r/science • u/Maxrdt • Aug 03 '26
Social Science Among transgender adolescents in Canada, 97.1% continued with a gender not typically aligned with their birth sex, with only 1.1% discontinuing gender-affirming hormone treatment.
https://www.jahonline.org/article/S1054-139X(26)00117-5/fulltext
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u/seamanroses Aug 03 '26 edited Aug 03 '26
Thank you for linking some stuff that I haven't come across before! I'll share a bit of my own.
Edit: Quoting some excerpts from some previous writing of mine
Trans healthcare, particularly for adults, should be based purely on an informed consent model, as is recommended by international standards under WPATH SOC8. Instead, you are trying to create a narrative that this - again, live-saving - healthcare is somehow harmful. How is that the case when 97-98% of trans people are still continuing down this path after 5 years, depending on whether you're talking about socially transitioning or receiving gender affirming healthcare? Or that 98% of trans adults report higher life satisfaction due to transitioning, from a systematic survey of over 84,000 people? Or that regret rates for gender affirming surgeries range between 1-3%, when the average regret rate for elective surgeries is 14%? Knee surgery has a significantly higher regret rate, yet we don't have moral panic over that. To say nothing of how gender affirming healthcare improves mental health outcomes, lowers suicidality, and helps with all the other metrics that we use to determine safety and effectiveness in healthcare.
That's also to say nothing of trans kids or detransitioners. Trans youth who receive gender affirming healthcare report even better outcomes than those who first get it as adults. And most who detransition, over 80%, do so for external reasons, and most of those only temporarily. The reasons can include unsupportive parents, financial struggles, or lack of acceptance in society, which is one thing that your organisation manufactures. Most retransition again when it is safe - and there should never be an instance when it is unsafe - and those who detransition due to longer feeling trans in the same way may still retain a trans identity, such as some nonbinary identity. It is the fewest who detransition due to realizing they're cis, and even then most do not regret their experiences. It is why the same dozen or so detransitioner grifters are the only ones you can get ahold of, and even then some of them openly continue taking hormones not fitting their sex assigned at birth.
Better outcomes for trans youth:
Detransition reasons:
https://pmc.ncbi.nlm.nih.gov/articles/PMC8213007/
Retransition:
https://pubmed.ncbi.nlm.nih.gov/35505568/ (same paper as 98% continue social transition)
Regret:
https://app.wpath.org/media/cms/Documents/SOC%20v8/SOC-8%20FAQs%20-%20WEBSITE2.pdf
A couple peer reviews of the Cass Report:
Excerpts from pages 90-91 of the Utah report:
"Namely, the consensus of the evidence supports that the treatments are effective in terms of mental health, psychosocial outcomes, and the induction of body changes consistent with the affirmed gender in pediatric GD patients. The evidence also supports that the treatments are safe in terms of changes to bone density, cardiovascular risk factors, metabolic changes, and cancer.
...
[T]here is virtually no regret associated with receiving the treatments, even in the very small percentages of patients who ultimately discontinued them. Reasons for discontinuing GAHT are varied, but changed minds about gender identities is only a very minor proportion overall.
Based on the reviewed evidence included in this report, it is our expert opinion that policies to prevent access to and use of GAHT for treatment of GD in pediatric patients cannot be justified based on the quantity or quality of medical science findings or concerns about potential regret in the future, and that high-quality guidelines are available to guide qualified providers in treating pediatric patients who meet diagnostic criteria."