{"id":3275,"date":"2023-06-07T02:51:01","date_gmt":"2023-06-07T02:51:01","guid":{"rendered":"https:\/\/wifamily.news\/?p=3275"},"modified":"2023-06-07T03:11:35","modified_gmt":"2023-06-07T03:11:35","slug":"part-2-a-false-narrative-transgender-treatments-unsettled-science","status":"publish","type":"post","link":"https:\/\/wifamily.news\/?p=3275","title":{"rendered":"Part 2: \u2018A False Narrative\u2019: Transgender Treatments &amp; Unsettled Science"},"content":{"rendered":"<p>This post originally appeared at <a href=\"https:\/\/www.wisconsinrightnow.com\/transgender-treatments\/\">https:\/\/www.wisconsinrightnow.com\/transgender-treatments\/<\/a><\/p>\n<p><img decoding=\"async\" width=\"1068\" height=\"713\" src=\"https:\/\/wifamily.news\/wp-content\/uploads\/2023\/06\/Collage-Maker-01-Jun-2023-10-00-AM-3519.jpg\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"Transgender Treatments Gender Surgeries\" loading=\"lazy\" title=\"Transgender Treatments\" \/><\/p>\n<p><em><strong>This is part 2 in a <a href=\"https:\/\/www.wisconsinrightnow.com\/transgender-treatments-of-minors\/\" target=\"_blank\" rel=\"noopener\">multi-part series<\/a> exploring transgender treatments in Wisconsin hospitals.<br \/>\n<\/strong><\/em><\/p>\n<h2>Part 2: The research is far from settled.<\/h2>\n<p>Hospitals and medical professionals in Wisconsin and elsewhere who perform gender surgeries (such as mastectomies) and hormonal treatments on juveniles often justify the treatments by arguing that they prevent harm (suicides, depression) and are completely reversible.<\/p>\n<blockquote>\n<p>\u201cChildren\u2019s Wisconsin is committed to improving the lives of all children and youth in any facet of their health and well-being,\u201d the \u201cGender Health Clinic\u201d at Children\u2019s Hospital in Wisconsin says on its website, using typical rhetoric. \u201cThat is why we recognize the need for a health clinic devoted to children and youth who may have questions of any kind relating to gender identity.\u201d<\/p>\n<\/blockquote>\n<p>Not so fast. Could the actions be causing irreversible harm?<\/p>\n<p>In <a href=\"https:\/\/www.wisconsinrightnow.com\/gender-surgeries\/\" target=\"_blank\" rel=\"noopener\">part 1<\/a>, we reported that more than 260 juveniles received puberty blockers or hormone therapy in recent years from two major Wisconsin hospitals, and up to 15 juveniles underwent breast surgeries every year \u2013 in most cases mastectomies \u2013 because of \u201cgender dysphoria.\u201d<\/p>\n<p>Yet, a growing body of research is leading European countries to toughen guidelines, even as many on the left in the United States often demand no dissent, and people who want to consider the science or criticize transgender treatments on juveniles are threatened with cancellation.<\/p>\n<h2>\u2018A False Narrative\u2019<\/h2>\n<p><a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/0092623X.2022.2150346\" target=\"_blank\" rel=\"noopener\">A study published by the Journal of Sex and Marital Therapy<\/a> in 2023 questioned the seminal study that started it all; the researchers found that two Dutch studies that \u201cformed the foundation and the best available evidence for the practice of youth medical gender transition\u201d were \u201cmethodologically flawed and should have never been used in medical settings as justification to scale this \u2018innovative clinical practice.&#8217;\u201d<\/p>\n<p>\u201cA false narrative has taken root,\u201d the study found. \u201cIt is that \u2018gender-affirming\u2019 medical and surgical interventions for youth are as benign as aspirin, as well-studied as penicillin and statins, and as essential to survival as insulin for childhood diabetes\u2014and that the vigorous scientific debate currently underway is merely \u2018science denialism\u2019 motivated by ignorance, religious zeal, and transphobia.\u201d<\/p>\n<p>The researchers found: \u201cThis highly politicized and fallacious narrative, crafted and promoted by clinician-advocates, has failed to withstand scientific scrutiny internationally, with public health authorities in Sweden, Finland, and most recently England doing a U-turn on pediatric gender transitions in the last 24 months.