this post was submitted on 17 Jun 2025
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I don't think many people working outside pediatric healthcare really have an understanding about how comfortable healthcare providers are prescribing interventional care.
When diagnosing and treating a patient we come up with a plan of care that is weighted on total outcomes. Now this isn't a perfect system, for example we may not completely understand the potential harm of new medications. However, we are creating the plan of care with the best information we have at the time. Taking potential side effects and weighing it against the potential harm that could occur without any treatment.
I specialize in pediatric orthopedics and rehabilitation....so take anything I say about gender affirming care with a grain of salt. However, the potential outcome for not treating gender dysphoria as I understand it is pretty bad....self harm and suicide are about as bad as an outcome as one could imagine. Now weigh that against the medications that are usually prescribed for gender affirming care which are well known, and most often prescribed without negative effect for a plethora of treatments ranging from precocious puberty, to monitoring rate of which growth plates close.
Hormone replacement therapy has been going on for decades and is very common place at any hospital that atends to pediatric patients. To claim that intervention isn't appropriate for something with a potential total outcome as bad as suicide, based off "kids can't consent" is a ridiculous notion considering that the same drugs are often prescribed to make sure a child doesn't develop a limb length discrepancy after an orthopedic surgery.
Suicide attempts and ideation among transgender people receiving gender affirming treatment is still very high compared to the general population.
Yeah, when you live in a society that treats you like shit for an immutable characteristic that tends to happen. It’s called minority stress, and it happens to cis queer people as well.
I totally agree and it sucks that people are like that. I was just responding to the argument that any treatment is worth it when the alternative is suicide, because studies range from showing HRT helps a little to not at all at preventing suicide.
Trans people just need to be loved and accepted like everyone else but unfortunately a lot of people really suck.
Point of order. Trans people do not just need to be loved and accepted. Sometimes when this discussion point comes up it's under the context that if everyone was playing ball with pronouns and being nice then medical transition would be unnecessary. That is not the case.
While it's true that one of the effects of medical transition means that strangers are more likely to read and not misgender you - being trans the feedback system isn't dependent on outside observers. What a lot of people seem to think is that gender as understood by cis people, as a largely performative construct, is by and large not how trans people interact with gender.
I personally wish we would stop looking at trans healthcare from the sour perspective of needing to justify itself being a worthy endeavor or not strictly on the basis of suicide rates as though if something is not provably strictly lifesaving in every case it isn't worthy.
No they don't. There are a couple of studies that are deliberately misrepresented by transphobes to imply this, and they often get passed around as fact, by people who aren't familiar with the studies in question.
Firstly, there was this Finnish one https://mentalhealth.bmj.com/content/27/1/e300940
You can see more about the hatchet job that the New York Post did on that one here https://skeptics.stackexchange.com/questions/56772/does-gender-transitioning-do-nothing-to-help-suicidal-ideation
Then there is this one https://pmc.ncbi.nlm.nih.gov/articles/PMC3043071/. It's older, and it is misrepresented to claim that the suicide rate of trans folk doesn't change after transition. The thing about that study is that doesn't even assess the impact of transition. The entire cohort of trans people in the study were post transition, and questions were asked about their lifetime suicide attempts, without comparing before/after transition data. So because 41% of trans people in that study had made at least one suicide attempt at some point in their lives, the claim was made that transition doesn't help, because "41% of post op trans people have attempted suicide". The lead author of this particular study has spoken out several times on the misuse of the study by transphobes with an agenda, but to this day, it keeps happening...
So, let me give you the actual data...
https://whatweknow.inequality.cornell.edu/topics/lgbt-equality/what-does-the-scholarly-research-say-about-the-well-being-of-transgender-people/
This is a consolidation of the findings of research on trans health care, and the impact of transition on the well being of trans folk. To summarise, they looked at 55 studies on the impact of transition. 51 of those found transition to be beneficial, and 4 of them contained mixed findings.
You've stumbled on one of the tools that transphobes use. Deliberate misrepresentation of the facts, so that they can push for trans folk to be cut off from transition related healthcare, all whilst sounding reasonable, and sometimes even supportive. That, and trans people in sports, were the two main wedge tactics that they used to open the door to the wave of transphobia now sweeping the world.
You’re misinformed, the evidence supporting HRT for those that want it is sufficient that withholding it is unethical. HRT alone not being able to overcome extreme minority stress for everyone doesn’t mean it’s not helpful or necessary.
While family and community support is extremely important, it can’t replace medical transition for those that want it. You can’t hug the dysphoria away.
I’m primarily going off this meta study. They found many studies failed to reach statistical significance and many failed to account for confounding issues like psychological conditions, trauma, abuse, and substance use.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10027312/
Instead of using a single meta study (which itself has limitations) as a reason to declare that HRT has no effect on suicidality—which isn’t even something the meta study claimed—you could take a peek at the political climate for trans people right now and just not?
That's not the argument.....
The argument is that treatment plans are developed by evaluating risk and reward.
The risk for not treating is very high, even if the treatment doesn't have a high rate of efficacy as long as it doesn't introduce further risk, it's still a valid treatment.