, personal experience reports are important, but not to the exclusion of science and medical evidence. It's not either/or; it's both/and.


Exactly. Nobody is discouraging sharing direct experiences. What is being added is a discussion of the medical evidence or lack thereof. Any reasonable discussion should be both/and, but with this particular medical condition, advocates for medicalized treatments often do not want any rigorous discussion of medical evidence and prefer to direct the conversation only to personal experience.


So in your view, when should a transgender person be allowed to access cross sex hormones therapy?


At the age of majority. If you can't get a tattoo or smoke a cigarette or have sex with an adult, surely you shouldn't be getting a double mastectomy or flooding your body with experimental hormones.


This is 18 in most states. I find it strange that people discuss double mastectomy so often as though that's all that common under 18. It's also not exactly a double mastectomy. Top surgery is technically a little different but I wouldn't expect you to know that. I would definitely have no issues banning surgery up till 18 but I think that in the blue states you're never going to have teenagers banned from being on HRT. In fact, Maryland and DC shields doctors and patients as well as their families. It's going the opposite way


My BCBS federal plan literally just lowered the age of coverage for breast removal from 18 to 16 this year. Also reduced the required length of time on hormones to 6 months prior to surgery, and just one therapist letter instead of 2.


How many letters do teens need for breast reduction surgery?


those are two totally different things, as you know. you just sound like a dishonest person when you try to claim a nose job is the same as top surgery.
Anonymous
Anonymous wrote:Pp, would be willing to share examples of how this manifested at 4? Was your child able to articulate that the issue was gender related?


By about 18 months, I could have told you that my child, who was AFAB, gravitated towards things that are stereotypically associated with boys. They wanted balls, and trucks, and dinosaurs, and to be moving every second of the day. There a marked difference between what he chose compared and what his close in age sister chose, and even a difference between what he chose and what his close in age male friends and cousins chose, because his male cousins were more likely to push the baby doll stroller, or pretend to cook than he was. By two this preference he was also expressing strong preferences in terms of wanting his hair short, and wanting to wear clothing from the boy's section. But at that age, there was dysphoria, because while he knew that he liked some things more than other things, or that he liked different things from his sister, he didn't have any sense that he wasn't supposed to like those things, or that those things were associated with being a boy or a girl.

When he started preschool at three that began to change. I regret not choosing his preschool more carefully, because he was definitely in an environment where he got the message that some things were more for boys or more for girls, and that's when we started to see more unhappiness. At school, he consistently chose things like the block corner, or the vehicles, over things like housekeeping. He consistently chose male playmates too. But sometimes little boys told him he couldn't play because they didn't want to play with girls, and that hurt. Or if a parent would have a party that was all boys, he would feel so excluded. Conversely by 4, if he was invited to a party he'd ask "Is Jack going?" as a way to make sure it wasn't all girls. If it was all girls, he'd insist that he didn't want to go. He also was very insistent on boys clothing, rejecting even gender neutral things. But, he still clearly identified as a girl, although by 5 or so he would say "I'm a girl who likes boy things." or "I'm a girl but I don't like girl things." and "I wish I was a boy so I could go to that party" or "I wish I was a boy so that Henry would let me play." I would say his dysphoria from 3 - 5 wasn't constant. He'd get very upset any time he felt like people were putting him a "girl" box. But when that wasn't happening, he would seem to forget about it.

In late elementary, he switched from saying "I'm a girl who likes boy things" and "I wish I was a boy so I could . . . " to "I wish I was a boy!" and "it's not fair that I'm not a boy". There was a lot of anger at not being a boy, and at knowing that his male friends were going to change in different ways than he would. But that didn't switch to "I think I am a boy" or "I want you to call me he/him" until 11. When he asked we immediately allowed him to start changing social markers, so he got a haircut that reads 100% boy. We changed his name, and his bathing suit, and what he wore for fancy occasions, from slacks and a gender neutral shirt/blouse to a suit. We also changed his school so he could be with people who had not known him as a girl. I would say that from 9 - 11 his dysphoria was constant, and now it's back to being intermittent, coming up when there is a situation that is challenging. He is definitely a happier kid at 13 than he was at 10, but 10 - 11 can be really rough for kids with female hormones. He's also in a better school for him now, and getting therapy. So, who knows the cause.

So far, we have not allowed puberty blockers.

I would also say that I agree with a lot of the Cass report. I think that it's really easy to see gender diverse kids solely through the lens of gender, and to lose sight of their development as a whole, and that kids need comprehensive care that looks at all aspects of their development together. I think that can be an issue in the states, although it sounds like it was a bigger issue in England because of how NHS structured care.

