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Reply 80

Original post
by Wired_1800
I agree with you.
To me, there is wicked push to make people to take life-changing actions to satisfy their own personal bias. I have no problem with an adult deciding to make changes to themselves as they are old enough to make an informed choice. However, it is unfair that young people are forced to make these decisions when they are not old enough for other actions.
If a parent or guardian refuses their underage child to take class A drugs or alcohol or join Onlyfans, all reasonable individuals would nod in agreement. However, if the same child wants to make more significant changes to their lives, the swift push is “you must affirm their choice or else…”. What’s worse is that some schools or groups dont even inform the parents.
Yes, people are being lied to and taken for mugs. I dont mean to beat the conspiracy drum but it makes no sense anymore. Drag queens being allowed to read stories to children, obscene or inappropriate gestures or attires on parades with children present etc.
We must do whatever it takes to protect our children and young people. As our children are being sucked into this madness, the Chinese, Russians, Iranians and others are shielding theirs from the chaos.

If a young person wants to transition through non-medical means, e.g. by changing their preferred name or pronouns, should they be given the freedom to do so?

Reply 81

Original post
by SHallowvale
If a young person wants to transition through non-medical means, e.g. by changing their preferred name or pronouns, should they be given the freedom to do so?

Yes. Although I hold traditional views on sex and gender, I personally don't subscribe to making people to live deeply unhappy lives if the minimum that we can do is to allow them to use their preferred names and pronouns. I would draw the line on medical changes that cant be reversed.

For example, if Marie is 9 years old and claims that she wants to be a boy and was born in a different body. Her option, imho, would be to allow change of name and pronouns, if she wants to. At 18, she can do whatever she wants. The problem is what happens if she transitions at 10/11, then changes her mind at 15, who is to blame? Most people would avoid responsibility.

Reply 82

Original post
by Wired_1800
Yes. Although I hold traditional views on sex and gender, I personally don't subscribe to making people to live deeply unhappy lives if the minimum that we can do is to allow them to use their preferred names and pronouns. I would draw the line on medical changes that cant be reversed.
For example, if Marie is 9 years old and claims that she wants to be a boy and was born in a different body. Her option, imho, would be to allow change of name and pronouns, if she wants to. At 18, she can do whatever she wants. The problem is what happens if she transitions at 10/11, then changes her mind at 15, who is to blame? Most people would avoid responsibility.

Would you draw the line on medical changes even if gender dyphoria persisted for many years?

Reply 83

Original post
by SHallowvale
Would you draw the line on medical changes even if gender dyphoria persisted for many years?

Yes, until adulthood.

A child could be complaining for years about wanting to take the white powder, but nobody would say “oh, she has persisted for years, why don't you give her two lines?”

To me, we should do what we can to manage the challenges until they are adults.

Reply 84

Original post
by Wired_1800
Yes, until adulthood.
A child could be complaining for years about wanting to take the white powder, but nobody would say “oh, she has persisted for years, why don't you give her two lines?”
To me, we should do what we can to manage the challenges until they are adults.

Nobody would give a child cocaine (which is what I assume you're referring to) because it is a recreational drug that has extremely severe side effects. Puberty blockers are not comparable, the known side effects are nowhere near as extreme and they exist to resolve a medical problem (gender dysphoria).

If a young person had gender dysphoria for an extended period of time (e.g. from the age of 10 to 14) and attempts to help them through non-medical means (e.g. social transitioning) didn't work, would it not be ethically right to try medical treatment? The alternative is that we would only prolong their suffering.

Reply 85

Original post
by SHallowvale
Nobody would give a child cocaine (which is what I assume you're referring to) because it is a recreational drug that has extremely severe side effects. Puberty blockers are not comparable, the known side effects are nowhere near as extreme and they exist to resolve a medical problem (gender dysphoria).
If a young person had gender dysphoria for an extended period of time (e.g. from the age of 10 to 14) and attempts to help them through non-medical means (e.g. social transitioning) didn't work, would it not be ethically right to try medical treatment? The alternative is that we would only prolong their suffering.

Yes. It is horrible to state but the decision is a moral one and I choose to preserve the medical consent to the individual in adulthood and not any time sooner.

I am not one that would support your position before they are adults (sorry).

