Trans youth will no longer be prescribed puberty blockers, NHS England says

https://lemmy.world/post/13067428

Trans youth will no longer be prescribed puberty blockers, NHS England says - Lemmy.World

Trans youth will no longer be prescribed puberty blockers at NHS England gender identity clinics in a new “blow” to gender-affirming healthcare. Puberty blockers are a type of medicine that prevent puberty from starting by blocking the hormones – like testosterone and oestrogen – that lead to puberty-related changes in the body. In the case of trans youth, this can delay unwanted physical changes like menstruation, breast growth, voice changes or facial hair growth. On Tuesday (12 March), NHS England confirmed the medicine, which has been described as “life-saving” medical care for trans youth, will only be available to young people as part of clinical research trials. The government described the move as a “landmark decision”, Sky News reported. It believed such a move is in the “best interests of the child”.

God damn Tories. What do they know about “best interests of the child” that a doctor doesn't already know? Less than nothing is the answer.

If a young person is suffering from gender dysmorphia to the point of considering gender affirmation procedures, then I think it'd be in their best interest to not exacerbate that condition by delaying the onset of puberty via puberty blockers until they're at the age where that can legally consent to such procedures.

Even if they eventually decide not to undergo those procedures, all you habr to do is take them off the blockers and they'd undergo puberty as normal. There's not all that much downside for an awful lot of upside for those in need.

seen doctors force sex change to children that lead to the child killing themselves in adulthood. Doctors are just people and people are all the same

seen doctors force sex change to children that lead to the child killing themselves in adulthood

Why do transphobes lie all the fucking time? Like, is there something wrong with your brain preventing you from not lying?

Why do you people always argue in bad faith?

Detransitioning is real and a lot of people end up regretting the decisions that you pressure them into making.

Regret after Gender-affirmation Surgery: A Systematic Review and Meta-analysis of Prevalence

Results: A total of 27 studies, pooling 7928 transgender patients who underwent any type of GAS, were included. The pooled prevalence of regret after GAS was 1% (95% CI <1%–2%). Overall, 33% underwent transmasculine procedures and 67% transfemenine procedures. The prevalence of regret among patients undergoing transmasculine and transfemenine surgeries was <1% (IC <1%–<1%) and 1% (CI <1%–2%), respectively. A total of 77 patients regretted having had GAS. Twenty-eight had minor and 34 had major regret based on Pfäfflin’s regret classification. The majority had clear regret based on Kuiper and Cohen-Kettenis classification.

Conclusions: Based on this review, there is an extremely low prevalence of regret in transgender patients after GAS.

Regret after Gender-affirmation Surgery: A Systematic... : Plastic and Reconstructive Surgery – Global Open

The aim of this study was to evaluate the prevalence of regret in transgender individuals who underwent GAS and evaluate associated factors. Methods: A systematic review of several databases was conducted. Random-effects meta-analysis, meta-regression, and subgroup and sensitivity analyses were performed. Results: A total of 27 studies, pooling 7928 transgender patients who underwent any type of GAS, were included. The pooled prevalence of regret after GAS was 1% (95% CI <1%–2%). Overall, 33% underwent transmasculine procedures and 67% transfemenine procedures. The prevalence of regret among patients undergoing transmasculine and transfemenine surgeries was <1% (IC <1%–<1%) and 1% (CI <1%–2%), respectively. A total of 77 patients regretted having had GAS. Twenty-eight had minor and 34 had major regret based on Pfäfflin’s regret classification. The majority had clear regret based on Kuiper and Cohen-Kettenis classification. Conclusions: Based on this review, there is an extremely low prevalence of regret in transgender patients after GAS. We believe this study corroborates the improvements made in regard to selection criteria for GAS. However, there is high subjectivity in the assessment of regret and lack of standardized questionnaires, which highlight the importance of developing validated questionnaires in this population....

LWW

For additional context, here’s a study on the regret rate of hip and knee surgery:

On analysis a significantly greater proportion of TKA [total knee replacement] patients reported moderate or severe (Mod/Sev) DR [17.1% (56/328)] compared to THA [total hip replacement] patients [4.8% (18/376)]. Conversely, a significantly reduced proportion of TKA patients reported having No DR [42.1% (138/328)] compared to THA patients [66.7% (251/376)]. On multivariate logistic regression analysis joint replacement type (TKA/THA) and change in Oxford score were significant predictors of DR with gender, age, BMI and ASA grade not significantly associated. TKA patients were more than twice as likely to have Mod/Sev DR compared THA patients (Odds Ratio = 2.33 (95% CI 1.24-4.39)). Patients with poorer improvements in pain and function 1-year post-operatively (measured by Oxford scores) reported greater levels of DR.

Regret rate of gender affirming surgery is basically rounding error.

Decision regret after primary hip and knee replacement surgery - PubMed

TKA patients were significantly more likely to report greater levels of DR 1-year following surgery compared to THA patients. For both TKA and THA patients, greater levels of DR were associated with poorer Oxford scores. The use of decision aids to reduce post-operative DR in joint replacement patie …

PubMed
Well now I’m confused, because I’ve met a lot of people with knee replacements who were very happy with the results. All surgeries can and do have complications, so I’m very surprised the numbers are that low for SRS. It implies it goes perfectly almost every time.
It implies that living with gender dysphoria is so painful that people would rather have the surgical complications.
Arthritic knees and hips are not great either.