Transition Regret: Understanding Detransition

The medical professionals at SEGM have taken a look at a new peer-reviewed article, “Transition Regret and Detransition: Meaning and Uncertainties,” published in the Archives of Sexual Behavior.


Gaps in Healthcare: Many detransitioners report not feeling adequately informed about the health implications of treatments before undergoing them. They also feel that they did not receive sufficient exploration of preexisting psychological and emotional problems. Most patients did not maintain contact with their gender clinic during their detransition, and there is a lack of clinicians knowledgeable about how to safely stop hormonal therapies and surgical reversal or restorative options.

Predicting Transition Outcomes: The ability to predict who will benefit from transition-related medical interventions and who will be harmed by them is limited. There is no systematic tracking of how many young people regret transition or how many are helped by it. Recent studies suggest that up to 30% of those who undergo medical transition may discontinue it within a few years, and a number of them may experience significant regret over lost opportunities and permanent physical changes.

Transition Models and Their Implications: The less restrictive eligibility criteria for accessing transition-related medical interventions under the gender-affirmation and informed consent models, coupled with the rapid rise of adolescents and young adults presenting to gender clinics, have important implications for the incidence of transition regret and detransition. These models view hormonal therapies and surgery as a means of realizing personal identity or ’embodiment goals,’ rather than treating an underlying illness or injury.

Preventing Detransition and Inappropriate Transitions: The author of the article suggests several measures to prevent detransition and inappropriate transitions, including improving the process of informed consent, prioritizing treatment of co-occurring social, developmental, and psychological problems, using precise language about medical interventions, helping young people expand their understanding of gender, and being transparent about the quality of evidence supporting medical interventions and the uncertainty about long-term harms.

Read Complete Review Here

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Sweden Steps Back From the Edge – Part 2

The Society for Evidence-Based Gender Medicine has the story. Click through to read the full Twitter thread.

Starting with Numero Uno in the thread….

Click “Read the full conversation on Twitter.”


Stop Experimenting On Our Children!

Study of 1,655 Cases Supports the “Rapid-Onset Gender Dysphoria” Hypothesis

Parents report a deterioration in children’s mental health and intrafamilial bonds following gender-transition

A new study examining 1,655 parental reports lends further credibility to the rapid onset gender dysphoria (ROGD) hypothesis, first posited by Dr. Lisa Littman in 2018. The ROGD hypothesis suggests that the recent surge in transgender-identifying adolescents is explained, at least in part, by a rise in the number of previously gender-normative teens who developed gender-related distress in response to various psychosocial factors (e.g., mental health conditions, internalized homophobia, trauma, etc.). Opponents of the ROGD hypothesis claim that the surge is merely the result of greater acceptance of transgender identities by society, and hence, a greater willingness among “intrinsically transgender” adolescents to “come out.”

If true, the ROGD hypothesis challenges the premise of gender affirmation, which demands that healthcare providers confirm an adolescent’s self-identification and facilitate access to any and all desired hormonal and surgical interventions that bring young people’s bodies in line with their current gender identity. It is likely for this reason that the ROGD hypothesis generated such harsh opposition from the proponents of gender-affirming care.

Source: SEGM

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