I also stand against medically-assisted dying. If I am against the State or others assisting in the demise of individuals with real pain or terminal illness, then you would understand that gender dysphoria is lower on my list.

Reply 86

Original post
by Wired_1800
Yes. It is horrible to state but the decision is a moral one and I choose to preserve the medical consent to the individual in adulthood and not any time sooner.
I am not one that would support your position before they are adults (sorry).
I also stand against medically-assisted dying. If I am against the State or others assisting in the demise of individuals with real pain or terminal illness, then you would understand that gender dysphoria is lower on my list.

You do not need to be an adult to consent to medical treatment. People aged 16 and above can give consent and those under 16 can give consent if they show Gillick competence.

If someone under the age of 18 consents to it, and if their condition warrants the treatment, why should we oppose it?

Reply 87

Original post
by SHallowvale
You do not need to be an adult to consent to medical treatment. People aged 16 and above can give consent and those under 16 can give consent if they show Gillick competence.
If someone under the age of 18 consents to it, and if their condition warrants the treatment, why should we oppose it?

Because they are underage children consenting to treatment with permanent consequences.

I asked a question earlier, if the individual consents to the medial procedure as an underaged child and then regrets it as an adult, who should be held responsible? Their parents, the doctors, you?

Reply 88

Original post
by Wired_1800
Because they are underage children consenting to treatment with permanent consequences.

Puberty blockers are not known to have serious, permanent consequences though...? Furthermore, even if there were permanent consequences then why should that matter if they consent to it?

If an individual consents to a medical treatment but later regrets it then they are responsible (provided their consent was informed).

Reply 89

Original post
by SHallowvale
Puberty blockers are not known to have serious, permanent consequences though...? Furthermore, even if there were permanent consequences then why should that matter if they consent to it?
If an individual consents to a medical treatment but later regrets it then they are responsible (provided their consent was informed).

Wtf, why should it matter if they consent to the permanent consequences? So if they changed their minds but cant have children, they should live with that decision? Wow, just, wow.

Their consent is rarely informed and many medical treatments are refused to individuals even adults. For example, some doctors refuse adult women from removing their wombs if they have not had children yet.

The key is that they are children and not adults.

Reply 90

Original post
by Wired_1800
Wtf, why should it matter if they consent to the permanent consequences? So if they changed their minds but cant have children, they should live with that decision? Wow, just, wow.
Their consent is rarely informed and many medical treatments are refused to individuals even adults. For example, some doctors refuse adult women from removing their wombs if they have not had children yet.
The key is that they are children and not adults.

There are no known permanent consequences of taking puberty blockers, at least none which are severe, so it's a mute point regardless. If someone has the capacity to give informed consent then they should be free to make the choice for themselves, regardless of whether they are a young person or an adult.

The potential for regret should not stop people from having autonomy over their lives. Do you think it should?

Reply 91

Original post
by SHallowvale
There are no known permanent consequences of taking puberty blockers, at least none which are severe, so it's a mute point regardless. If someone has the capacity to give informed consent then they should be free to make the choice for themselves, regardless of whether they are a young person or an adult.
The potential for regret should not stop people from having autonomy over their lives. Do you think it should?

The research in the area is limited.

•••••••••••••••
Fertility and sexual function

Research on the long-term effects on fertility and sexual function is limited. The long-term use of puberty blockers presents several uncertainties, particularly concerning fertility and sexual function.

Since these medications suppress the production of sex hormones during a critical period of sexual maturation, their extended use may impact the development of reproductive organs and future fertility.

For instance, individuals assigned male at birth who take puberty blockers might experience underdeveloped testes, potentially affecting sperm production later in life. Similarly, individuals assigned female at birth might have impaired ovarian function, impacting their ability to conceive. Additionally, there is concern that prolonged suppression of puberty may influence sexual function, including libido and the ability to achieve sexual arousal and satisfaction.

These potential effects underscore the importance of careful, individualised medical counseling and consideration of fertility preservation options, such as sperm or egg banking, before initiating long-term puberty blocker treatment.

Ongoing research is crucial to better understand these long-term impacts and to provide clearer guidance to patients and their families.

