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Feminism: Sex and gender discussions

Hilary Cass sent a document to every single MP and Peer, justifying and defending the puberty blockers trial

815 replies

SingleSexSpacesInSchools · 10/07/2026 13:28

https://x.com/JamesEsses/status/2075512549248745744?s=20

There are ten images on X, sorry can't add them all here, or upload a file with it all in.

James Esses (@JamesEsses) on X

🚨Breaking🚨 Last night, in what is significant overreach for a backbench Peer, Hilary Cass sent a document to every single MP and Peer, justifying and defending the puberty blockers trial. I have posted below the full document for people to read. He...

https://x.com/JamesEsses/status/2075512549248745744?s=20

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Tottenhamhotflushes · 11/07/2026 23:33

NotBadConsidering · 11/07/2026 23:29

Is this meant to be an answer to my questions?

Apologies, but you will need to read the second half of the quote for that. I couldn’t post it all in one comment.

noblegiraffe · 11/07/2026 23:34

OldCrone · 11/07/2026 23:19

The main problem is that the trial is based on utter nonsense.

This is from your link:

Gender incongruence is when someone’s gender doesn’t match the sex they were registered at birth. Puberty can be a difficult time for young people with gender incongruence. This is because their body starts to change in ways that don’t match how they feel inside.

"Someone's gender". What does this mean? In what way is it expected to match their sex? What does it mean for a gender to match a sex? What does it mean for someone's body to change in ways that don’t match how they feel inside?

The whole thing is meaningless with undefined terms and no explanation of what they are actually trying to achieve.

It's to explore the potential benefits and risks. It lays it out.

And you can dispute the terms all you like, but internationally, a whole load of kids are being prescribed puberty blockers for feelings of distress about their gender.

If you want that to stop, then a clinical trial is probably your best bet.

Because otherwise you're just shouting that the drugs don't work and harm kids at people who are shouting that the drugs do work and that denying them to kids is harming them.

NotBadConsidering · 11/07/2026 23:35

Tottenhamhotflushes · 11/07/2026 23:33

Apologies, but you will need to read the second half of the quote for that. I couldn’t post it all in one comment.

There’s nothing in that quote that answers my question.

Name another treatment given to children that is comparable to PBs.

Independent of that, state whether you think this treatment is ethical.

NotBadConsidering · 11/07/2026 23:36

noblegiraffe · 11/07/2026 23:34

It's to explore the potential benefits and risks. It lays it out.

And you can dispute the terms all you like, but internationally, a whole load of kids are being prescribed puberty blockers for feelings of distress about their gender.

If you want that to stop, then a clinical trial is probably your best bet.

Because otherwise you're just shouting that the drugs don't work and harm kids at people who are shouting that the drugs do work and that denying them to kids is harming them.

If you want that to stop, then a clinical trial is probably your best bet.

But this is just an opinion.

It’s perfectly possible to stop children being harmed by puberty blockers by getting everyone to realise there is no condition to be treated by them in the first place.

1984Now · 11/07/2026 23:37

OldCrone · 11/07/2026 23:19

The main problem is that the trial is based on utter nonsense.

This is from your link:

Gender incongruence is when someone’s gender doesn’t match the sex they were registered at birth. Puberty can be a difficult time for young people with gender incongruence. This is because their body starts to change in ways that don’t match how they feel inside.

"Someone's gender". What does this mean? In what way is it expected to match their sex? What does it mean for a gender to match a sex? What does it mean for someone's body to change in ways that don’t match how they feel inside?

The whole thing is meaningless with undefined terms and no explanation of what they are actually trying to achieve.

Like I read once, gender dysphoria is body dysphoria. You learn to hate how you look, how you feel, how you transform into something you hate.
The gender part of gender dysphoria is simply the thing that seems to be at the root of this hate.
Unfortunately, despite gender not being a thing that's objective about oneself, it's all around us, from consumer society, to how the sexes view each other, to societal expectations.
If your brain can't gel with your body with all these conflicts inside and out swirling around, then the "solution" would seem to swap ones gender to another one that seems consistent with contrary stresses.
So, gender is at once nothing, and then again everything.
Yet the objective reality is that we are who we are, hating our bodies because of our biology and how it might jar with expectations is part of growing up.

noblegiraffe · 11/07/2026 23:40

NotBadConsidering · 11/07/2026 23:36

If you want that to stop, then a clinical trial is probably your best bet.

But this is just an opinion.

It’s perfectly possible to stop children being harmed by puberty blockers by getting everyone to realise there is no condition to be treated by them in the first place.

How is that working out for you?