\u201d<\/p>\n<p>However, in the United States, \u201cmedical organizations so far have chosen to use their eminence to shield the practice of pediatric \u2018gender affirmation\u2019 from scrutiny,\u201d the authors wrote.<\/p>\n<p>Despite the all-in push for such transgender treatments by the Biden administration, there is also a growing push to ban transgender surgeries and treatments for youths due to risks associated with these procedures. Gender dysphoria is a complex issue that requires careful consideration and treatment.<\/p>\n<p>Vanderbilt University Medical Center<a href=\"https:\/\/twitter.com\/JasonZacharyTN\/status\/1578474545131888640?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1578474545131888640%7Ctwgr%5Ea774d5372bfe1662fd79fe71b59e42d3ddc68ff1%7Ctwcon%5Es1_&amp;ref_url=https%3A%2F%2Fwww.wsmv.com%2F2022%2F10%2F07%2Fvanderbilt-hospital-agrees-pause-gender-affirming-surgery-minors-officials-say%2F\" target=\"_blank\" rel=\"noopener\"> agreed to suspend surgery<\/a> for minors in 2022 after such concerns were raised.<\/p>\n<p><a href=\"https:\/\/www.thecentersquare.com\/national\/article_a969ff1a-5156-11ed-9243-733436a08713.html\" target=\"_blank\" rel=\"noopener\">Last year<\/a>, Convention of States Action, along with the Trafalgar Group, released<strong> <a href=\"https:\/\/www.thetrafalgargroup.org\/news\/nat-issues-minors-1014\/\" target=\"_blank\" rel=\"noopener\">data<\/a><\/strong> that showed that \u201c78.7 percent of voters believe underage minors should be required to wait until they are adults to legally use puberty blockers and undergo permanent sex-change procedures.\u201d<\/p>\n<p>According to<a href=\"https:\/\/www.floridahealth.gov\/newsroom\/2022\/04\/20220420-gender-dysphoria-guidance.pr.html\" target=\"_blank\" rel=\"noopener\"> floridahealth.gov<\/a>, a study published in the <a class=\"OutboundLink evenz\" title=\"International Review of Psychiatry | WebSite | opens a new window\" href=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.3109\/09540261.2015.1115754?journalCode=iirp20&amp;utm_source=floridahealth.gov&amp;utm_medium=referral&amp;utm_campaign=newsroom&amp;utm_content=article&amp;url_trace_7f2r5y6=https:\/\/www.floridahealth.gov\/newsroom\/2022\/04\/20220420-gender-dysphoria-guidance.pr.html\" target=\"_blank\" rel=\"noopener\"><span class=\"underline\">International Review of Ps<\/span>y<span class=\"underline\">chiatr<\/span>y<\/a> states that 80% of those seeking clinical care will lose their desire to identify with the non-birth sex.<\/p>\n<p>In November 2022, <a href=\"https:\/\/www.nytimes.com\/2022\/11\/14\/health\/puberty-blockers-transgender.html\" target=\"_blank\" rel=\"noopener\">the New York Times published an article<\/a>, \u201cThey Paused Puberty, but Is There a Cost?\u201d<\/p>\n<p>The article reported that \u201cconcerns are growing among some medical professionals about the consequences of the drugs.\u201d<\/p>\n<p>According to the Times, the practice emerged in the Netherlands 30 years ago. However, the Times found that there was \u201clittle documentation of outcomes and no government approval of the drugs for that use, including by the U.S. Food and Drug Administration.\u201d<\/p>\n<p>\u201cBut there is emerging evidence of potential harm from using blockers, according to reviews of scientific papers and interviews with more than 50 doctors and academic experts around the world,\u201d the newspaper reported.<\/p>\n<p>Among the effects: According to the Times, two studies found that bone density loss is not fully reversible.<\/p>\n<p>Sweden, Finland, and England have placed limits on their use, according to The Times, whereas, in the United States, the debate often fractures along political lines.<\/p>\n<p>The Times reported that one study indicated \u201cthe United States had produced no data on the impact or safety of blockers, particularly among transgender patients under 12.