Additionally, genital tissue in transgender women may not be optimal for potential vaginoplasty later in life due to underdevelopment of the penis when using penile inversion vaginoplasty.

Several other methods such as bowel vaginoplasty, which uses part of the sigmoid colon to form the canal instead, or a peritoneal pull-through vaginoplasty which harvests a skin graft from the peritoneum are not affected by this as they do not require the penile tissue to form the vaginal canal.

https://en.m.wikipedia.org/wiki/Puberty_blocker”
••••••••••••••••••

Yes, it should imho. Because of the consequences.

Reply 92

Original post
by Wired_1800
The research in the area is limited.
•••••••••••••••
Fertility and sexual function
Research on the long-term effects on fertility and sexual function is limited. The long-term use of puberty blockers presents several uncertainties, particularly concerning fertility and sexual function.
Since these medications suppress the production of sex hormones during a critical period of sexual maturation, their extended use may impact the development of reproductive organs and future fertility.
For instance, individuals assigned male at birth who take puberty blockers might experience underdeveloped testes, potentially affecting sperm production later in life. Similarly, individuals assigned female at birth might have impaired ovarian function, impacting their ability to conceive. Additionally, there is concern that prolonged suppression of puberty may influence sexual function, including libido and the ability to achieve sexual arousal and satisfaction.
These potential effects underscore the importance of careful, individualised medical counseling and consideration of fertility preservation options, such as sperm or egg banking, before initiating long-term puberty blocker treatment.
Ongoing research is crucial to better understand these long-term impacts and to provide clearer guidance to patients and their families.
Additionally, genital tissue in transgender women may not be optimal for potential vaginoplasty later in life due to underdevelopment of the penis when using penile inversion vaginoplasty.
Several other methods such as bowel vaginoplasty, which uses part of the sigmoid colon to form the canal instead, or a peritoneal pull-through vaginoplasty which harvests a skin graft from the peritoneum are not affected by this as they do not require the penile tissue to form the vaginal canal.
https://en.m.wikipedia.org/wiki/Puberty_blocker”
••••••••••••••••••
Yes, it should imho. Because of the consequences.

I agree that further trials should be conducted to understand the long term side effects of puberty blockers, should any exist. That's why I support the NHS England trial. At the moment no permanent side effects are known, so it cannot be an argument against the use of puberty blockers specifically.

Many things in life, be it medical treatment or otherwise, can have long-term permanent effects on an individual. Do you genuinely think people should be robbed of their autonomy to persue these things just because they may have regrets later in life?

Reply 93

Original post
by SHallowvale
I agree that further trials should be conducted to understand the long term side effects of puberty blockers, should any exist. That's why I support the NHS England trial. At the moment no permanent side effects are known, so it cannot be an argument against the use of puberty blockers specifically.
Many things in life, be it medical treatment or otherwise, can have long-term permanent effects on an individual. Do you genuinely think people should be robbed of their autonomy to persue these things just because they may have regrets later in life?

Yes, for children.

I think we run the risk of conflating and combining different arguments. I have no problem with adults making decisions and regretting such decisions later on in their lives. As you said, it is normal. However, i draw the line with children, which is my point.

As I mentioned, we wont accept “consent” from underage children for certain actions, so that should apply to this imho. I don't agree with the idea of “informed consent” for children having medical procedures that can be this controversial.

There was a woman many months ago, who had decided as a child that she did not want to have children, so she persistently petitioned her doctors to have her womb removed. It was repeatedly declined despite her claims of mental suffering and fully understanding the risks. No doctor accepted it and the prevailing decision for her to reach adulthood. As an adult, she had changed her mind and had children with her partner.
(edited 1 year ago)

Reply 94

Original post
by Wired_1800
Yes, for children.
I think we run the risk of conflating and combining different arguments. I have no problem with adults making decisions and regretting such decisions later on in their lives. As you said, it is normal. However, i draw the line with children, which is my point.
As I mentioned, we wont accept “consent” from underage children for certain actions, so that should apply to this imho. I don't agree with the idea of “informed consent” for children having medical procedures that can be this controversial.
There was a woman many months ago, who had decided as a child that she did not want to have children, so she persistently petitioned her doctors to have her womb removed. It was repeatedly declined despite her claims of mental suffering and fully understanding the risks. No doctor accepted it and the prevailing decision for her to reach adulthood. As an adult, she had changed her mind and had children with her partner.

