Yes, it really is an individual basis for teens. I didn’t put in the chart that reaching Tanner Stage 2 is required for blockers for all the guidelines.
Thanks so much for putting together this clearly explained scientific information with references. I imagine this took a lot of effort to compile in a time when people are just saying whatever they feel like, but this is the real deal. This is what's really recommended for health care best practices and what medical professionals are actually providing. Thank you so much for the information.
You left out the ONLY group of people routinely being "re-assigned" a sex WITH surgery without their informed consent and mostly UNDER the age of 10yrs. with the majority being under the age of 5yrs. and including medically unnecessary genital mutilation - the Intersex. While no one is even suggesting that infants and toddlers who are trans be subjected to such surgeries they are done in the USA to the intersex at a rate of 5 per DAY. It isn't like you got that PhD without seeing at least something about it. You also left out THE biggest genital mutilation surgery done at all in the USA which again the infant has NO say in and must live with the bad consequences of for the rest of his life - circumcision. Again, parents - mostly mothers - are pressured into quickly signing for torture and the removing of an average of 1000 out of 3000 tactile nerve endings of their child's most sensitive part of the body (possible exception the tongue). As with ALL genitally mutilating "surgeries" done on infants/children there is no medical benefit but it makes money. Medicine in the USA is a commodity, as you well know. So do I. I've a medical background too but am retired. Would PUHLEASE weigh in on what is actually being done to children that harms them!? I've been doing it for 35yrs. Trans children are getting shitty malpractice instead of real care. Intersex, female and male children ARE being mutilated while a misdirected public thinks it's all happening to the trans... AND IT IS NOT! Each and every one of us including the cisgender, endosex, heteronormative need to stand up to end the abuse.
Yes, you are right, and right to be outraged! I am very much against surgeries on intersex children! I can see how frustrating it is to be erased again and again. I'll be more mindful about at least putting in a sentence or two about intersex as appropriate.
I'll dedicate a separate post to intersex issues and the non-consensual, unnecessary, irreversible genital surgeries done on intersex babies and children. And how people should be outraged about THAT. As I'm not intersex myself (that I know of), I feel less like the person to write about that, but I can write what I do know from what I've read from intersex people.
I didn't include intersex here because I'm talking about "gender-affirming care in trans/nonbinary kids." While it helps the trans and intersex rights movements to work together, for sure, I do not consider intersex surgeries on kids to be "gender-affirming care in trans/nonbinary kids." As an analyst on the USTS 2022, that's how we grouped things--if a surgery was under a certain age, it was not "gender-affirming surgery." Rather, it was non-consensual. And cross-checked that with who reported being intersex. That's why I wrote "none" for TRANS kids under 11; no one is doing medical intervention on kids because they are TRANS. Now, if they are intersex and happen to be trans, that's a different story. But still, those medical interventions are not about being trans/nonbinary.
Thanks so much! I encounter so many anti-trans arguments based on a total ignorance of how sex works in biology. I have known a ton of intersex people who could not fit into their “assigned” sex or gender and transitioned to the other one because although it didn’t fit them either, it wasn’t as violent to them. People conflate gender and sex, become hopelessly confused when nature refuses to play our binary fantasy games and then become confounded and take their confusion out on all the people who can’t pull off House of Gender Mirrors Act. When, as a trans advocate and educator you notice them asserting that we can determine a person’s sex at birth with a quick look between the legs and then enforce that as if it is truth and legislate it - - please, just boot them in the direction of the Intersex. You don’t have to take on that mishegas but it helps the trans cause to be able to blame that crap on us and shove them over to us to re-educate them. We have ALL been lied to about human sex, sexuality, and the non-binary reality of the Universe. I glaze pots to help feel productive and on the bottoms I put, “The Universe isn’t either/or! It is ALL/AND!” I’ve got a clever list of books on intersex on my substack. A GREAT one to recommend because it is written at a high school level is, “The Spectrum of Sex - The Science of Male, Female and Intersex” by Hida Viloria (the intersex one) and Maria Nieto, PhD (the biologist one). Tell them to go read that. It is a great starter for those who think trans people are just mentally ill males or females. If I had a dime for every…
Thank you for sharing! I'm so glad you heard and accepted your daughter's message. The support and love of family make all the difference--literally life or death. It is a really hard time for trans people, especially women, and I'm happy she has you in her court.
Thank you soooooo much for this, and all the time and work you put into it. It’s priceless for advocacy of trans youth and deeply appreciated.
Thank you and you’re welcome! Thank you for being Mama Bears. Even I need that support!
