Trans youth will no longer be prescribed puberty blockers at NHS England gender identity clinics in a new “blow” to gender-affirming healthcare.

Puberty blockers are a type of medicine that prevent puberty from starting by blocking the hormones – like testosterone and oestrogen – that lead to puberty-related changes in the body. In the case of trans youth, this can delay unwanted physical changes like menstruation, breast growth, voice changes or facial hair growth.

On Tuesday (12 March), NHS England confirmed the medicine, which has been described as “life-saving” medical care for trans youth, will only be available to young people as part of clinical research trials.

The government described the move as a “landmark decision”, Sky News reported. It believed such a move is in the “best interests of the child”.

  • drmeanfeel@lemmy.world
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    1 year ago

    All right wingers want for Christmas is increased suicidality of anyone unlike themselves

    • Snapz@lemmy.world
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      Or probably more accurately if you look at right wing scandals, people that think similarly to them but are brave enough to live their truth and not try to hide behind a bible and pay their reality away.

      Conservatives are cowards. They mainline fear 24/7, they feel list without it.

  • Korne127@lemmy.world
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    Best interest of the child my ass. I knew and know so many trans kids that suffer(ed) so much from such awful transphobic laws.
    That’s just purely disgusting and will have horrible consequences for so many people. I am so sorry for every trans kid in England that suffers from this. :(

    • UnderpantsWeevil@lemmy.world
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      40 years of Hollyweird / Music Industry / Olympics trainer agents pumping their youngest stars full of this shit in order to squeeze an extra year or two of revenue out of them? Fine. Cool. Good. No problems detected.

      Some trans youth have a legitimate medical need for deferring puberty, while they come to terms with their gender and sexuality? Fuck you. Prohibited. Go directly to jail.

  • dugmeup@lemmy.world
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    Right wing conservatives can go pound sand. Talk about the government pushing itself between a doctor and patient care.

    A landmark bullshit decision.

  • Mouselemming@sh.itjust.works
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    Time to start some really large clinical trials.

    Which wouldn’t be a bad idea anyway, tracking long-term outcomes.

    • Gamoc@lemmy.world
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      It’s been around since the 80s, we already know long term outcomes.

      • Jojo@lemm.ee
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        Um, excuse me, who said 40 years was long enough? If we don’t have trials that show how people receiving these drugs turned out all the way until they died then we don’t really have long term trials, do we?

        /s

        It’s such a fucking cop out. Nothing will ever be good enough for some people.

  • TIMMAY@lemmy.world
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    I dont want to speak to the social aspect of this issue, but I have to imagine that blocking puberty has some crazy side effects. How long has this medical technology been in use and where can I find studies about it? Again, I know this is sensitive and I am just curious from a biological standpoint.

    • TranscendentalEmpire@lemm.ee
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      blocking puberty has some crazy side effects.

      I’m a provider at a children’s hospital. I specialize in orthopedics and rehabilitation, so I mostly deal with the musculoskeletal system. I have colleagues who would be able to provide a much better and more in depth explanation, but I will do my best.

      Even in orthopedics “hormone blockers” are used fairly frequently. For example the same drugs that people use to transition are utilized to moderate the epiphyseal fusion of growth plates. Puberty is also frequently delayed to moderate the hormone levels of juvenile cancer patients. Or even more increasingly common, to halt the symptoms of precocious puberty in young women.

      The vast majority of juveniles prescribed hormones to delay puberty are for non gender affirming care like cancer. The problem with moderating what medical providers can and can’t treat is that you are assuming you know more about medicine than the a person who went to medical school.

      You may be trying to protect kids, but what ends up happening is an interference of medical care, and usually not the type you intended. If hormone drugs become more monitored, providers may be hesitant, or have a more difficult brine prescribing it.

      The dangers of delaying puberty are very small, when you stop the prescription puberty begins again. Usually the only side effect is excessive growth due to a delay if epiphyseal fusion. In regards to gender affirming care, I will remind people that their providers are looking at total outcomes. Meaning they are factoring in things like the higher potentiality of self harm and suicide.

    • Omniraptor@lemm.ee
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      Precocious puberty has been a thing forever and the first medications for delaying it by regulating hormones have been around since the 1980s. I think that should be the jumping off point for research. However afaik the same sorts of drugs are also commonly used to treat cancer in adults.

      Here is an article about their use in treating trans people with links to various studies https://transfemscience.org/articles/puberty-blockers/

    • assassin_aragorn@lemmy.world
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      How long has this medical technology been in use and where can I find studies about it?

      Decades. It was there when I was a kid, so like 20 years ago. And it wasn’t new medical technology at the time.

    • UnderpantsWeevil@lemmy.world
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      I have to imagine that blocking puberty has some crazy side effects.

      Sort of the joke. Puberty is what has the crazy side effects.