Young people have had the capacity to give consent to medical treatment for nearly 40 years. Why do you disagree with this?

The example you've given of a woman wanting her womb removed is not comparable because there was no medical need for it. Puberty blockers would be used to address a medical need and, in practice, only if alternatives were not sufficient.

Reply 95

Original post
by SHallowvale
I used to feel the same, until I realised this isn't unique to LGBT people. Plenty of people make sports, finance, cooking, politics, etc, the entire personality... so I don't see why it's a problem for an LGBT person to do the same.
What sort of experience did you have with MH services? Sounds like a better one than mine! 😅 Private clinics may handle these things differently / faster, that's true.

that's different. sports, finance, cooking, politics - those are hobbies. sexuality/gender isn't a hobby. unless you're an activist, i just find it a bit weird when people do that tbh.

a terrible one... private medical care is so much better. they still get things wrong but at least you're always treated with respect, they actually take time to listen to you and they can prescribe you benzos when you need them, lol

Reply 96

Original post
by SHallowvale
Young people have had the capacity to give consent to medical treatment for nearly 40 years. Why do you disagree with this?
The example you've given of a woman wanting her womb removed is not comparable because there was no medical need for it. Puberty blockers would be used to address a medical need and, in practice, only if alternatives were not sufficient.

I disagree on the basis that they are under the age.

Reply 97

Original post
by Wired_1800
I agree with you.
To me, there is wicked push to make people to take life-changing actions to satisfy their own personal bias. I have no problem with an adult deciding to make changes to themselves as they are old enough to make an informed choice. However, it is unfair that young people are forced to make these decisions when they are not old enough for other actions.
If a parent or guardian refuses their underage child to take class A drugs or alcohol or join Onlyfans, all reasonable individuals would nod in agreement. However, if the same child wants to make more significant changes to their lives, the swift push is “you must affirm their choice or else…”. What’s worse is that some schools or groups dont even inform the parents.
Yes, people are being lied to and taken for mugs. I dont mean to beat the conspiracy drum but it makes no sense anymore. Drag queens being allowed to read stories to children, obscene or inappropriate gestures or attires on parades with children present etc.
We must do whatever it takes to protect our children and young people. As our children are being sucked into this madness, the Chinese, Russians, Iranians and others are shielding theirs from the chaos.

i think there defo should be some age restrictions but idk what they should be tbh. 15? 16? no clue.

i think social media is partially to blame. because even if you raise concerns, you're immedietely classified as transphobic by some social circles. and 'cancelled'. so imho some doctors are like, **** it, i'll just give them what they want, no questions asked. hell, even i'm considered 'transphobic' by some circles because i'm gay and only attracted to biological men. which is crazy.

i'm not really into drag queen scene, but from what i've seen, like 80% of their jokes are sexual. so i don't understand why would they choose schools and libraries of all places. i think most of them just do it to get free clout. and yeah, don't even get me started on lgbt+ parades.. i don't even bother going anymore. like there's too much fetish/kink **** involved. like, i'd be embarrassed to be associated with that crowd

just educate kids on different sexuailities/gender, so they're not confused/don't feel isolated, no need to take things any further

Reply 98

Original post
by Wired_1800
I disagree on the basis that they are under the age.

Why? I can understand the general idea that young people are not old enough to give consent to medical treatments, but in practice that will be some people who can do so (dependent on the person and the treatment involved).

This is the point of Gillick competence, that there can be situations where a young person can give consent to treatment.

Reply 99

Original post
by Ciel.
that's different. sports, finance, cooking, politics - those are hobbies. sexuality/gender isn't a hobby. unless you're an activist, i just find it a bit weird when people do that tbh.
a terrible one... private medical care is so much better. they still get things wrong but at least you're always treated with respect, they actually take time to listen to you and they can prescribe you benzos when you need them, lol

I mean... sexuality and gender could be someone's hobby, at least if someone makes it their personality. I can't see it being any weirder than someone obsessing over their favourite sport, or something. 😂

It's good to hear you had a better experience in private care. Never tried benzos, I think I was given sertraline...?

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