I was 15 when I first started HRT! It is fully dependent on what stage of puberty you are in! I was at my last stage.
Awesome! I’m envious!
Yes, it really is an individual basis for teens. I didn’t put in the chart that reaching Tanner Stage 2 is required for blockers for all the guidelines.
Very useful information provided in such a concise manner much appreciated!
Thanks so much for putting together this clearly explained scientific information with references. I imagine this took a lot of effort to compile in a time when people are just saying whatever they feel like, but this is the real deal. This is what's really recommended for health care best practices and what medical professionals are actually providing. Thank you so much for the information.
You are very welcome!
You left out the ONLY group of people routinely being "re-assigned" a sex WITH surgery without their informed consent and mostly UNDER the age of 10yrs. with the majority being under the age of 5yrs. and including medically unnecessary genital mutilation - the Intersex. While no one is even suggesting that infants and toddlers who are trans be subjected to such surgeries they are done in the USA to the intersex at a rate of 5 per DAY. It isn't like you got that PhD without seeing at least something about it. You also left out THE biggest genital mutilation surgery done at all in the USA which again the infant has NO say in and must live with the bad consequences of for the rest of his life - circumcision. Again, parents - mostly mothers - are pressured into quickly signing for torture and the removing of an average of 1000 out of 3000 tactile nerve endings of their child's most sensitive part of the body (possible exception the tongue). As with ALL genitally mutilating "surgeries" done on infants/children there is no medical benefit but it makes money. Medicine in the USA is a commodity, as you well know. So do I. I've a medical background too but am retired. Would PUHLEASE weigh in on what is actually being done to children that harms them!? I've been doing it for 35yrs. Trans children are getting shitty malpractice instead of real care. Intersex, female and male children ARE being mutilated while a misdirected public thinks it's all happening to the trans... AND IT IS NOT! Each and every one of us including the cisgender, endosex, heteronormative need to stand up to end the abuse.
Yes, you are right, and right to be outraged! I am very much against surgeries on intersex children! I can see how frustrating it is to be erased again and again. I'll be more mindful about at least putting in a sentence or two about intersex as appropriate.
I'll dedicate a separate post to intersex issues and the non-consensual, unnecessary, irreversible genital surgeries done on intersex babies and children. And how people should be outraged about THAT. As I'm not intersex myself (that I know of), I feel less like the person to write about that, but I can write what I do know from what I've read from intersex people.
I didn't include intersex here because I'm talking about "gender-affirming care in trans/nonbinary kids." While it helps the trans and intersex rights movements to work together, for sure, I do not consider intersex surgeries on kids to be "gender-affirming care in trans/nonbinary kids." As an analyst on the USTS 2022, that's how we grouped things--if a surgery was under a certain age, it was not "gender-affirming surgery." Rather, it was non-consensual. And cross-checked that with who reported being intersex. That's why I wrote "none" for TRANS kids under 11; no one is doing medical intervention on kids because they are TRANS. Now, if they are intersex and happen to be trans, that's a different story. But still, those medical interventions are not about being trans/nonbinary.
Thanks so much! I encounter so many anti-trans arguments based on a total ignorance of how sex works in biology. I have known a ton of intersex people who could not fit into their “assigned” sex or gender and transitioned to the other one because although it didn’t fit them either, it wasn’t as violent to them. People conflate gender and sex, become hopelessly confused when nature refuses to play our binary fantasy games and then become confounded and take their confusion out on all the people who can’t pull off House of Gender Mirrors Act. When, as a trans advocate and educator you notice them asserting that we can determine a person’s sex at birth with a quick look between the legs and then enforce that as if it is truth and legislate it - - please, just boot them in the direction of the Intersex. You don’t have to take on that mishegas but it helps the trans cause to be able to blame that crap on us and shove them over to us to re-educate them. We have ALL been lied to about human sex, sexuality, and the non-binary reality of the Universe. I glaze pots to help feel productive and on the bottoms I put, “The Universe isn’t either/or! It is ALL/AND!” I’ve got a clever list of books on intersex on my substack. A GREAT one to recommend because it is written at a high school level is, “The Spectrum of Sex - The Science of Male, Female and Intersex” by Hida Viloria (the intersex one) and Maria Nieto, PhD (the biologist one). Tell them to go read that. It is a great starter for those who think trans people are just mentally ill males or females. If I had a dime for every…
Thank you for sharing! I'm so glad you heard and accepted your daughter's message. The support and love of family make all the difference--literally life or death. It is a really hard time for trans people, especially women, and I'm happy she has you in her court.