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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

264 replies

SingleSexSpacesInSchools · Yesterday 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

OP posts:
NullaEffugium · Today 12:37

BettyBooper · Today 12:32

No they haven't. Cass recommended it was done, the adult clinics refused to release the data. They still haven't.

I am not sure what you misunderstood. There are retrospective studies done of adults on the effect of puberty blockers on their health. That is how we know about fertility risk, bone density risk, cancer risk.

As for the specific patient data from clinics being nonreleasable under GDPR because the patients refused permission for their data to be used in research that is another matter entirely.

TwoLoonsAndASprout · Today 12:45

NullaEffugium · Today 12:34

No “might” about it - they won’t mature. That is the one sure thing that we do know about PBs - they stop the normal maturation of a pubescent body, which includes the mental maturation that happens during puberty.

While they are on PBs. Once they come off them, puberty restarts, so long as they haven’t taken them for too long. In this study, girls started menstruating 1yr after they stopped PBs, and boys had normal sperm production 6 weeks after stopping PBs. https://pmc.ncbi.nlm.nih.gov/articles/PMC6626312/

It is worth noting that only in a clinical trial can doctors ensure fertility preservation. Whatever illegal, potentially too high dose versions parents are giving children is way more likely to cause sterilisation.

From my post above, from a man who has a DSD which mimics PBs:

What I’ve learned since is that when the adolescent brain is starved of sex hormones during the critical window, the damage is permanent. Autism is five times more common in people like me, ADHD several times higher, and severe intellectual disability nearly eighteen times more likely. A quarter of us never become sexually active, and three-quarters of us never have children. Executive function, attention, and processing speed are all measurably lower. I live with ADHD and learning disabilities that no amount of therapy will ever fix.

NullaEffugium · Today 12:45

AimsAndObjectives · Today 12:20

I imagine that previous, recent pb use will show up in blood tests.

I think it is likely that at least some of the parents involved in the trial will have steadfastly held out against the demands of their children to procure blockers online and would not do this under any circumstances. Your 100% claim was a bit too dogmatic for me.

Fair enough on my 100% viewpoint, I feel the same way about the 100% will be irreversibly sterile claim floating around on the thread.

spannasaurus · Today 12:45

NullaEffugium · Today 12:37

I am not sure what you misunderstood. There are retrospective studies done of adults on the effect of puberty blockers on their health. That is how we know about fertility risk, bone density risk, cancer risk.

As for the specific patient data from clinics being nonreleasable under GDPR because the patients refused permission for their data to be used in research that is another matter entirely.

A statutory instrument was enacted that overrides previous privacy protections to force NHS adult gender clinics to hand over data for retrospective study.

The clinics are still not providing the data for study

AskingQuestionsAllTheTime · Today 12:46

AimsAndObjectives · Today 11:13

@Tottenhamhotflushes So I suspect the Cass trials are carefully vetting their candidates similarly.

This is one of the points that people raise though. If Cass et al believe that they have found a way to identify children that will become 'true trans' adults, why aren't they sharing that methodology prior to the trial?

My life yes! That's as bonkers as suggesting they someone has found the cure for malaria and is keeping it under his or her hat.

AskingQuestionsAllTheTime · Today 12:47

NullaEffugium · Today 11:45

Yes, thank you, I wasn’t very clear. I am on the fence about the ethics of drug testing on children that are below the age of consent for medical procedures. Especially when I consider the parenting these children have.

It is not ethical to test drugs on children, but we are in a situation where it is happening anyway and the only way to stop it long term is to prove how unsafe puberty blockers really are.

That's a bit like saying "it is not ethical to beat children with sticks, but since some parents are doing it anyway we'd better do a study to confirm that being beaten with sticks is not good for children".

NotBadConsidering · Today 12:48

NullaEffugium · Today 12:45

Fair enough on my 100% viewpoint, I feel the same way about the 100% will be irreversibly sterile claim floating around on the thread.

Edited

It’s not a claim. It’s a fact. Boys blocked at the beginning of puberty who go onto CSH have never and never will make sperm. They are sterile. Which part of that is wrong?

NullaEffugium · Today 12:49

spannasaurus · Today 12:45

A statutory instrument was enacted that overrides previous privacy protections to force NHS adult gender clinics to hand over data for retrospective study.

The clinics are still not providing the data for study

Edited

I was not aware of that. Well I guess it’s a legal standoff. For the record, I would want to trust that if I checked no you can’t use my private data for research on an NHS form that that would be respected at least until my death.

If we push on this, then we are essentially allowing the NHS to share or sell our medical data with associated lifestyle and personal data without our permission from this point forward.

NullaEffugium · Today 12:50

NotBadConsidering · Today 12:48

It’s not a claim. It’s a fact. Boys blocked at the beginning of puberty who go onto CSH have never and never will make sperm. They are sterile. Which part of that is wrong?

Edited

No that much more specific clarification isn’t wrong, I was referring to the earlier versions that stated all children who merely start on PBs will become sterile.