\u201d<\/p>\n<p>As American political debate often stalls reasonable discussion over the effects of the treatments, some European countries are toughening guidelines for minors. The Finnish Health Authority issued new guidelines that found \u201cpsychotherapy, rather than puberty blockers and cross-sex hormones\u201d should be the \u201cfirst-line\u201d treatment for youth experiencing gender dysphoria because \u201csystematic evidence review\u201d found \u201cthe body of evidence for pediatric transition inconclusive,\u201d <a href=\"https:\/\/segm.org\/Finland_deviates_from_WPATH_prioritizing_psychotherapy_no_surgery_for_minors?s=09\" target=\"_blank\" rel=\"noopener\">according to the Society for Evidence Based Gender Medicine.<\/a><\/p>\n<p>The new guidelines were based on research, <a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/08039488.2019.1691260\" target=\"_blank\" rel=\"noopener\">including a Finnish study<\/a> that found that \u201cmedical gender reassignment is not enough to improve functioning and relieve psychiatric comorbidities among adolescents with gender dysphoria.\u201d<\/p>\n<p>In 2020, a prominent Dutch researcher <a href=\"https:\/\/publications.aap.org\/pediatrics\/article\/146\/4\/e2020010611\/79688\/Challenges-in-Timing-Puberty-Suppression-for?autologincheck=redirected\" target=\"_blank\" rel=\"noopener\">wrote an article<\/a> for the American Academy of Pediatrics and found, \u201csystematic studies on the rate of adolescents who discontinue their transitions after they have started affirming hormones or surgeries with lasting effects are lacking at present.\u201d<\/p>\n<h2>Unsettled Science<\/h2>\n<p>In 2021, a group of researchers <a href=\"https:\/\/www.thelancet.com\/journals\/lanchi\/article\/PIIS2352-4642(21)00235-2\/fulltext\" target=\"_blank\" rel=\"noopener\">published a study on Lancet<\/a> called, \u201cPuberty blockers for gender dysphoria: the science is far from settled.\u201d<\/p>\n<p>The article traces the argument that transgender treatment prevents suicide to a 2011 study but says that the population studied \u201cmarkedly differs from the population today, which is characterized by post-pubescent young people reporting a trans identity for the first time, often in the context of significant mental health problems.\u201d The original study lacked a control group making it unclear how much any improvements were due to the treatments.<\/p>\n<p>Furthermore, the study reported that improvements in mental health, like depression, were small and \u201chave to be carefully weighed against the risks of puberty blockers to bone health and fertility, and the uncertainty of the long-term health effects of interrupting puberty,\u201d that article says.<\/p>\n<p>\u201cThere is growing acknowledgment worldwide that the practice of providing gender-affirming care for youth is far from settled science,\u201d the authors wrote.<\/p>\n<p>A \u201csystematic review by UK\u2019s National Institute for Health and Care Excellence found that in youth with gender dysphoria, there was \u2018little change with GnRH analogues from baseline to follow-up\u2019 in gender dysphoria, mental health, body image, and psychosocial impact,\u201d the authors wrote. \u201cThe study concluded that the reported psychological improvements are \u2018either of questionable clinical value, or the studies themselves are not reliable and changes could be due to confounding, bias or chance.\u2019\u201d<\/p>\n<p><a href=\"https:\/\/www.washingtonpost.com\/opinions\/2022\/04\/11\/i-was-too-young-to-decide-about-transgender-surgery-at-nineteen\/\" target=\"_blank\" rel=\"noopener\">Read<\/a> this article about a transgender woman\u2019s regret of having the surgery at 19.<\/p>\n<p>\u201cSurgery unshackled me from my body\u2019s urges, but the destruction of my gonads introduced a different type of bondage. From the day of my surgery, I became a medical patient and will remain one for the rest of my life. I must choose between the risks of taking exogenous estrogen, which\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29987313\/\" target=\"_blank\" rel=\"noopener\">includes<\/a>\u00a0venous thromboembolism and stroke, or the risks of taking nothing, which includes\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5376477\/\" target=\"_blank\" rel=\"noopener\">degeneration<\/a>\u00a0of bone health. In either case, my\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26154489\/\" target=\"_blank\" rel=\"noopener\">risk of dementia<\/a> is higher, a side effect of eschewing testosterone.