This is quite interesting
newsinteractives.cbc.ca/longform/transgender-teen-ontario
"Kian was a tomboy who hated wearing dresses and preferred hunting in the woods over shopping at the mall. Kian said he has known his whole life that he was in the wrong body."
"The first time Kian heard the term transgender, he was nine years old. His fraternal twin sister, Kirstyn, told him about a news report on a girl who transitioned to being a boy. Kian immediately wondered if he could do that, and began scouring the internet for anything to explain what he was feeling."
Kian came out as male aged 13, though appears to have presented as a girl with long hair right up to this.
The letter reads like a pretty typical 13 year old's letter, but with '"I was born with a female body but a male mind" continuing "I can't see myself growing up to be a woman or a mother I just can't." and "There is gender therapists we can see and they can really help me become the man I am. There is also hormones and other things to help me feel more comfortable in my own skin but we don't need to rush talking about that yet."
The doctors appear to have disagreed with that.
"A team of doctors at the Children's Hospital of Eeastern Ontario assessed Kian. They concluded his gender dysphoria was so intense that he needed to be treated as soon as possible. Within a few months, Kian was on hormone blockers to prevent him from going further into puberty. His periods ended and his breasts stopped growing. He soon started taking testosterone to develop masculine characteristics.
Over the next three years, Kian underwent two surgeries at CHEO — one to remove his breasts and one to remove his uterus. "
'“I can, you know, take my shirt off in the summer at the skate park. I can do what I want, and with the [hysterectomy], it was life-changing," he said.
When he turns 18, he can get reconstructive surgery to fully transition.'
Apparently Kian is now dating best friend Morgan, though
"He said one of the refrains that was going around was that "me and Morgan were lesbians.” Kian said he never held a grudge against these nameless accusers, "
Some indication of why 'lesbian' might be deemed an 'accusation' is perhaps that it seems to be quite a religious area with over 95% of Westmeath residents identifying as Christian, as against around 60% for Canada as a whole.
It makes me think of being a teen - one tended to have 'intense' feelings with potentially lasting consequences, but hysterectomy and double mastectomy was certainly never an option.