NotBadConsidering · 11/07/2026 23:42

noblegiraffe · 11/07/2026 23:40

How is that working out for you?

How is it NOT working out? It’s worked in Finland. Why do you consider we have reached a point where this option has been lost?

OldCrone · 11/07/2026 23:47

noblegiraffe · 11/07/2026 23:34

It's to explore the potential benefits and risks. It lays it out.

And you can dispute the terms all you like, but internationally, a whole load of kids are being prescribed puberty blockers for feelings of distress about their gender.

If you want that to stop, then a clinical trial is probably your best bet.

Because otherwise you're just shouting that the drugs don't work and harm kids at people who are shouting that the drugs do work and that denying them to kids is harming them.

a clinical trial is probably your best bet.

A clinical trial to do what? What are they trying to achieve?

Is it to see if the children can be reconciled with their bodies if puberty is delayed meaning they can then be allowed to develop normally into adults with full sexual function?

Is it to see if they pass better and have better outcomes as adult transsexuals than those who go through puberty?

What are they trying to achieve? What would be a good outcome for these children?

noblegiraffe · 11/07/2026 23:55

NotBadConsidering · 11/07/2026 23:42

How is it NOT working out? It’s worked in Finland. Why do you consider we have reached a point where this option has been lost?

As far as I can tell, Finland still prescribe puberty blockers to children.

noblegiraffe · 11/07/2026 23:58

OldCrone · 11/07/2026 23:47

a clinical trial is probably your best bet.

A clinical trial to do what? What are they trying to achieve?

Is it to see if the children can be reconciled with their bodies if puberty is delayed meaning they can then be allowed to develop normally into adults with full sexual function?

Is it to see if they pass better and have better outcomes as adult transsexuals than those who go through puberty?

What are they trying to achieve? What would be a good outcome for these children?

See below.

Hilary Cass sent a document to every single MP and Peer, justifying and defending the puberty blockers trial
NotBadConsidering · 11/07/2026 23:59

Finland has recognised that there are other conditions leading to children presenting with gender distress, and those are what needs treating.

So how is it not possible the rest of the world to acknowledge that? Why is a PB trial the only way to prevent the harm from PBs?

Why, before the trial even begins, can’t we demand an explanation as to what is being treated and have a clear ethical decision that it is a condition that needs PBs?

BeKindWisely · 12/07/2026 00:01

Many thanks BettyBooper

This letter shows that Cass seems very aligned with the original Dutch protocol- that what is key is the ability to pass as the opposite sex as an adult.

NotBadConsidering · 12/07/2026 00:03

noblegiraffe · 11/07/2026 23:58

See below.

So again, why can’t this be challenged?

”Quality of Life”. What is the cause of their potential poor quality of life now?

“Mental health”. What mental health outcomes? What mental health condition are they suffering from that will be assessed to see if there’s improvement?

“Gender identity/dysphoria”. How is this defined and how do you measure if it’s improved or not?

”Body satisfaction”. How is this defined?

And for all of these, what is the logic that blocking puberty is an appropriate treatment?

1984Now · 12/07/2026 00:07

NotBadConsidering · 11/07/2026 23:59

Finland has recognised that there are other conditions leading to children presenting with gender distress, and those are what needs treating.

So how is it not possible the rest of the world to acknowledge that? Why is a PB trial the only way to prevent the harm from PBs?

Why, before the trial even begins, can’t we demand an explanation as to what is being treated and have a clear ethical decision that it is a condition that needs PBs?

Because in saying the PB trial is to treat teens with gender dysphoria, they'd have to explain/define gender, an impossible task because even the trans ideologues can't do so without gender "definitions" being a circular concept.
If they can't explain gender, then they can't explain gender dysphoria, then they can't explain what will be treated by PBs, what the desired outcome is, and thus can't measure success or failure.
But those still sticking up for this trial, and those who've entrenched these concepts societally, will feel better about themselves.

noblegiraffe · 12/07/2026 00:16

NotBadConsidering · 12/07/2026 00:03

So again, why can’t this be challenged?

”Quality of Life”. What is the cause of their potential poor quality of life now?

“Mental health”. What mental health outcomes? What mental health condition are they suffering from that will be assessed to see if there’s improvement?

“Gender identity/dysphoria”. How is this defined and how do you measure if it’s improved or not?

”Body satisfaction”. How is this defined?

And for all of these, what is the logic that blocking puberty is an appropriate treatment?

