Incidentally, many countries/states are working hard to make it impossible to transition that early.

At 12 you simply do not have sufficient capacity to make a good decision on the matter.

That subtilely implies it’s a decision to view oneself as a different gender from what was assigned at birth, but it’s not entirely clear it’s a choice in every case. Edge cases in biology get wild and sex assigned at birth can be a near arbitrary decision. Ex: https://en.wikipedia.org/wiki/Chimera_(genetics)

Parents making major medical decisions has a huge precedent in a wide range of procedures with significant risks and consequences. Separating conjoined twins for example.

It is entirely clear that it can be the case, as proven by the existence of people "detransitioning".

It is also entirely clear that there have been parents (usually mothers) who wanted to have a trans child because it was cool.

Which is why puberty blockers are prescribed to transgender children, delaying puberty until later in life when a "good decision" can be made, usually closer to the mid to late teens.

Sadly, it's not possible to "delay puberty" until later in life without permanent consequences. Puberty cannot simply be resumed later. Puberty blockers alter hormones dramatically during critical growth phases. The changes can't be reversed later as if hormones were not altered during critical phases if the person changes their mind.

It is absolutely possible, and it has been done in cisgender children with precocious puberty for decades.

> Puberty blockers alter hormones dramatically during critical growth phases.

Which is generally the goal. It is of course not possible to retroactively have allowed puberty to progress as though the blockers had never been taken, but it is possible to cease the blockers and allow it to resume, again, as is done for cisgender children who take them.

It almost feels like you're arguing definitions.

> It is absolutely possible, and it has been done in cisgender children with precocious puberty for decades

Precocious puberty is a condition in which puberty happens earlier than it's supposed to.

The goal of puberty blockers in precocious puberty is to delay puberty until the correct age and physiological growth window.

Puberty blocker in precocious puberty are also not used to induce hormonal profiles that are different than the body's eventual genetic set point, just to delay them until typical puberty ages.

Delaying puberty until it aligns with the body's expected pubertal ages is completely different. You cannot extrapolate and claim this as evidence that we can safely delay puberty until adulthood, well beyond pubertal age.

> but it is possible to cease the blockers and allow it to resume, again

I don't understand what you're trying to claim, but ceasing the medications does not reverse the changes they made during critical teenage growth windows.

You're making scientific claims, but with the only evidence that I'm aware of contradicting the claim. The usual approach with puberty blockers is prescribing them around the onset of natural puberty and one way or another stopping them around the age of 16. While there are sadly some cases of people who started hormone therapies and later regretted it, I'm aware of no cases of long term health impacts that are attributed to delaying puberty until 16. If you do know of some reports please let me know.

I asked Claude to see if it could find anything and the only reports it could find was some long term bone density issues, but only in trans women and it seemed potentially related to estrogen dosing

It's unclear what age puberty is "supposed to" happen. The age of onset of puberty has gotten substantially younger, even just over the past couple hundred years. If the "correct" age is what we see today, then there's thousands of generations of humans who had puberty naturally occur "too late" yet we're all still here to talk about it. If the "correct" age instead is when it used to occur, then everyone should go on puberty blockers for a few years to avoid this unnatural surge of precocious puberty.

> I don't understand what you're trying to claim, but ceasing the medications does not reverse the changes they made during critical teenage growth windows.

Puberty blockers do not themselves induce changes. They block hormones whose job is to trigger release of sex hormones which would induce changes. For young trans people, access to blockers can save them from a lifetime of dealing with the consequences of a puberty they did not want. Likewise, blockers can save a cisgender child from unwanted consequences of a puberty happening too early.

That doesn't mean "until adulthood", it could just be a few years. But even then, I think blockers are a compromise to appease people who doubt the ability of trans kids to make their own decisions about their bodily autonomy. I think trans people should be able to go on cross-sex hormones basically at will, but certainly after no more than a cursory chat with a therapist.

> It's unclear what age puberty is "supposed to" happen. The age of onset of puberty has gotten substantially younger, even just over the past couple hundred years.

The change over the past couple hundred years is measured on the order of a couple years at most.

This has nothing at all to do with hormonal intervention until adult ages. Once someone reaches adulthood the window for a lot of changes has closed.

> Puberty blockers do not themselves induce changes. They block hormones whose job is to trigger release of sex hormones which would induce changes.

You're either not understanding, or trying to avoid an inconvenient point: Once blocked during critical periods, many of those changes simply cannot happen at a later date.

Puberty cannot be delayed until adulthood and then resumed as if nothing happened.

I feel like you ignored my entire last paragraph. I don't know how to respond to this without just pasting it again.

I read it, but you keep moving the goalposts around so much and introducing irrelevant detours that I can't respond to everything you write, sorry.

I've been consistent about my point, but you've introduced so many other topics including the "maybe it's only for a year or two" point that this is just one big gish gallop

Your point about puberty happening earlier and earlier also contradicts your arguments about how it might only be for a year or two

But surely puberty, not just maturity, is necessary to fully understand the sexual experience and whether your feelings about yourself crystalise differently in the presence of sexual drive. Not to mention, the idea of delaying puberty seems like an invitation for unrelated and/or unforeseen downstream consequences on biological health.

