Research | Sex Change Regret https://sexchangeregret.com For those who want to return back Fri, 22 Dec 2023 16:11:28 +0000 en-US hourly 1 https://sexchangeregret.com/wp-content/uploads/2020/09/cropped-SCR_LOGO-512-for-favicon-32x32.png Research | Sex Change Regret https://sexchangeregret.com 32 32 ‘Gender-Affirming Care Is Dangerous. I Know Because I Helped Pioneer It.’ https://sexchangeregret.com/gender-affirming-care-is-dangerous-i-know-because-i-helped-pioneer-it/ Fri, 22 Dec 2023 12:21:15 +0000 https://sexchangeregret.com/?p=2301 My country, and others, found there is no solid evidence supporting the medical transitioning of young people. Why aren’t American clinicians paying attention?

By Riittakerttu Kaltiala

October 30, 2023

Article from The Free Press

Dr. Riittakerttu Kaltiala, 58, is a Finnish-born and trained adolescent psychiatrist, the chief psychiatrist in the department of adolescent psychiatry at Finland’s Tampere University Hospital. She treats patients, teaches medical students, and conducts research in her field—publishing more than 230 scientific articles. 

In 2011, Dr. Kaltiala was assigned a new responsibility. She was to oversee the establishment of a gender identity service for minors, making her among the first physicians in the world to head a clinic devoted to the treatment of gender-distressed young people. Since then, she has personally participated in the assessments of more than 500 such adolescents.

Earlier this year, The Free Press ran a whistleblower account by Jamie Reed, a former case manager at The Washington University Transgender Center at St. Louis Children’s Hospital. She recounted her growing alarm at the effects of treatments that sought to transition minors to the opposite sex, and her escalating conviction that patients were being harmed by their treatment.

Although a recent New York Times investigation largely corroborated Reed’s account, many activists and members of the media continue to dismiss Reed’s claims because she is not a physician. 

Dr. Kaltiala is. And her concerns are likely to get more attention in the U.S. now that a young woman who medically transitioned as a teenager has just sued the doctors who supervised her treatment, along with the American Academy of Pediatrics. According to the suit, the AAP, in advocating for youth transition, has made “outright fraudulent statements” about evidence for “the radical new treatment model, and the known dangers and potential side effects of the medical interventions it advocates.” 

Here, Dr. Kaltiala tells her own story, describing her increasing worries about the treatment she approved for vulnerable patients, and her decision to speak out. 

Read the article at The Free Press:

‘Gender-Affirming Care Is Dangerous. I Know Because I Helped Pioneer It.’

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Damaged–the Transing of America’s Kids https://sexchangeregret.com/damaged-the-transing-of-americas-kids/ Thu, 20 Apr 2023 11:03:10 +0000 https://sexchangeregret.com/?p=2227 Starring Walt Heyer, Chloe Cole, Cat Cattinson | Directed by Rachel Page | Produced by Chrissy Clark

56 minutes

Damaged: The Transing of America’s Kids tells the story of the lives of transgender people who wish they could go back.

An amazing film. Even though it’s behind a paywall at Daily Caller, start a trial subscription for $1 and SEE IT.

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Booklet — Why we should protect youth from hormones and surgery https://sexchangeregret.com/protect-our-youth-from-hormones-and-surgery-info-booklet/ Sat, 25 Mar 2023 20:37:53 +0000 https://sexchangeregret.com/?p=2200 Walt Heyer has pulled together a booklet with the quick facts about the harms of providing hormones and surgery to children.

Also available in PDF: Download

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Nearly Half Of Patients Who Had Bottom Surgery Suffer ‘Surgical Site’ Bleeding Later: STUDY https://sexchangeregret.com/nearly-half-of-patients-who-had-bottom-surgery-suffer-surgical-site-bleeding-later-study/ Thu, 26 Jan 2023 00:13:56 +0000 https://sexchangeregret.com/?p=2167 DailyCaller, January 16, 2023, Sarah Weaver

A majority of patients who had vaginoplasties presented several health concerns in visits after the operation, according to a study put out by the Women’s College Hospital (WCH).