Have you read the protocol? It goes through all this.

https://www.kcl.ac.uk/ioppn/assets/pathways/trial/pathways-trial-protocol.pdf

https://www.kcl.ac.uk/ioppn/assets/pathways/trial/pathways-trial-protocol.pdf

OldCrone · 12/07/2026 00:17

noblegiraffe · 11/07/2026 23:58

See below.

That's all a bit vague. There's no explanation of what they think gender incongruence is, or why it's viewed as so important to not be gender incongruent that life-changing drugs which can result in a child becoming an infertile adult with impaired sexual function are the solution.

What's wrong with being gender incongruent anyway? Gender is just a bunch of stereotypes and it would be far better to accept that some people reject them than just get the kids early and sterilise them.

noblegiraffe · 12/07/2026 00:18

NotBadConsidering · 11/07/2026 23:59

Finland has recognised that there are other conditions leading to children presenting with gender distress, and those are what needs treating.

So how is it not possible the rest of the world to acknowledge that? Why is a PB trial the only way to prevent the harm from PBs?

Why, before the trial even begins, can’t we demand an explanation as to what is being treated and have a clear ethical decision that it is a condition that needs PBs?

A lot of people still believe that trans women are actually women.

I’m not sure children around the world can afford the time it would take to simply argue people down, versus providing them with clear evidence. And Finland are still prescribing puberty blockers.

OldCrone · 12/07/2026 00:22

A lot of people still believe that trans women are actually women.

Nobody really believes that, unless they think that a "transwoman" is a woman (an actual female woman) who identifies as trans.

NotBadConsidering · 12/07/2026 00:24

noblegiraffe · 12/07/2026 00:16

Have you read the protocol? It goes through all this.

https://www.kcl.ac.uk/ioppn/assets/pathways/trial/pathways-trial-protocol.pdf

Yes but it doesn’t answer the important philosophical or ethical questions.

The Utrecht Gender Dysphoria rating scale, for example. How is this worthy? It asks questions like “I prefer to behave like a boy/man”. What does this mean?

And this was the same rating scale that the Dutch used where they switched the questions.

And the eligibility criteria is still a diagnosis of gender incongruence as per ICD11. What does “a strong desire to be a different gender” mean? How is gender defined?

It still relies on the concept of gender incongruence being a diagnosis in its own right, rather than something else. See 1984Now’s post for the next step.

Is gender incongruence a diagnosis? How is that diagnosis reached?

noblegiraffe · 12/07/2026 00:31

OldCrone · 12/07/2026 00:22

A lot of people still believe that trans women are actually women.

Nobody really believes that, unless they think that a "transwoman" is a woman (an actual female woman) who identifies as trans.

Sure they do. Trans women are women etc etc. What do you think that means?

noblegiraffe · 12/07/2026 00:32

NotBadConsidering · 12/07/2026 00:24

Yes but it doesn’t answer the important philosophical or ethical questions.

The Utrecht Gender Dysphoria rating scale, for example. How is this worthy? It asks questions like “I prefer to behave like a boy/man”. What does this mean?

And this was the same rating scale that the Dutch used where they switched the questions.

And the eligibility criteria is still a diagnosis of gender incongruence as per ICD11. What does “a strong desire to be a different gender” mean? How is gender defined?

It still relies on the concept of gender incongruence being a diagnosis in its own right, rather than something else. See 1984Now’s post for the next step.

Is gender incongruence a diagnosis? How is that diagnosis reached?

And while you grapple with these philosophical questions, hundreds of kids are being prescribed with puberty blockers.

NotBadConsidering · 12/07/2026 00:32

noblegiraffe · 12/07/2026 00:31

Sure they do. Trans women are women etc etc. What do you think that means?

Lip service to an ideology so they’re not guilty of blasphemy.

NotBadConsidering · 12/07/2026 00:34

noblegiraffe · 12/07/2026 00:32

And while you grapple with these philosophical questions, hundreds of kids are being prescribed with puberty blockers.

But they’re not in the UK are they. It’s been stopped. So in order to decide if it should resume, you’re saying the only way is to do a trial anyway, and everyone else is saying clarify what is being treated first.

noblegiraffe · 12/07/2026 00:36

NotBadConsidering · 12/07/2026 00:34

But they’re not in the UK are they. It’s been stopped. So in order to decide if it should resume, you’re saying the only way is to do a trial anyway, and everyone else is saying clarify what is being treated first.

Well, I'm slightly more ambitious in that I want the issue to be tackled globally, not just in England.

noblegiraffe · 12/07/2026 00:37

NotBadConsidering · 12/07/2026 00:32

Lip service to an ideology so they’re not guilty of blasphemy.

If that helps you sleep at night.