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Trans youth will no longer be prescribed puberty blockers, NHS England says (www.thepinknews.com)

submitted 8 months ago by MicroWave@lemmy.world to c/world@lemmy.world

209 comments fedilink hide all child comments

Trans youth will no longer be prescribed puberty blockers at NHS England gender identity clinics in a new “blow” to gender-affirming healthcare.

Puberty blockers are a type of medicine that prevent puberty from starting by blocking the hormones – like testosterone and oestrogen – that lead to puberty-related changes in the body. In the case of trans youth, this can delay unwanted physical changes like menstruation, breast growth, voice changes or facial hair growth.

On Tuesday (12 March), NHS England confirmed the medicine, which has been described as “life-saving” medical care for trans youth, will only be available to young people as part of clinical research trials.

The government described the move as a “landmark decision”, Sky News reported. It believed such a move is in the “best interests of the child”.

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[–] floofloof@lemmy.ca 27 points 8 months ago (2 children)

Regret after Gender-affirmation Surgery: A Systematic Review and Meta-analysis of Prevalence

Results: A total of 27 studies, pooling 7928 transgender patients who underwent any type of GAS, were included. The pooled prevalence of regret after GAS was 1% (95% CI <1%–2%). Overall, 33% underwent transmasculine procedures and 67% transfemenine procedures. The prevalence of regret among patients undergoing transmasculine and transfemenine surgeries was <1% (IC <1%–<1%) and 1% (CI <1%–2%), respectively. A total of 77 patients regretted having had GAS. Twenty-eight had minor and 34 had major regret based on Pfäfflin’s regret classification. The majority had clear regret based on Kuiper and Cohen-Kettenis classification.

Conclusions: Based on this review, there is an extremely low prevalence of regret in transgender patients after GAS.

[–] frezik@midwest.social 22 points 8 months ago (1 children)

For additional context, here's a study on the regret rate of hip and knee surgery:

On analysis a significantly greater proportion of TKA [total knee replacement] patients reported moderate or severe (Mod/Sev) DR [17.1% (56/328)] compared to THA [total hip replacement] patients [4.8% (18/376)]. Conversely, a significantly reduced proportion of TKA patients reported having No DR [42.1% (138/328)] compared to THA patients [66.7% (251/376)]. On multivariate logistic regression analysis joint replacement type (TKA/THA) and change in Oxford score were significant predictors of DR with gender, age, BMI and ASA grade not significantly associated. TKA patients were more than twice as likely to have Mod/Sev DR compared THA patients (Odds Ratio = 2.33 (95% CI 1.24-4.39)). Patients with poorer improvements in pain and function 1-year post-operatively (measured by Oxford scores) reported greater levels of DR.

Regret rate of gender affirming surgery is basically rounding error.

[–] feedum_sneedson@lemmy.world 1 points 8 months ago (1 children)

Well now I'm confused, because I've met a lot of people with knee replacements who were very happy with the results. All surgeries can and do have complications, so I'm very surprised the numbers are that low for SRS. It implies it goes perfectly almost every time.

[–] Laurentide@pawb.social 1 points 8 months ago (1 children)

It implies that living with gender dysphoria is so painful that people would rather have the surgical complications.

[–] feedum_sneedson@lemmy.world 1 points 8 months ago

Arthritic knees and hips are not great either.

[–] andros_rex@lemmy.world 2 points 8 months ago

Even people who regret their surgeries aren’t necessarily regretting that they had gender affirming care. Surgeries can go wrong and aren’t always predictable. They can change our relationships with our bodies. Regret isn’t always “I regret transitioning” - it can be “I don’t like the way my scars healed.”

Team “no regrets” here. Right after I got out of surgery I woke up just enough to look down where them titties where and smiled.