Jack Turban is a child psych fellow. He shot to prominence earlier this year when he has a paper published in Pediatrics that claimed to show transgender adults who had been on puberty blockers as children had better mental health when in fact it actually showed those adults who had been on puberty blockers as children were twice as likely to have been hospitalised for a suicide attempt in the 12 months prior compared to transgender adults who hadn’t been on puberty blockers.
He is claiming, in response to Abigail Shrier, that puberty blockers don’t cause infertility. To prove his point he links a study.
mobile.twitter.com/jack_turban/status/1295560729173475328
The study looks at the use of puberty blockers for precocious puberty. This is a condition where children go through puberty too early, puberty blockers are used, and then always ceased to allow normal puberty to happen. Therefore these children do not end up infertile. This is a completely different condition.
With gender variant children who are given puberty blockers they are NOT stopped, normal puberty is NEVER allowed to happen, normal fertility is NEVER developed because sperm and ova aren’t matured by the process of puberty. Cross sex hormones, given later do not allow this process to happen. Surgery to remove ovaries or testes then makes it permanent.
In the “theoretical” case study of a child continuing on puberty blockers without progressing to cross sex hormones the authors acknowledge the risk of infertility and recommend consideration of egg preservation and counselling.
jme.bmj.com/content/early/2020/07/24/medethics-2019-106012
Puberty suppression would also impair Phoenix’s fertility. Phoenix’s eggs are unlikely to mature without sex hormones.29 While fertility preservation techniques exist (eg, ovarian tissue cryopreservation), these remain experimental, especially for individuals who have not gone through puberty,10 such as Phoenix. Current guidelines recommend the impact of puberty blockers on fertility and fertility preservation options be discussed with patients and families before beginning puberty suppression.
Jack must know this. He can’t not know this. If Jack doesn’t know this he is a very poorly informed self-appointed expert in this field. If Jack does know this and is being disingenuous in his post, I can’t possibly post my opinion on Jack’s integrity because this post took too long to risk deletion.