I also think that the problem of lack of evidence is a big one, although I know from another kid with a severe medical issue that people give medical treatments to children that haven't been studied through adulthood all the time. Because any new treatment given to children is going to be without evidence on adult outcomes, until the first kids receiving it grow up! So, to me the issue isn't so much that the evidence doesn't exist, it's been that there's been a hesitance to look for evidence, or develop research protocols because it's become such a political issue. I also think it's important to note that there's not a lot of evidence to support either early medical transition, or waiting for medical transition, so while people say "we shouldn't medically transition young kids due to lack of evidence", it's possible that in the end the evidence will show that we should transition them.

I would also say that I agree with this key finding from the Cass report

Cass wrote:

For most young people, a medical pathway will not be the best way to manage their gender-related distress. For those young people for whom a medical pathway is clinically indicated, it is not enough to provide this without also addressing wider mental health and/or psychosocially challenging problems.



But I'm not convinced my kid isn't one of those kids for whom a medical pathway might be clinically indicated. At this point, we have been diligent about looking for and addressing other developmental, mental health, and psychosocial challenges, but I am not sure if that's enough. So, our decision about puberty suppression may change in the future.




Anonymous
Anonymous wrote:I'm a child therapist. I firmly believe 99% of modern trans children are due to parent pressure or family dysfunction. I believe transgenderism is a real DSM disorder but incredibly rare, and that this current trend is akin to a social contagion people will write dissertations about in 100 years.

I live and practice in an affluent liberal community and this is my experience.


Wut? Leave the science to the professionals.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Op here. Definitely not my kid. A friend...and I am extremely skeptical. Hence this post to gather some anecdata.

Seems like 3 is too young for the concept of gender to be understood. Hence emphatically expressing one is one or the other gender definitively seems outlandish this young. I can see and understand other stories about a kid feeling uncomfortable in their body, etc


It's remarkable how few of the commenters here are parents who have direct experience relevant to your question. I think you're at risk of taking away the wrong takeaway here.


Parents with direct experience provide valuable perspectives but are also very invested in the decisions they made.


And yet these are the perspectives the OP asked for.

Some of you just can't be quiet even when that is specifically requested. It's notable and seems ideological.


One of the notable aspects of gender ideology and specifically treatment for a medical condition such as gender dysphoria is that personal experience elevated far above scientific evidence (or lack thereof). It’s hard to think of other medical conditions where hard looks at available evidence are so universally discouraged. OP did indeed ask about direct experience, but in nearly any other medical context, a sober discourse about the actual evidence would typically be welcome, not frantically discouraged.


The ironic thing here is that the you say this but then the discouragement is going the opposite way of the way you claim. You (or someone else here) is claiming that people discussing their first hand experience should be discouraged and only those that don't have first hand experience should be discussing other people's gender dysphoria.


No one is saying that. This is a straw man. PP are saying yes, personal experience reports are important, but not to the exclusion of science and medical evidence. It's not either/or; it's both/and.


Exactly. Nobody is discouraging sharing direct experiences. What is being added is a discussion of the medical evidence or lack thereof. Any reasonable discussion should be both/and, but with this particular medical condition, advocates for medicalized treatments often do not want any rigorous discussion of medical evidence and prefer to direct the conversation only to personal experience.


So in your view, when should a transgender person be allowed to access cross sex hormones therapy?


At the age of majority. If you can't get a tattoo or smoke a cigarette or have sex with an adult, surely you shouldn't be getting a double mastectomy or flooding your body with experimental hormones.


This is 18 in most states. I find it strange that people discuss double mastectomy so often as though that's all that common under 18. It's also not exactly a double mastectomy. Top surgery is technically a little different but I wouldn't expect you to know that. I would definitely have no issues banning surgery up till 18 but I think that in the blue states you're never going to have teenagers banned from being on HRT. In fact, Maryland and DC shields doctors and patients as well as their families. It's going the opposite way


My BCBS federal plan literally just lowered the age of coverage for breast removal from 18 to 16 this year. Also reduced the required length of time on hormones to 6 months prior to surgery, and just one therapist letter instead of 2.


How many letters do teens need for breast reduction surgery?


those are two totally different things, as you know. you just sound like a dishonest person when you try to claim a nose job is the same as top surgery.


How are they different?

Very telling how some people are “concerned” about certain teen surgeries but not others.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Op here. Definitely not my kid. A friend...and I am extremely skeptical. Hence this post to gather some anecdata.

Seems like 3 is too young for the concept of gender to be understood. Hence emphatically expressing one is one or the other gender definitively seems outlandish this young. I can see and understand other stories about a kid feeling uncomfortable in their body, etc


It's remarkable how few of the commenters here are parents who have direct experience relevant to your question. I think you're at risk of taking away the wrong takeaway here.


Parents with direct experience provide valuable perspectives but are also very invested in the decisions they made.


And yet these are the perspectives the OP asked for.