The study was conducted on a sample of 80 patients between the ages of 19 and 73 who had received “penile inversion vaginoplasty” at surgical centers in Canada. The patients had all presented themselves for postoperative care at the clinic between three months and five years after their surgery. 

Most patients, at 61.3%, presented themselves for postoperative care with two or more symptoms. Such symptoms included pain, accounting for 53.8% of visits, surgical site/vaginal bleeding accounting for 42.5% of visits, and sexual function concerns accounting for 33.8% of visits. The most commonly reported side effects were hypergranulation, urinary dysfunction, wound healing issues.

Read the full article at: https://dailycaller.com/2023/01/16/patients-vaginoplasty-suffer-surgical-site-bleeding-later-study/

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Under the Radar, the Detransitioner Movement Is Surging https://sexchangeregret.com/under-the-radar-the-detransitioner-movement-is-surging/ Wed, 11 Jan 2023 17:43:53 +0000 https://sexchangeregret.com/?p=2155 Dan Hart, December 14, 2022, The Washington Stand

Read full story at https://washingtonstand.com/commentary/under-the-radar-the-detransitioner-movement-is-surging

…thousands of young women and men who once identified as the opposite sex — many of whom attempted a “gender transition” by ingested drugs and undergoing elaborate surgical procedures to impersonate the opposite sex — are now rejecting the transgender identity and are once again embracing their natural sex.

As reported by The Post Millennial, new studies are showing that the rate of individuals who detransition away from a trans identity is occurring at paces that far exceed what the legacy media is reporting. At the Re/Detrans Canada event held at York University in Ontario last month, researchers presented a number of studies that showed detransition rates ranging from 2% to almost 30%. Three other studies from England show rates between 6.9% and 9.8%. Another yet to be published study of 774 young Canadians and Americans revealed that 16% had halted gender transition treatments, citing “health concerns, change in identity, and cost.”

These rates contrast sharply with the “less than 1%” rate that is constantly trotted out by transgender activists and the media. As noted by The Post Millennial, other cultural indicators also point to a swelling detransitioner movement. Reddit, an online discussion forum that in early 2022 was the 9th-most-visited website in the world, has a “Detrans” chatroom (or “Subreddit”) which currently has over 40,000 members.

Online accounts and testimonies of young women and men who have detransitioned from pursuing a gender transition opposite from their biological sex have exploded in the last five years, and distinct similarities are emerging from among many of these testimonies. While the causes for gender dysphoria are often complex and multifaceted, cultural and institutional influences beholden to a pro-transgender ideology have become primary contributors to the confusion over biological sex that is occurring among thousands of adolescents.

Here is a sampling of 20 testimonies from among the hundreds of detransitioners who have publicly shared their stories. The power that social media has to shape the minds of young people who have experienced abuse and are looking for affirmation is readily apparent in these accounts, along with the potent influence that medical and psychiatric professionals have in pushing their young patients down a path of gender transition drugs and surgical procedures that often create irreversible physiological harm.


Continued at The Washington Stand — Read full story at https://washingtonstand.com/commentary/under-the-radar-the-detransitioner-movement-is-surging


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Andrè Van Mol, MD–Fatal Flaws in Regret Surveys https://sexchangeregret.com/andre-van-mol-md-fatal-flaws-in-regret-surveys/ Fri, 02 Dec 2022 16:26:13 +0000 https://sexchangeregret.com/?p=2105 André Van Mol, MD is a board-certified family physician in private practice and the co-chair of the American College of Pediatrician’s Committee on Adolescent Sexuality. 

In this article for CMDA’s The Point, Dr. Van Mol reveals the flaws in regret studies and surveys, and includes other sources showing higher regret rates.


Regretting Transition for Gender Dysphoria

June 23, 2022

by André Van Mol, MD

Supporters of gender-affirming therapy (GAT)—transition affirmation—are doubling down on claims that regret and detransition are rare. From state-level bills in my home state of California to national policy initiatives from the federal administration, the assertion that transitioning for gender dysphoria is all but regret free is used as a promotional tool for the proposed mandating of GAT essentially on request. However, the sales pitch does not hold up to inspection.