NotBadConsidering · Today 12:51

NullaEffugium · Today 12:50

No that much more specific clarification isn’t wrong, I was referring to the earlier versions that stated all children who merely start on PBs will become sterile.

Edited

No one has claimed that. All children who start puberty blockers early and go on to CSH are infertile. Only the boys who do this from the earliest stages are sterile.

Shedmistress · Today 12:52

Tottenhamhotflushes · Today 11:10

What are you talking about? You suggested puberty blockers cause continuing on to cross sex hormones. I said there is no proof of that.

The records from GIDS say that. The records from many gender clinics across the globe say that. Whistleblowers say thay.

I didnt say anything.

NullaEffugium · Today 12:53

AskingQuestionsAllTheTime · Today 12:47

That's a bit like saying "it is not ethical to beat children with sticks, but since some parents are doing it anyway we'd better do a study to confirm that being beaten with sticks is not good for children".

Not a very good analogy. This is more like should we test a vaccine or a drug on children, where we know it potentially is harmful but we need to prove it is harmful to stop off-licence usage.

NotBadConsidering · Today 12:53

In order for children to NOT be infertile or sterile, puberty blockers need to be stopped, no progression to CSH, and puberty resumed to completeness.

In the real world now, this does not happen.

I am yet to see any indication that this will happen at the end of this proposed trial period.

Edictfromno10 · Today 12:56

At the end of the day she's just another doctor medicalising young people's emotional and psychological distress. Medication is all they can come up with to help that young person leave the house... I can think of several other professionals who could support such a situation without experimental drugs snd the rest. Not to mention the safeguarding concerns around a toddler being transitioned ffs.

NotBadConsidering · Today 12:56

NullaEffugium · Today 12:53

Not a very good analogy. This is more like should we test a vaccine or a drug on children, where we know it potentially is harmful but we need to prove it is harmful to stop off-licence usage.

This is a terrible analogy. If a vaccine is potentially harmful in animal studies, it doesn’t progress to clinical trials in children. You don’t test it on children to be sure🤨

AimsAndObjectives · Today 12:59

NullaEffugium · Today 12:34

No “might” about it - they won’t mature. That is the one sure thing that we do know about PBs - they stop the normal maturation of a pubescent body, which includes the mental maturation that happens during puberty.

While they are on PBs. Once they come off them, puberty restarts, so long as they haven’t taken them for too long. In this study, girls started menstruating 1yr after they stopped PBs, and boys had normal sperm production 6 weeks after stopping PBs. https://pmc.ncbi.nlm.nih.gov/articles/PMC6626312/

It is worth noting that only in a clinical trial can doctors ensure fertility preservation. Whatever illegal, potentially too high dose versions parents are giving children is way more likely to cause sterilisation.

The study that you have linked to does not show what you claim. It was a paragraph within that study, that was referencing other studies:

GnRHa-based pubertal suppression is reversible, but it also pauses maturation of germ cells, which could affect fertility potential (21-23). In children treated with GnRHa, 43 of 49 patients had a decrease in testicular volume (24). Similarly, a study of 87 girls with precocious puberty while on GnRHa showed a decrease in ovarian and uterine size during treatment, which subsequently increased in size with resumption of menstruation approximately 1 year after discontinuing therapy (25).

The girls with precocious puberty are a totally different cohort to the girls with GD anyway.

MrsOvertonsWindow · Today 13:01

The point that all the fans of this experiment on children repeatedly miss (or deliberately ignore) is that these are physically healthy children. They don't have cancer or other life limiting illnesses.
They have a significant mental health issue and likely other co morbidities such as eating disorders, anxiety, self harm, depression. In addition, those like the mythical Jo, have parents who not only failed to safeguard them from toddler age onwards but may actually have subjected their young child to emotional abuse by pretending to them from their earliest years that they were really the opposite sex

Odd how so many keen advocates for experimenting on children (including Cass) are supremely disinterested in the evident safeguarding issues surrounding so many of these children.

NotBadConsidering · Today 13:05

MrsOvertonsWindow · Today 13:01

The point that all the fans of this experiment on children repeatedly miss (or deliberately ignore) is that these are physically healthy children. They don't have cancer or other life limiting illnesses.
They have a significant mental health issue and likely other co morbidities such as eating disorders, anxiety, self harm, depression. In addition, those like the mythical Jo, have parents who not only failed to safeguard them from toddler age onwards but may actually have subjected their young child to emotional abuse by pretending to them from their earliest years that they were really the opposite sex

Odd how so many keen advocates for experimenting on children (including Cass) are supremely disinterested in the evident safeguarding issues surrounding so many of these children.

The point that all the fans of this experiment on children repeatedly miss (or deliberately ignore) is that these are physically healthy children.

💯

It comes back to my earlier question that remains unanswered. What is being treated? What is the condition that desperately needs this treatment? Why has it been decided that THIS is the treatment for that condition and not something else?

