Justifying the need for Testosterone at 12 years old... I think they just make stuff up as they are going along? I mean if you actually had a boy twin and a girl twin they wouldn't start puberty at exactly the same time and you wouldn't medicate the boy twin so that they started earlier when the girl twin started their puberty. Also boy and girl twins can't be identical so by calling them identical HW is outing herself as thinking that they are both female...
"SJ: I suggest that there's a tension. You prescribed to relieve the patients distress but then did nothing to try and mitigate the distress? DRW: there were 2 potential harms. One was the inability to access medical care. The second was the wait to start 'puberty' until 16.
DRW cont Patient A had fully socially transitioned, his gender identity was not causing him distress it was the inability to go through desired puberty was causing him distress.
SJ:Dr Klink has observed that there are other ways to alleviate distress. And from a demographic point of view, most boys present external signs of puberty from 14 with some not presenting until 16. There is no need for testosterone at age 12.
DRW: its a theoretical argument and what we looked at yesterday was an earlier presentation of puberty. Dr Klink can make a judgement but we need to treat people individually, A has identical twin going through female puberty and an older brother. Social factors impact."