Studies and surveys commonly cited to prove that regret after transition (GAT) for gender dysphoria is exceedingly rare remarkably often demonstrate the same fatal flaws:

  • Impressively high rates of loss to follow up, from over 20 percent to over 60 percent, which invalidate the findings.[1] Were those lost patients helped, hurt or even still alive?[2]
  • Exceedingly strict definitions for regret, e.g. requiring formal application to change their legal documents back to the original sex.[3]
  • Insufficient periods of follow up, usually only six months to two years post-transition, despite the existing evidence that post-surgical regret is known to manifest eight years or so post-transition.[4],[5]
  • Sampling usually taken from gender clinics, to which those with regret repeatedly report they do not return. Dr. Littman’s 2021 survey of 100 detransitioners found that only 24 percent had informed their clinician of their detransition, thus 76 percent did not.[6]
  • Data is gleaned from in-house satisfaction surveys lacking clear and uniform definitions, metrics and follow up. This low-quality data then gets pooled to create low quality, unreliable results.

See entire article at https://cmda.org/regretting-transition-for-gender-dysphoria/

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An interview with Dr. Az Hakeem, Transgender Trend Blog https://sexchangeregret.com/an-interview-with-dr-az-hakeem-transgender-trend-blog/ Fri, 02 Dec 2022 15:19:50 +0000 https://sexchangeregret.com/?p=2097 Dr. Hakeem speaks to

  • the lack of follow-up — regretters are not counted
  • high rate of regret he sees in his post-op patients–26%

Who is Dr. Az Hakeem?

Dr Az Hakeem is a consultant psychiatrist, medical psychotherapist and a Fellow of the Royal College of Psychiatrists. He is also a qualified Group Analyst who has used this training to develop and facilitate the unique therapeutic practice of mixed group therapy sessions with gender dysphoric patients both pre- and post-transition.

Who is Transgender Trend?

Transgender Trend conducted the interview. They say “We are an organisation of parents, professionals and academics based in the UK who are concerned about the current trend to diagnose children as transgender”

The entire interview is available at Transgender Trend: https://www.transgendertrend.com/interview-az-hakeem/

The entire interview is great reading. Here’s the relevant part to know today.

Dr. Hakeem says: (emphasis mine)

“As I stated in my publications 26% of my patients are post-operative regretters: this 26% of course does not represent the demographic of Gender Dysphoric patents but was the demographic of the people who had been referred to my service. These people were all non- existent data. No one had followed them up from the gender clinic since they had been given their sex changes. They had been free to live their lives as they had wanted to be without anyone asking later whether they had made a mistake. Many of them were too embarrassed to admit that they regretted their decision having persuaded the Doctors and Psychiatrists and gender clinic to give them what they wanted and felt they needed. Many of them were living in a post-operative role which they now felt to be fraudulent but from which they felt there was no return.

The public are often told that relative regret is extremely low. But this of course is a complete fiction. There are no follow-up studies, no one knows what the regret rate actually is and this low rate results from the lack of any information being collected. The patients I saw did not officially exist in any gender identity clinics’ books.”

Thank you, Dr. Hakeem!

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Children Who Identify as Transgender Likely Going Through a ‘Phase’, Says UK Health Service https://sexchangeregret.com/children-who-identify-as-transgender-likely-going-through-a-phase-says-uk-health-service/ Thu, 03 Nov 2022 18:51:48 +0000 https://sexchangeregret.com/?p=2085

Great news from the UK Health Service! 

Breitbart, Kurt Zindulka
26 Oct 2022

Children displaying transgender tendencies are likely going through a “phase” that they may come out of as they age and therefore most should not be subjected to transition therapies, guidance from the United Kingdom’s NHS has stated.

In a potentially stark departure from years past, draft guidelines published by NHS England have called for stricter rules surrounding the treatment of allegedly transgender children under the age of 18, going so far as to warn doctors to not take the so-called gender-affirming approach of indulging youngsters in areas such as preferred pronouns.

The socialised healthcare system has also said that it plans to prohibit the use of puberty-blocking hormone therapies for children, with the exception of strictly monitored clinical trials, The Telegraph reported.