Shedmistress · Today 13:07

BonfireLady · Today 11:22

I suspect the ideal candidates are the Jazz Jennings and Jackie Greens of this world, whose parents wholeheartedly support the ideas that map to section 8 of the Cass Report, meaning that the child has grown up with a strong belief in the inateness of their gender identity. That's the section that delves into the "science" of gender identity, including toy selection like dolls.

As a non-believer in gender identity I eye-rolled a lot when I read that section.

Jackie Green, the lad that only said he was a lass to get his toys back?

He didn't have any diagnosis, his mum bought puberty blockers off the internet.

BeKindWisely · Today 13:07

NotBadConsidering · Today 12:22

Forget the harms of puberty blockers.

It is not even clear what is even being treated.

What is the condition that needs PBs?

Yes!! This. This.This!
We need to keep coming back to this question.
Everything else is just taking everyone too far away from this.

DrBlackbird · Today 13:08

AimsAndObjectives · Today 11:13

@Tottenhamhotflushes So I suspect the Cass trials are carefully vetting their candidates similarly.

This is one of the points that people raise though. If Cass et al believe that they have found a way to identify children that will become 'true trans' adults, why aren't they sharing that methodology prior to the trial?

But then, if Cass carefully vets their candidates children such that she/they have found a way to identify those who will become ‘true trans’ adults, why on earth the need for PBs? Just let them progress to CSHs and surgery asap.

TwoLoonsAndASprout · Today 13:14

NotBadConsidering · Today 13:05

The point that all the fans of this experiment on children repeatedly miss (or deliberately ignore) is that these are physically healthy children.

💯

It comes back to my earlier question that remains unanswered. What is being treated? What is the condition that desperately needs this treatment? Why has it been decided that THIS is the treatment for that condition and not something else?

The thing that is being treated with PBs is passing.

The original Dutch protocol came about because Dutch doctors observed that their adult male transsexual patients were still suffering mental health issues, even after so-called sex change surgeries.

The doctors, on the basis of no evidence whatsoever, decided that this lack of mental health improvement was because the patients didn’t “pass” well enough as women. And they didn’t pass well enough because they had gone through male puberty.

So, the doctors then devised a treatment which involved taking prepubescent gender confused patients, and stopping them going through male puberty, in the hopes that they would grow into adult transsexuals who passed better as women (note that this is not an issue for trans-identifying women - testosterone is pretty powerful in that regard).

The whole “time to think” argument was retro-fitted onto the protocol because it sounds much more ethically valid than “we want to make more convincing transsexual women.”

The point of puberty blockers has never been a child’s mental health.

NotBadConsidering · Today 13:19

Yes, I know this. But those that do it need to admit it.

But they won’t because they know “is it ethical to sterilise/make infertile children so they look better as adults?” is not only incredibly weak it is malevolent.

AskingQuestionsAllTheTime · Today 13:27

NullaEffugium
what has been studied is suicide risk to trans young people subjected to delayed or refused gender affirming treatments

Is this better studies than the self-selecting one carried out by one of the trans-affiliated publications in which self-declared-trans adolescents were asked if they had ever thought of suicide? I looked at that one (which had a small sample size as well) and thought "every single person my age whom I knew when I was between thirteen and eighteen had at some point contemplated suicide and what would be the best, easiest, least painful, least anti-social (or alternatively most harmful to others particularly the parents who were obviously responsible for our pain) way to do it". I personally favoured lots of aspirin, a hot bath and slashing my wrists (down, not across) with a Stanley knife: likely not to be too bothersome for me, and easy to clean up afterwards by simply pulling the plug out of the bath.

I would be utterly amazed if it were not the case that most adolescent "trans" people considered the matter of suicide if the world was nasty to them and wouldn't let them have their own way. And since the world is always nasty to adolescents and won't let them have their own way, well.

Is there any real, unbiased evidence that actual suicide (as opposed to what I would call "I hate you! I never asked to be born! I'll kill myself and then you'll be sorry!" spontaneous outbursts of powerful feeling) is more common among trans than non-trans adolescents?

As I understand it, there is evidence showing that suicide is more common among people who have transitioned than among those who want to and for whatever reason are unable to. Do you have links to the studies that show otherwise?

Shedmistress · Today 13:30

Quick point, even WPATH in the Standards of Care said 'do not do this on children'.

When Eli Coleman who had been in a job where he was giving these drugs to sex offenders and paedophiles in jail, took over suddenly it was fine to block kids puberty and get them onto cross sex hormones.

That was about 25 years ago.

And since then this has been given to kids around the world.

And Cass found ZERO evidence that is actually helped people, indeed some of the people were more suicidal after than before.

And nobody seems to want to do the most obvious thing, which is to actually ask detransitioners what happened. I mean, if I'd treated someone and they'd had terrible results I'd want to know about it but anyone doing that is as ostracised and demonised as much as the detransitioner themselves.

We do not need to do it to MORE kids.

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