Sorry to harp on but another factor why people being given these treatments may feel misled and ‘oversold-to’ could also be the appallingly politicised health information that the NHS is putting out.
Sorry to recycle previous posts on this but please just consider in your mind, what is a vagina and what is a penis. What these organs are and what they can normally do. Think about the complex systems that they are part of, which contribute to why they do what they do.
Then visit the NHS Choices pages on gender dysphoria:
www.nhs.uk/conditions/gender-dysphoria/treatment/
if you scroll right down to the section about 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 altered women’s bodies.
Note: I am using quotation marks about that word ‘functioning’ to imply that this a view of ‘functionality’ which can be easily contested. The NHS uses no such quote marks to indicate uncertainty or an only-in-part sense of ‘function’.
These shouldn’t be described as ‘functioning’ organs because the results of surgeries aren’t these organs nor do they function like these organs.
As an example, the only ‘functioning’ the described surgically-created ‘vagina’ is capable of that similar to an actual vagina, is capability of being penetrated.
Is that the only necessary ‘function’ of vaginas?
It’s all so reductive about what our sex organs are for and can do. It is also very very misleading to people about what they will get when they have had these complex, painful, surgeries.
They won’t get a ‘fully functioning penis’ or a ‘fully functioning vagina’ yet this is how it is described. To adults who need to give informed consent for these procedures. Why are adults, who will suffer the pain and recovery and will need to live with the results, not being told the truth?
Second point: in the section (same 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.
They also don’t warn against buying these online for ‘self-medication’ which we 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
Not reaching normal sexual maturation is simply not a 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.
And if you google it these drugs are easily available for purchase online. Where are the warnings on this page against doing that?
I think NHS health information must be given factually. What they describe isn’t factually correct and might mislead.
I can see they are trying to be sensitive to people’s feelings which is important but should not be done at the expense of confusing or misleading the people who might be reading this NHS health information because they want to know what the medical effects are of that treatment.
And I object to the reductive way that sex organs are presented by this account- the NHS gives a purely political presentation here not a factual presentation. They are supposed to be giving factual, straightforward, patient-friendly information.
A fully functioning vagina is not just a passive hole in the body that is there to be penetrated.
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?
If anyone can now say that whatever they have in their pants is a vagina anyway, why is surgery even at issue? Why does our NHS give out the kind of information that says that?
What about being sensitive to the feelings of people who radically disagree with this account of human sex organs?