Read the full article at Breitbart

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FDA warns of brain swelling and permanent vision loss found in children taking puberty blockers https://sexchangeregret.com/fda-warns-of-brain-swelling-and-permanent-vision-loss-found-in-children-taking-puberty-blockers/ Fri, 29 Jul 2022 20:56:33 +0000 https://sexchangeregret.com/?p=2019

Original article reprinted from this link at The Post Millennial
NEWS ANALYSIS Jul 25, 2022 4:36 PM EST by Christina Buttons

The FDA recently added a warning to gonadotropin-releasing hormone (GnRH) agonists—known to most as “puberty blockers”—after having identified a serious potential side effect for some that may cause a dangerous surge of spinal fluid pressure in the brain, that can cause headaches, nausea, double vision, and even permanent vision loss.

The FDA identified 6 cases in females ages 5-12 years old who were diagnosed with pseudotumor cerebri after taking GnRH agonists. Pseudotumor cerebri, also known as idiopathic intracranial hypertension, literally means “false brain tumor” because the signs and symptoms in affected patients are similar to those of a large brain tumor. An FDA spokesperson said that during a review of the published literature for the clinical use of Lupron Depot-PED (leuprorelin), several research papers described the development of pseudotumor cerebri in children who had been treated with puberty-blocking medications.

“The agency considered the cases clinically serious and, based on these reviews, determined that pseudotumor cerebri (idiopathic intracranial hypertension) should be added as a warning and precaution in product labeling for all GnRH agonist formulations approved for use in pediatric patients,” the spokesperson told Formulary Watch. “Although the mechanism by which GnRH agonists may lead to development of pseudotumor cerebri has not been elucidated, and patients with CPP may have a higher baseline risk of developing pseudotumor cerebri compared with children without CPP, this potential serious risk associated with GnRH agonists justifies inclusion in product labeling.”

While puberty blockers have a long history of different uses, including the chemical castration of violent sex offenders, they are now most commonly recognized for the off-label treatment of gender dysphoria because of their mechanism to stop the production of estrogen and progesterone.

Proponents of puberty blockers to halt the development of secondary sex characteristics of adolescents with gender dysphoria claim they are “safe, effective and completely reversible.” Even the Biden administration has perpetuated this falsehood. As it stands, there are no studies on the long-term effects of puberty blockers. In light of new evidence, Britain’s National Health Service (NHS) recently changed its stance on puberty blockers as being fully reversible to an admission that their long-term effects are unknown. The American Academy of Pediatrics is currently reviewing their policy on the use of puberty blockers for treating gender dysphoria.

Researchers have also found that puberty blockers stunted the height and impaired the bone mass density of children who wished to change gender. There is also evidence that puberty blockers have an adverse impact on cognitive functioning in children, with two studies finding that IQ may drop as a result of the medication. But perhaps most alarming, when a child takes puberty blockers at Tanner stage 2 (the first signs of puberty) and proceeds to cross-sex hormones, they will be sterilized (never able to have children) and never be able to achieve an orgasm.

Read the article at this link at The Post Millennial.

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A new study looks at detransition-related needs and support https://sexchangeregret.com/a-new-study-looks-at-detransition-related-needs-and-support/ Fri, 08 Jul 2022 23:57:58 +0000 https://sexchangeregret.com/?p=1977

Detransition: a Real and Growing Phenomenon

A new study looks at detransition-related needs and support
May 30, 2021 Society for Evidence-Based Gender Medicine

https://segm.org/first_large_study_of_detransitioners

Over the last few years, a growing community of detransitioners has formed online. Despite the visibility recently given to the topic in mainstream media, including a recent 60 Minutes episode featuring detransitioners and their stories, detransition is still a poorly understood phenomenon. A recent exploratory cross-sectional study aims to serve as a springboard for further academic research on the subject. It focuses particularly on uncovering the specific needs that detransitioners experience and the support – or lack thereof – that they receive.

Among the total of 237 survey participants, 92% were birth-registered females. Approximately 2/3 had transitioned both socially and medically, while just under 1/3 transitioned only socially (the option of “only medical” transition was not provided in the survey responses). Among those who medically transitioned, 46% underwent “gender-affirming” surgeries (vs. only undergoing hormonal interventions).