It is not. Precocious sexual drive is possibly amongst the worst things there is for gaining sexual maturity. Also known as 'thinking with your dick'. CSA aside, you can do a ton of damage to your life by just going along with your sexual drive.

I am a virgin at 27 years old. What am I missing about the sexual experience? Is it somehow locked out to me? Or… can I access it intellectually, and reason about it with its ups and downs?

There's a reason the consent age does not start at puberty.

I’m really scratching my head at the response to this one. Do people around here really believe consent should start at puberty?

I’m aware that’s kind of a meme in certain highly religious and/or conservative communities but it’d be shocking if it were a mainstream position.

Yup. Absolutely insane that university "educated" people have been telling us that kids who believe in Santa Claus are capable of making decisions like this.

Have you considered that due to their education and research those people may know more on the subject than you do?

Regret rates for transition remain notoriously low (within 2%) with main reasons for regret stated to be transitioning too late or environmental lack of acceptance or support.

Besides, despite some orgs claiming there is a "transgender trend", we are just not seeing this in the data.

It's hard to impossible to go back. But the suicide rate is high.

It is high because primarily a minority stress of being a transgender person in unaccepting environment:

https://www.sciencedirect.com/science/article/pii/S266656032...

After reading the above I don't believe they concluded stress of living in a non-accepting world is the primary reason.

30% think about killing themselves and 4%+ try each year is shocking. I think whatever side of the debate you are on we can agree things aren't working out for too many people who go through this process. If this was a drug or vaccine or hair shampoo it would have been pulled off the market.

> people who go through this process

Through what process? This was a study about trans and nonbinary people, not specifically about people who have “transitioned”

I would imagine the rate of depression and similar disorders in trans people is extremely high. To be so unsatisfied with one’s own body that you consider (or go through) major treatment and surgery to change something so fundamental.

That sounds like appeal to authority, it is classified as a fallacy.

Why is it okay for OP to question authority in the subject matter while me pointing out they research it more isn't?

I have also pointed out that regret rates for transition are within 2%.

Demonstrably false. Transgenderism is a cult ideology intentionally inducing trauma to recreate multiple personality disorder in children. They are easier to abuse, and commit suicide.

https://web.archive.org/web/20200523211027/https://www.acped...

In 1979 Johns Hopkins Hospital had banned all sex-change operations permanently at their facilities due to rates of suicide having skyrocketed amongst transgender post reassignment surgery. Suicide is twenty times greater among adults who used cross-sex hormones and underwent gender reassignment surgery.

According to Johns Hopkins Distinguished Service Professor of Psychiatry Dr. Paul R. McHugh, “Hopkins stopped doing sex-reassignment surgery, producing a ‘satisfied’ but still troubled patient seemed an inadequate reason for amputating normal organs.”

John Hopkins concluded...

Transgenderism is a mental disorder

Sex change is biologically impossible

People who promote sexual reassignment surgery are collaborating with and promoting a mental disorder

The suicide rate among transgendered people who had the surgery is 20 times higher

*70%-80% of children who expressed transgender feelings, overtime, lost those feelings.

In 2017 Johns Hopkins Hospital has reopened its transgender care clinic as the Johns Hopkins Center for Transgender and Gender Expansive Health.

2022 research into Hospital's archives found the decision to cease operation in 1979 was political, not evidence based:

https://pubmed.ncbi.nlm.nih.gov/36191317/

> *70%-80% of children who expressed transgender feelings, overtime, lost those feelings.

This number most likely comes from a study that classified girls as transgender based on behaviors like preference to wear their hair short of wear pants instead of dresses or skirt:

https://pubmed.ncbi.nlm.nih.gov/21216800/

Those children did not self-identify as transgender and further more, research could not contact 41% of them for the follow up:

https://www.huffpost.com/entry/the-end-of-the-desistance_b_8...

I doubt that is the main reason why transgenderism has been promoted so much in recent years. Most of the ones pushing this ideology appear to fit the profile of autogynephilic males who wish to flaunt their paraphilia in public and gain access to the spaces of unconsenting women while doing so.

How old are kids when they get their foreskin lopped off?

Indeed, that’s a barbaric custom, akin to genital mutilation, that should be reserved for a real medical necessity, never for religious reasons

It is literally a form of genital mutilation. The foreskin is homologous to the hood of the clitoris.

Hey, you aren't supposed to question our glorious metzitzah b'peh!

They do not make that decision, and it is entirely irrelevant to the discussion.

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And yet we cannot stop time, and a decision has to be made. It seems natural to involve the child in this decision.

Of course, the next best thing (if a decision can't be made now) after stopping time are puberty blockers. Which are not completely without risks, but this applies to the other two options just as well (if not more so).

You can't not make decisions, and to claim so is to frame choosing one particular option as not-a-decision.

> At 12 you simply do not have sufficient capacity to make a good decision on the matter.

At 12 kids do not have sufficient capacity to handle any major decision, including any medical procedure.

That does not take away their right to see their best interests represented and defended.

and yet trans children exist and deserve medical care and social acceptance just like anyone else

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Then we should prescribe puberty blockers to everyone until they can make such a decision.