this post was submitted on 17 Jun 2025
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[–] [email protected] 81 points 1 day ago (16 children)

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.

[–] [email protected] 2 points 17 hours ago (1 children)

Given the prevalence of forced mutilation of intersex babies as well as medically unnecessary circumcisions, I humbly disagree that these procedures are "weighted on total outcomes". Unnecessarily cutting off (part of) a baby's penis is not comparable to being unaware of a new drug's side effects. Every doctor who has performed that procedure was fully aware that it was medically unnecessary and did not have reason to believe the baby would not come to regret not being given a choice years down the road. I'd argue these procedures are institutionalized medical malpractice.

No shade on you personally because you seem to be approaching the topic rstionally, but I think it's critical to acknowledge that the field of medicine still has very strong biases in these matters and is not nearly as Cartesian as it is sometimes made out to be. Especially on sensitive topics such as gender identity or reproductive rights doctors have a lot of latitude to be bigoted and to unilaterally deny necessary care.

[–] [email protected] 8 points 16 hours ago

Given the prevalence of forced mutilation of intersex babies as well as medically unnecessary circumcisions, I humbly disagree that these procedures are "weighted on total outcomes".

As I said, it's not a perfect system. However, a lot of the times the flawed treatments of their times were influenced by how physicians perceived cultural norms.

As cultural mores are adjusted and education within the medical community improves, treatment options are usually re-aligned to fit the science. For example circumcisions are becoming a thing of the past and intersex operations nare usually conducted after secondary sex organs develop.

Every doctor who has performed that procedure was fully aware that it was medically unnecessary and did not have reason to believe the baby would not come to regret not being given a choice years down the road. I'd argue these procedures are institutionalized medical malpractice.

Eh.... Doctors are a slave to social mores as much as anyone is. They are unfortunately just as susceptible to belief as lawyers or politicians. There were beliefs that spouted about hygiene etc, but in reality those were just to validate belief systems held by the vast majority of the population. In the end they believed that the harm was not very significant to the pts overall health.

but I think it's critical to acknowledge that the field of medicine still has very strong biases in these matters and is not nearly as Cartesian as it is sometimes made out to be.

I think it's fairly obvious that the medical system has failed several minority groups, most recently trans people. I am proclaiming how medical providers should behave and how we were trained to treat all patients. Unfortunately, as you have stated, beliefs systems unjustly often interjects itself in medical care. Whether that be in prescribing birth control or administrating gender affirming care.

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[–] [email protected] 53 points 1 day ago (23 children)

The fact that bad shit is normalized isn't a great argument in this instance.

[–] [email protected] 50 points 1 day ago (2 children)

Yes it is. The argument is that people having a moral panic over kids getting gender affirming care (which they erroneously believe to be bottom surgery, that's another can of worms), which is shown to be safe and effective, are not having the same moral panic (and even are likely to be the same demographic enabling this behaviour) over actual, proven to be a disaster for your health activities, shows that all these people are simply transphobes.

[–] [email protected] 10 points 21 hours ago (1 children)

It's not transphobic to recognize a bad argument against trans hate. There are plenty of good arguments against it

[–] [email protected] 16 points 21 hours ago (4 children)

Where transhobes do and do not direct their attention betrays their motivations.

Their motivations are very important.

The OP comment is not anti-transitioning, nor pro-child-meth.

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[–] [email protected] 7 points 21 hours ago (6 children)

Except it's a strawman. Plenty of people are upset about over medication of children. As one of those children, kindly STFU and don't speak for us.

[–] [email protected] 1 points 10 hours ago

As one of those children, have you witnessed fetishising of people who have had puberty blockers? Or is that class of predator rare and without influence?

[–] [email protected] 6 points 20 hours ago

Yeah I’m reading this and I’m like “I’m actually very much against both of these examples…..” the sports shit with kids in general is insane and it’s just to help them stand out for capitalism reasons, which is also why mainstream people don’t see anything wrong with it, capitalism has footed the bill of normalizing genuinely bad things like turning kids sports from a fun way to make friends to a literal job with overbearing schedules and physically inappropriate levels of activity for young bodies and joints.

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[–] [email protected] 28 points 1 day ago (1 children)
[–] [email protected] 18 points 1 day ago (1 children)

Who cares?! All I wanna know is which bathroom they use!!!

[–] [email protected] 2 points 16 hours ago

and you better have gametes to prove you can pee there

[–] [email protected] 6 points 19 hours ago (12 children)

This is something I know little about and want to be better informed on by anyone willing. Web searches don't pull up much and I'm hesitant to ask people in my IRL community.

So most kids don't regret it right? But it seems so iffy to let developing people make decisions like that. I had a three year phase from around 13-16 where I desperately wanted to remove my nose. Completely. (It's an ugly nose and I was an especially dumb kid). I think I would have done it/had it done if it were easier. And less painful. And maybe I'd still be chill with it if I had but man was I a strange kid. But I'm kind of glad there wasn't a good way to do it. Is this a false equivalency? And why? What age should they be allowed to begin HRT? What impacts does it have if reversed? Should kids also be allowed stuff like tattoos and alcohol? I don't like the argument that you can give kids amphetamines or make other life changing decisions for them as I'm pretty against the system that allows it and so I don't think if that's the justification I'm on board on that basis necessarily. I'm genuinely asking as I usually don't engage on this topic because it can get spicy. I'm open to opinions from anyone with one.

[–] [email protected] 6 points 16 hours ago (1 children)

That's the thing they though don't have to just "cut off their nose", there puberty blockers which hit the pause button and prevent going through the wrong puberty, which they give to kids with precocious puberty without any moral outrage.

[–] [email protected] 1 points 16 hours ago

That's actually pretty neat. Thanks.

[–] [email protected] 3 points 14 hours ago (1 children)

No pediatrician is going to be giving 10 year old any sort of hormonal therapy unless things are seriously out of whack (ie something like congenital adrenal hyperplasia) however the usual standard of care for children who are experiencing any sort of gender dysphoria is to put them on puberty blockers which simply delays puberty until they are old enough to choose.

The transgender care that children receive gives them a choice in how their body develops they would not otherwise have.

My controversial opinion is that all children should be encouraged to take puberty blockers in addition to having a say in how their body develops it has additional benefits of: significant reduction in teen pregnancies, reduced sexualization of minors, reduced stress during a time when a lot is already changing, etc.

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[–] [email protected] 5 points 19 hours ago (1 children)
[–] [email protected] 1 points 17 hours ago (5 children)

I'm looking for discourse more than a webpage.

[–] [email protected] 1 points 15 hours ago* (last edited 15 hours ago)

Discourse or an argument, the information you are looking for is accessible in a concrete way based on meta analysis of dozens of studies with an easy to read intro. It's much easier to put your trust there.

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[–] [email protected] 1 points 14 hours ago* (last edited 14 hours ago) (1 children)

It's a very complicated topic where for some kids it's the right choice, other kids are feeling this way due to social contagion, and it's turned into a weird culture war. Reductive posts like this (edit: OP's post) don't help.

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