The average age of transition was 18 for social transition (17 for females, 24 for males), and 20.7 for medical transition (20 for females, 26 for males). A quarter of the respondents began medical transition before 18. The average age of detransition was 23 (22 for females, 30 for males). On average, detransition occurred roughly 5 years after transition was initiated (with males taking somewhat longer to detransition).

The participants’ decision to detransition was most often tied to the realization that their gender dysphoria was related to other issues (70%), health concerns (62%), and the fact that transition did not alleviate their dysphoria (50%). Interestingly, over 4 in 10 (43%) participants endorsed a change in political views as a reason for detransition.

Reasons for Detransitioning

figure

 

Figure 1. Reasons for detransitioning (n=237). Vandenbussche E (2021).

Most participants reported significant difficulties finding the help that they needed during their detransition process from medical, mental health, or LGBT communities. Only 13% of the respondents received help from LGBT organizations when detransitioning, compared to 51% when transitioning. A number of participants reported negative reactions from LGBT and medical communities, and 51% of the sample expressed that they did not feel supported during their detransition.

Most detransitioners reported ongoing needs related to managing comorbid mental health conditions (65%), finding alternatives to medical transition (65%), and coping with regret (60%). Half of the sample reported the need for medical information on stopping or changing hormone regimens. A great majority of participants also expressed the need to hear about others’ detransition experiences (87%) and getting in contact with other detransitioners (76%). The study highlights the urgency of providing appropriate medical, psychological, legal, and social support to detransitioners.

This is the first large-sample, peer-reviewed study of the experiences of individuals who identify as detransitioners. Another study earlier this year also attempted to examine detransitioner experiences, but it used a sample of individuals who self-identified as transgender, non-binary, or as “cross-dressers.” That study suggested that the leading reason for their detransition was external pressure. In contrast, this most recent study of individuals who explicitely identify as “detransitioners” suggests a strong influence of internal, rather than external, factors. The marked difference in the findings between these two recent studies, both of which use convenience online samples, highlights how the choice of sample may impact study applicability.

As the numbers of transitioners have sharply grown in the last 5 years, and as transition eligibility has become far less restrictive, it is inevitable that the number of detransitioners will grow. It is vital that health systems begin to track detransition in order to better understand the trajectories of gender dysphoric youth. It is also critical that gender medicine practitioners develop treatment protocols to help detransitioning individuals with significant unmet mental and physical health needs.

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The full text of the publication is available here.

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If you would like to read more about the phenomenon of detransition, we recommend the following sources:

(This list will be updated periodically as new studies are published)

Boyd I, Hackett T, Bewley S. Care of Transgender Patients: A General Practice Quality Improvement Approach. Healthcare. 2022; 10(1):121. https://doi.org/10.3390/healthcare10010121

D’Angelo, R. (2020). The man I am trying to be is not me. The International Journal of Psychoanalysis, 101(5), 951–970. https://doi.org/10.1080/00207578.2020.1810049

Entwistle, K. (2020). Debate: Reality check – Detransitioner’s testimonies require us to rethink gender dysphoria. Child and Adolescent Mental Health, camh.12380. https://doi.org/10.1111/camh.12380

Expósito-Campos, P. (2021). A Typology of Gender Detransition and Its Implications for Healthcare Providers. Journal of Sex & Marital Therapy. https://www.tandfonline.com/doi/abs/10.1080/0092623X.2020.1869126

Hall, R., Mitchell, L., & Sachdeva, J. (2021). Access to care and frequency of detransition among a cohort discharged by a UK national adult gender identity clinic: Retrospective case-note review. BJPsych Open, 7(6), e184. https://doi.org/10.1192/bjo.2021.1022

Littman, L. (2021). Individuals Treated for Gender Dysphoria with Medical and/or Surgical Transition Who Subsequently Detransitioned: A Survey of 100 Detransitioners. Archives of Sexual Behavior. https://doi.org/10.1007/s10508-021-02163-w

Marchiano, L. (2021). Gender detransition: A case study. Journal of Analytical Psychology, 66(4), 813–832. https://doi.org/10.1111/1468-5922.12711

Vandenbussche, E. (2021). Detransition-Related Needs and Support: A Cross-Sectional Online Survey. Journal of Homosexuality, 20. https://doi.org/10.1080/00918369.2021.1919479

 

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