the love of money

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[–]ActuallyNot 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (6 children)

The reality is that the treatment offered is based on what had the best outcomes.

It may seem incongruous, but sometimes the evidence uncovers something that's surprising.

[–]Musky 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (1 child)

The treatment offered is what studies funded by groups that benefit from transgenderism say helps. There is a serious and legitimate concern that gender identity theory, wrong sex hormones, puberty blockers,.and these elective surgeries are harming people.

[–]ActuallyNot 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (0 children)

The treatment offered is what studies funded by groups that benefit from transgenderism say helps.

It seems to me that the evidence is there across the literature that you get an improvement in quality of life.

But what is a group that benefits from transgenderism?

There is a serious and legitimate concern that gender identity theory, wrong sex hormones, puberty blockers,.and these elective surgeries are harming people.

They're reducing suicide, suicidal ideation, and quality of life. They're not without side effects. but they're not as bad as not treating.

As with any treatment you have to have the correct diagnosis. A small percentage (maybe about 1%, but is seems to vary country to country) seek to de-transition after hormone therapy, which is sub-optimal. But you have to get the diagnosis right.

[–]weavilsatemyface 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (3 children)

The reality is that the treatment offered is based on what had the best outcomes.

User name checks out.

[–]ActuallyNot 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (2 children)

What's the actual reality, in your opinion?

[–]weavilsatemyface 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (1 child)

The actual reality is:

  • Depending on the study, around 90% or more of teens suffering from gender dysphoria grow out of it within a few years, most of whom become perfectly well-adjusted gays and lesbians.
  • Among those who don't grow out of it, there is little good quality scientific evidence that transitioning is effective at reducing depression or anxiety. Outside of a short-term euphoria following surgery, there is little or no difference in levels of depression and anxiety among those who have transitioned versus those who haven't.
  • Transitioning makes very little difference to suicidal ideation, self-harm and suicide even in cases where it does reduce anxiety, dysphoria and depression.
  • The objectively better the study, the less benefit it tends to show: most studies showing positive outcomes have serious weaknesses and biases, such as small sample sizes, high rates of patients lost to followup, or only following patients during the short period of euphoria after surgery.
  • Puberty blockers and transitioning comes with large risks of severe medical complications and side-effects, some of which are horrific.
  • Many detransitioners report a pattern of medical abuse and unethical conduct associated with "affirming care": little or no discussion of possible side effects, surgeons ghosting patients who are dissatisfied with the results of surgery, serious complications, etc.

I'm not saying that absolutely nobody should transition. But the vast increase in "trans", especially the marketing of it at teenage girls and the use of the affirming model is as pure a case of Follow The Money as you can hope to see. Transitioning teens is hugely profitable. It is not driven by medical best practices.

[–]ActuallyNot 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (0 children)

Depending on the study, around 90% or more of teens suffering from gender dysphoria grow out of it within a few years, most of whom become perfectly well-adjusted gays and lesbians.

Not quite. This is pre-teens. Somewhere in the 10-13 year old range you can determine from the trajectory of the gender dysphoria whether it will resolve or worsen. In a few cases it takes longer, which is why people go on puberty blockers rather than hormone treatment if it looks like they're trans rather than gay in a culture that has few gay positive role models, and many negative opinions.

Among those who don't grow out of it, there is little good quality scientific evidence that transitioning is effective at reducing depression or anxiety.

Mental Health Outcomes in Transgender and Nonbinary Youths Receiving Gender-Affirming Care - After adjustment for temporal trends and potential confounders, we observed 60% lower odds of depression (adjusted odds ratio [aOR], 0.40; 95% CI, 0.17-0.95) and 73% lower odds of suicidality (aOR, 0.27; 95% CI, 0.11-0.65) among youths who had initiated PBs or GAHs compared with youths who had not.

Psychosocial Functioning in Transgender Youth after 2 Years of Hormones
- During the study period, appearance congruence, positive affect, and life satisfaction increased, and depression and anxiety symptoms decreased. Increases in appearance congruence were associated with concurrent increases in positive affect and life satisfaction and decreases in depression and anxiety symptoms. Press Release.

Long-term effect of gender-affirming hormone treatment on depression and anxiety symptoms in transgender people: A prospective cohort study
- From T0 to T1, symptomatology was significantly decreased for depression (P < .001) and non-significantly reduced for anxiety (P = .37). Scores on the MSPSS predicted reduction in depression, while scores on the AQ-Short predicted reduction in anxiety.

Association of Gender-Affirming Hormone Therapy With Depression, Thoughts of Suicide, and Attempted Suicide Among Transgender and Nonbinary Youth
-Use of GAHT was associated with lower odds of recent depression (adjusted odds ratio [aOR] = .73, p < .001) and seriously considering suicide (aOR = .74, p < .001) compared to those who wanted GAHT but did not receive it. For youth under age 18, GAHT was associated with lower odds of recent depression (aOR = .61, p < .01) and of a past-year suicide attempt (aOR = .62, p < .05).

(If you read through to the data analysis section, you will see that the parental support difference between the group receiving GAHT and not is among the covariates that is adjusted for.)

Outside of a short-term euphoria following surgery, there is little or no difference in levels of depression and anxiety among those who have transitioned versus those who haven't.

You might have linked to an anti-trans source rather than one interested in the scientific evidence. As at last year, that opinion is an outiler:

The Evidence for Trans Youth Gender-Affirming Medical Care

  • Sixteen studies to date have examined the impact of gender-affirming medical care for transgender youth.
  • Existing evidence suggests that gender-affirming medical care results in favorable mental health outcomes.
  • All major medical organizations oppose legislation that would ban gender-affirming medical care for transgender adolescents.

The objectively better the study, the less benefit it tends to show: most studies showing positive outcomes have serious weaknesses and biases, such as small sample sizes, high rates of patients lost to followup, or only following patients during the short period of euphoria after surgery.

I find this difficult to believe. What's your source for that?

Puberty blockers and transitioning comes with large risks of severe medical complications and side-effects, some of which are horrific.

Sure. But as the studies show, the people receiving treatment are doing better than those who aren't. It's not that treatment is perfect. It's only that its better than no treatment in the vast majority of cases (that get to the point where treatment is recommended).

But obviously you need to go through the diagnosis procedure, and not skimp on the psychological evaluation.

Many detransitioners report a pattern of medical abuse and unethical conduct associated with "affirming care": little or no discussion of possible side effects, surgeons ghosting patients who are dissatisfied with the results of surgery, serious complications, etc.

Medical abuse and unethical conduct are problematic in medicine in general. But the response to that is to crack down on the unethical conduct, not to remove the medical treatment.

I'm not saying that absolutely nobody should transition. But the vast increase in "trans", especially the marketing of it at teenage girls and the use of the affirming model is as pure a case of Follow The Money as you can hope to see.

The solution to that is improved information access and acceptability. If vulnerable kids wondering if they have GD are going to TicTok instead of parents and health professionals, then you've strangled healthy discussion about gender way too much.