Some of you just can't be quiet even when that is specifically requested. It's notable and seems ideological.


One of the notable aspects of gender ideology and specifically treatment for a medical condition such as gender dysphoria is that personal experience elevated far above scientific evidence (or lack thereof). It’s hard to think of other medical conditions where hard looks at available evidence are so universally discouraged. OP did indeed ask about direct experience, but in nearly any other medical context, a sober discourse about the actual evidence would typically be welcome, not frantically discouraged.


The ironic thing here is that the you say this but then the discouragement is going the opposite way of the way you claim. You (or someone else here) is claiming that people discussing their first hand experience should be discouraged and only those that don't have first hand experience should be discussing other people's gender dysphoria.


I think it's at least worth acknowledging, that once you've taken the position of pushing the medical model of care onto children in spite of its experimental nature, it's unlikely you'll ever go 'woops my bad'. Otherwise you're admitting you may have ruined children's lives, whether your own or otherwise.


If someone has had their life ruined because they detransition then do people that go through their full natal puberty then transition as an adult have their lives ruined also?


In what sense? Their lives are ruined because they went through puberty instead of not? If say, a trans woman was deprived hormone treatment until after puberty and their sole happiness in life was derived from how well they 'pass' as a conventionally beautiful woman, then yes their life was ruined from that perspective. If they ever cared about reproduction, experiencing orgasm, or avoiding some of the other side effects of hormone treatments the answer isn't as clear to me.


Who should define the criteria for that person?


when the person is a child, then the medical (and legal) profession decide whether the child can consent to such risks. I believe those risks were covered up and are now becoming better understood; and the relative lack of benefits as well.

Imagine someone deciding for you at 9 or 10 that you would never be able to have sex or children!!!


How many 9-10 year olds are getting bottom surgery?
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Anonymous wrote:Op here. Definitely not my kid. A friend...and I am extremely skeptical. Hence this post to gather some anecdata.

Seems like 3 is too young for the concept of gender to be understood. Hence emphatically expressing one is one or the other gender definitively seems outlandish this young. I can see and understand other stories about a kid feeling uncomfortable in their body, etc


It's remarkable how few of the commenters here are parents who have direct experience relevant to your question. I think you're at risk of taking away the wrong takeaway here.


Parents with direct experience provide valuable perspectives but are also very invested in the decisions they made.


And yet these are the perspectives the OP asked for.

Some of you just can't be quiet even when that is specifically requested. It's notable and seems ideological.


One of the notable aspects of gender ideology and specifically treatment for a medical condition such as gender dysphoria is that personal experience elevated far above scientific evidence (or lack thereof). It’s hard to think of other medical conditions where hard looks at available evidence are so universally discouraged. OP did indeed ask about direct experience, but in nearly any other medical context, a sober discourse about the actual evidence would typically be welcome, not frantically discouraged.


The ironic thing here is that the you say this but then the discouragement is going the opposite way of the way you claim. You (or someone else here) is claiming that people discussing their first hand experience should be discouraged and only those that don't have first hand experience should be discussing other people's gender dysphoria.


I think it's at least worth acknowledging, that once you've taken the position of pushing the medical model of care onto children in spite of its experimental nature, it's unlikely you'll ever go 'woops my bad'. Otherwise you're admitting you may have ruined children's lives, whether your own or otherwise.


If someone has had their life ruined because they detransition then do people that go through their full natal puberty then transition as an adult have their lives ruined also?


No.


Exactly. And people that detransition haven't had their lives ruined either.


According to you. According to them, they have. Who should we believe?


You are spokesperson for every single person who has or may detransition?


No, they are their own spokespersons. If you listen to them you will understand. I have been listening. You should try it.


You have listened to every single one? And they all agree 100%?

Impressive.

You must have spent a lot of time down those rabbit holes on your “research”.
Anonymous
My FTM nephew has been saying he was a boy since around age 3 or 4.

When he was that young my BIL & SIL played along like "haha so cute, yes you're a 'boy!'" They really started taking things more seriously when he was maybe around age 6 or 7 and became more vocal about his preferences related to clothing, shoes, and hairstyles. He didn't want jeans and plain tees from the girl's section at Target, he wanted clothes from the little boy's section. Same with shoes. He didn't want neutral-looking shoes from the girl's section and instead wanted shoes from the boy's section. He never wore his long hair down and always pulled it back in a ponytail. After he cut it twice on his own, they finally took him to a barber to get a traditional boy's haircut that he wanted.

They also took him to a therapist that specialized in dysmorphia in pre-adolescents. Then they went the route of hormone blockers and puberty blockers when appropriate. He's now 25 and lives his life as a male. He has a fiancee and they are planning a wedding for 2025. Those outside of our family or his close circle of friends do not know that he transitioned from female.
Anonymous
Does his fiancee know?
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