@ChattyLion wrote:
"I am worried that people considering a surgical approach to dysphoria and the general public may not be being given really accurate health information because the TRA dogma must always be appeased.
So if you consider what is a vagina and what is a penis. What these organs are and what they can normally do. The physical systems that they are part of, which contribute to why they do what they can do. Keep that reasonable expectation and understanding in your mind.
Then if you look at the NHS Choices pages on gender dysphoria:
www.nhs.uk/conditions/gender-dysphoria/treatment/
Then scroll right down to the section about biologically male adults having surgery, it says: eg
The vagina is usually created and lined with skin from the penis, with tissue from the scrotum (the sack that holds the testes) used to create the labia. The urethra (urine tube) is shortened and repositioned. In some cases, a piece of bowel may be used during a vaginoplasty if hormone therapy has caused the penis and scrotum to shrink a significant amount.
It continues that:
The aim of this type of surgery is to create a functioning vagina with an acceptable appearance and retained sexual sensation.
It also says a ‘functioning penis’ can be made out of surgically altering a biologically female person’s body.
Note: this is my use of quotation marks, not that of the NHS. They don’t use quote marks to imply any ‘simulation of’ they say you will get a functioning penis or vagina via these surgeries. That is simply not medically possible to aspire to.
These shouldn’t be described as ‘functioning’ organs post-surgery because the results of surgeries aren’t these organs as they occur naturally in the opposite sex, nor do they ever function like naturally-occurring sex organs.
As an example, the only ‘functioning’ the described surgically-created ‘vagina’ is capable of, that might be similar to a real vagina, is a capability of being penetrated. But without any of the vaginal musculature, natural lubrication and protective flora or similar level of physical sensation involved.
Is a capacity for penetration the only necessary activity or definitive ‘function’ of vaginas? Apparently so.
It’s all so reductive about what female sex organs are for and can do. It is also misleading people about what sex organs they will get and end up with, after hugely invasive surgeries.
These surgeries can never achieve a ‘functioning penis’ or a ‘functioning vagina’ in the way it’s implied, yet this is how it is described. Why are people (of any age) contemplating future surgery not being told the truth?
Second point: in the section (same NHS link as above) about children and young people. they mention Gnrh analogues (commonly known as ‘puberty blockers’) but not the dangers and the unknowns of taking these for kids.
The effects of treatment with GnRH analogues are considered to be fully reversible, so treatment can usually be stopped at any time after a discussion between you, your child and your MDT
They also don’t warn against buying these online for ‘self-medication’ which we all know happens.
It’s not a small number of kids being prescribed these via the NHS. in 2017, 800, with 230 kids on puberty blockers under the age of 14. Some reportedly as young as 10.
www.dailymail.co.uk/news/article-4743036/800-children-young-10-puberty-blockers.html
Never reaching normal sexual (and hormonal and emotional) maturation and never growing normal adult-sized genitalia as a result of taking these drugs is simply not a permanent choice that a ten year old has the mental capacity to make.
The reversibility and safety of these drugs would appear to be highly overstated, and the risks highly understated by this NHS narrative. These drugs could eventually also reduce the possibility or effectiveness of having ‘sex reassignment surgery’ leaving an adult with pemanently immature sex organs. As has been documented (see Jazz Jennings’ situation)
And if you google it these drugs are easily available for purchase online. Usual NHS caveats about fake drugs, ineffectiveness or overdose on a genuine product apply here very clearly. Where are the factual warnings on this NHS choices page against this?
I think NHS health information must be given factually. What they describe on this page, isn’t factually correct and might mislead.
I can see the NHS are trying to be sensitive to people’s feelings which is important but this must never be done at the expense of informed consent. It is not ok for the NHS to be confusing or misleading the people who might be reading this NHS health information, because they are considering treatment. Nor the general public. Everyone needs to know the actual medical effects of treatments to be able to consent to having those treatments. Other body dysmorphias and their NHS treatments are not described in this way.
I also object to the reductive way that sex organs are presented by this account- what is presented is a purely political presentation not a factual or medical presentation.
A genuinely fully functioning vagina is not just a passive cavity in the body that is there to be penetrated. (Which is all that surgery can create)
Also what the hell is a vagina with an ‘acceptable appearance’ such as they say these surgeries are needed to create. Acceptable to whom? What is an ‘unacceptable’ vagina and what does that look like?
If anyone can say that whatever they have in their pants is a vagina anyway, because TW=W, (and including a naturally occurring and fully functioning penis) then why is surgery even at issue? Why does our NHS give out this kind of information? Why not say eg that ‘the safest form of action is always to keep what you naturally have or will achieve through natural puberty’?
What about being sensitive to the feelings of people who disagree with this account of human sex organs?"
www.mumsnet.com/Talk/womens_rights/3297073-Biology-Isnt-Bigotry
www.mumsnet.com/Talk/womens_rights/3313537-Sex-vs-Gender-in-medicine-and-health-care