    • Lyrl@lemm.ee
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      It reduces bone density. Not to unhealthy levels in teens, but there are concerns the lower baseline will increase osteoporosis risk when the patients get to old age.

      They can also only be used for a couple of years. Some non-binary people want to be on them permanently, but doctors won’t prescribe that. Some kids want more time to decide, and unfortunately there isn’t anything safe to use through the full teenage years.

    • ynthrepic@lemmy.world
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      The side effects and risks are worth it when you only get one shot at puberty. If you don’t transition as a pre-pubescent teenager, you will never “pass” as well, especially as a transwoman.

      A really good example of how successful you can be if you’re early is Corey Maison. There are cases of transition regret of course, but they’re still a very small percentage of the total, and that percentage is reduced by puberty blockers giving young people more time to figure out themselves and their own bodies, and to make the choice that’s right for them.

    • fidodo@lemmy.world
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      There’s some studies that found that bone density could be affected, but considering the suicide rate of trans people I’m going to say that’s a tiny sacrifice for the assurance that you can have the body your brain wants to be in.

      • TIMMAY@lemmy.world
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        That is not what I am saying or implying, as I do not have any information on the subject. Please do not put words in my mouth.

          • TIMMAY@lemmy.world
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            Go fuck yourself, Im not taking any steps in any direction, I was asking for information so that I can further educate myself on a difficult topic.

  • Buffalox@lemmy.world
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    I thought quackery was illegal, but apparently not when it’s *fundamentalists in politics.

    *Fundamentalists as in fundamentally sociopaths.

  • BilboBargains@lemmy.world
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    It’s all part of the NHS War On Mental Health. The plan is remove treatments that conservatives don’t believe in because they can’t see them. They will take those savings and use them to extend the lives of terminally ill people in persistent vegetative states because life is sacred and needs to be protracted and painful.

  • harderian729@lemmy.world
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    I wonder what the statistics are of “trans youth” figuring out they’re actually not trans as they get older.

    • chetradley@lemmy.world
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      I’m assuming you’re asking in good faith. I found this type of question to be especially controversial due to the legislation against gender-affirming care, especially puberty blockers. In researching further:

      As others have stated, cases where permanent gender-affirming care was given, such as HRT (hormone therapy) and GRS (genital reconfiguration surgery), instances of regret are incredibly rare, and almost always predicated by lack of support for the individual. They are far outnumbered by instances of trans people undergoing puberty incompatible with their gender, which is itself damaging and irreversible.

      The type of care discussed in this article, GnRH (puberty blockers), has been shown to not have long term consequences, and is only used to delay puberty and the potential long term effects, giving them enough time to make an informed decision about their transition. From the Mayo Clinic:

      GnRH analogues don’t cause permanent physical changes. Instead, they pause puberty. That offers a chance to explore gender identity. It also gives youth and their families time to plan for the psychological, medical, developmental, social and legal issues that may lie ahead…

      When a person stops taking GnRH analogues, puberty starts again.

    • thesporkeffect@lemmy.world
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      I was going to downvote and move on, but instead…

      I have family and friends that are trans, so I have been able to kind of follow their outcomes over the years.

      1. Human gender identity and sexuality does seem to fluctuate somewhat, but it doesn’t seem to me to be random. Some people fully identify as one gender but like to perform as a different one. Other people don’t vary at all. In cases where people “change their mind”, it’s usually because they get discouraged about being able to successfully transition, or they experience severe harassment/workplace discrimination. Just in my anecdotal experience, it’s never because they just randomly decide they no longer want to be trans

      2. No one is getting permanent gender affirmation treatment until they are old enough to know and have been in discussions with doctors for years. I’m sure there are exceptions where some poor 5 year olds parent(s) treated them without medical oversight but it’s not common and no one wants this.

    • Ultraviolet@lemmy.world
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      Extremely uncommon. But on the off chance it happens, they just stop taking the puberty blockers and everything proceeds as normal.

    • Betch@lemmy.world
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      Basically non-existant but of course when it does happen it gets repeated over and over again. The main reason why anybody detransitions is because of how they get treated during their transition.

        • chetradley@lemmy.world
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          It’s also the worst type of wrong: the type that has the potential to seriously harm people. Hopefully they retract it instead of continuing to double down.

          • FluffyPotato@lemm.ee
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            Not in that study. The link you provided only has the abstract but it’s not even about how common detransitioning is.

            It has a sample size of 25 so it couldn’t even draw an average with that but according to the study it’s goal seems to be to document the motives for transitioning for people who go on to transition and the ones who don’t.

            • Neuromancer@lemm.ee
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              It obvious you’re not trying to have serious conversation since you didn’t read the study and are conflating detransitioning with people who outgrow it. If you don’t understand a topic well enough to talk about it then don’t. I’m done