\u201d<\/p>\n<p>Walt Heyer, Author of <a href=\"https:\/\/www.amazon.com\/Trans-Life-Survivors-Walt-Heyer\/dp\/173234535X\" target=\"_blank\" rel=\"noopener\">\u201cTrans Life Survivors,\u201d <\/a>tells the stories of <a href=\"https:\/\/www.dailysignal.com\/2020\/01\/02\/transgender-clinics-are-ruining-young-lives\/?_gl=1*hrljy1*_ga*Nzk0NDk1Nzk1LjE2ODIyOTkxNzE.*_ga_W14BT6YQ87*MTY4MjI5OTE3MC4xLjAuMTY4MjI5OTE3MC42MC4wLjA.\" target=\"_blank\" rel=\"noopener\">three teens<\/a> who transitioned at age 18 or 19 and who regretted it soon after.<\/p>\n<p>The research of John Money formed the underpinnings for gender identity theory when, in the 1960s, <a href=\"https:\/\/embryo.asu.edu\/pages\/david-reimer-and-john-money-gender-reassignment-controversy-johnjoan-case\" target=\"_blank\" rel=\"noopener\">he performed<\/a> experiments on two twins, encouraging one of the boys, whose genitals were damaged in a failed circumcision, to transition to a female. The twin was not told he was born biologically male.<\/p>\n<p>\u201cDuring the twin\u2019s psychiatric visits with Money, and as part of his research, Reimer and his twin brother were directed to inspect one another\u2019s genitals and engage in behavior resembling sexual intercourse,\u201d according to an article published by Arizona State University. The twin later insisted he still felt like a boy despite \u201creceiving female hormones, wearing dresses, and having his interests directed toward typically female norms.\u201d He said the transition was a failure even though Money presented otherwise.<\/p>\n<p>When he died in 2006, <a href=\"https:\/\/www.nytimes.com\/2006\/07\/11\/us\/11money.html\" target=\"_blank\" rel=\"noopener\">The New York Times<\/a>, which wrote that Money came up with the term \u201cgender identity,\u201d said he \u201chelped found the field of sexual identity studies.\u201d<\/p>\n<div class=\"youtube-embed\" data-video_id=\"eQJHPQpf6mI\">\n<iframe loading=\"lazy\" title=\"Why the Boy Who Was Raised as a Girl Forgave His Mother | The Oprah Winfrey Show | OWN\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/eQJHPQpf6mI?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div>\n<p>\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This post originally appeared at https:\/\/www.wisconsinrightnow.com\/transgender-treatments\/ This is part 2 in a multi-part series exploring&#8230;<\/p>\n","protected":false},"author":16,"featured_media":3203,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8],"tags":[],"class_list":["post-3275","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-wi-right-now"],"_links":{"self":[{"href":"https:\/\/wifamily.news\/index.php?rest_route=\/wp\/v2\/posts\/3275","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wifamily.news\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wifamily.news\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wifamily.news\/index.php?rest_route=\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/wifamily.news\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3275"}],"version-history":[{"count":2,"href":"https:\/\/wifamily.news\/index.php?rest_route=\/wp\/v2\/posts\/3275\/revisions"}],"predecessor-version":[{"id":3277,"href":"https:\/\/wifamily.news\/index.php?rest_route=\/wp\/v2\/posts\/3275\/revisions\/3277"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wifamily.news\/index.php?rest_route=\/wp\/v2\/media\/3203"}],"wp:attachment":[{"href":"https:\/\/wifamily.news\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3275"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wifamily.news\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3275"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wifamily.news\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3275"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}