Asklemmy

There are things that don't completely change with HRT (particularly when started after puberty.) Height, bone density, lung capacity, hand/foot/limb size etc. do not vary significantly after HRT and depending on the sport can make a huge difference (eg. Hand and foot size or lung capacity in swimming even where the two swimmers are the same height.)

Consider two 5'6" 65kg athletes, one man and one woman, are you saying that the man doesn't have an advantage?

I used to believe the same until I saw the recent Women's Premier League in Cricket. They had to reduce the size of field and the weight of ball. Even with that, the fastest bowl in the tournament was 130kmph while that speed is considered a "slower ball" in men's cricket.

Now some of these female cricketers earm more than any Pakistani male cricketers. Which is fair, bigger market, bigger payout. But female cricketers don't stand a chance against the male cricketers

The thing I don't understand around it is that the people who are making the argument "trans people shouldn't be able to participate in sports" are usually also people who are not interested in the sport at all. As in are they upset because someone on the telly told them to, but they really don't care about the sport except in this very niche aspect which impacts a very slight minority of participants. I mean would half the US public be very interested in the deep technicalities of competitive high-school running?

Same with HRT. Why do I even have to know about it? It's a niche medical treatment for a comparatively small amount of people suffering from some very specific conditions. I can barely understand what the difference is between ibuprofen and paracetamol, and I'm sure most people are even less informed. Why is it not the sole interest of people affected by gender dysphoria (IDK if I'm even spelling or saying it right, sorry for my ignorance), and their doctors?

The thing that actually grinds my gears is that this culture war stuff takes over places and trans people have to get defensive over their existence, and a forum on fricking Bionicle gets full of trans memes. Don't get me wrong, if you're a trans person, or a Zulu, or IDK what niche minority, and you've made a Bionicle that uniquely represents you, I'm going to upvote that shit so hard since it's frickin awesome. But having the whole place be full of low effort "trans people are people" memes is about as funny or interesting as having the whole place full of "the sky is blue" memes.

People are getting outraged about what some socially disadvantaged minority is doing with their lives instead of actually contributing to society, because some idiotic grifter TV host told them to. Fucking lemmings.

Every time that “Argument” happens it’s openly done in biologically unfounded ways by people who simply don’t understand how our bodies actually work.

I'll be the first to admit I don't know how our bodies work, but I think explaining it will be more helpful in the long run than just making the subject taboo and banning everyone who asks it.

At the beginning of the pandemic a common argument against masks was "the virus is too small to be caught in a mask" - which made sense from a layman's point of view. When people started explaining that masks did stop the water droplets the virus needs to be airborne - that argument become a lot less common.

Not everybody who has questions is "just asking questions", if you catch my drift.

All good! Sorry for the paragraph. I'm just bad a writing short messages… 😅

No worries. Sorry for being defensive. I’ve received death threats before so you can imagine my reticence to speak freely.

Forgive the brevity. The topic is quite personal to me. I had a trans person in my family until recently. They committed suicide. I took it upon myself to research the topic to the best of my abilities. My current stance is that, while I support the right for adults to do with their body as they wish, I do not support the practise of transitioning children; be it medically or socially. In all my research I couldn’t find a single study, anywhere, demonstrating an objective quality of life improvement. These would be measurable metrics like:

• Life expectancy.
• Suicide rate.
• Rates of addiction.
• Health outcomes such as reduced rates of obesity and heart attacks.
• Rates of crime.
• Rates of homelessness.
• Rates of victimisation (rape, assault, etc.).
• Income.
• Wealth.

It’s not for lack of trying, either. I’ve never seen so much funding go to any single topic in academia. Given this lack of evidence, researchers turned to subjective measures of improvement. The primary being “suicidality.” They ask subjects how they feel about suicide. This is an effective proxy for, “are you happy with the major medical procedure you just asked for?” Unsurprisingly, this is subject to enormous bias.

Instead, I found evidence that not transitioning is a much better, much more effective treatment for children. This study found that only 37% of children still identified as dysphoric five years later. This study found that 88% had desisted (they were no longer dysphoric). This mirrors other historical research into various areas of child psychology. Children frequently change identity and beliefs around identity.

The primary arguments appear to be, a) if we don’t transition children, they will commit suicide. As above, I believe this is false. The second premise is, b) puberty blockers are completely reversible. This isn’t true either. These are the expected side effects of puberty blockers:

Common side effects of the GnRH agonists and antagonists include symptoms of hypogonadism such as hot flashes, gynecomastia, fatigue, weight gain, fluid retention, erectile dysfunction and decreased libido. Long term therapy can result in metabolic abnormalities, weight gain, worsening of diabetes and osteoporosis. Rare, but potentially serious adverse events include transient worsening of prostate cancer due to surge in testosterone with initial injection of GnRH agonists and pituitary apoplexy in patients with pituitary adenoma. Single instances of clinically apparent liver injury have been reported with some GnRH agonists (histrelin, goserelin), but the reports were not very convincing. There is no evidence to indicate that there is cross sensitivity to liver injury among the various GnRH analogues despite their similarity in structure. There is also a report that GnRH agonists used in the treatment of advanced prostate cancer may increase the risk of heart problems by 30%.

Osteoporosis and diabetes are absolutely life altering. Sweden went all-in on "temporary" puberty blockers for gender affirming care until children started experiencing life-long injuries. They are now effectively banned for gender affirming care for children.

In one particularly shocking case, a girl who wanted to become a boy began taking hormone-blocking drugs at just 11-years-old. Almost five years after the treatment began, the puberty-pausing drugs induced osteoporosis and permanently damaged the teen’s vertebrae, severely limiting the teen’s mobility.

“When we asked him regularly how his back felt, he said: ‘I’m in pain all the time’,” she added.

Further, there is a growing body of evidence to show high risk of infertility after prolonged use of these drugs.

And these are just the dangerous irreversible side effects. The cosmetic side effects are devastating, and include men with child-sized penises and testicles, and women without breasts. This is one such case. The teenager had taken puberty blockers, resulting in a small penis. With insufficient penile tissue, doctors attempted to remove and use part of his colon to create a fake vagina. He died less than a day later from complications.

Ultimately, I believe I am very open to evidence. I have reached my position precisely by pouring over research. I am open to honest discussion and debate. I don't belittle or minimise anyone's experiences or beliefs. I simply want the best outcomes for children. For this opinion, I have been banned on many subreddits. I have been sent death threats. I have been called every disgusting name in the dictionary, and then more. I hope that Lemmy is a place which allows respectful discussion.