Discover and read the best of Twitter Threads about #pubertywithpeers
Most recents (4)
@ShapiroTattoo @christapeterso 1/ They're conflating gender dysphoria with suicidal ideation, trying to erase that GD is frustrated #GenderIncongruence. In the Bell case, they used GIDS' lousy study of their patients which found SI wasn't reduced on PBs (negating the 🇳🇱 finding it was) to say PBs didn't…
@ShapiroTattoo @christapeterso 2/…work, even though they are 100% effective at preventing further pubertal change. The 🇳🇱 did the main session on endocrine care in adolescence at @TheEndoSociety conference last week (no doubt to avoid heat on US providers) & were pushing the "reduces SI" line. I don't see…
@ShapiroTattoo @christapeterso @TheEndoSociety 3/…why PBs would do that directly. Perhaps the 🇳🇱 imagine its pubertal hormones directly induce depression rather than the changes they bring? I'd suggest they're in denial that their now long-outdated, prolonged PB period protocol they initiated in the '90s isn't what…
@AshKSkeet 1/ I've been pushing #PubertyWithPeers for decades now, against slowly decreasing opposition. Doctors like Spack & Gooren hated being asked to justify denying puberty until 16. Those at UCLH just hide behind the therapists at GIDS tho.
@AshKSkeet 2/ Yet the 1st pre-pubertal trans girl on📽️ was heading for puberty at the same time as her twin sister (before male puberty), sparking revelation on film that GIDS had written UK endocrine guidelines banning that, & Green to state he disagreed with those
@AshKSkeet 3/ Deutsch's support for it on HuffPoLive (& in lectures), alongside a therapist saying these normal timings are vital, was studiously ignored by the "towering pinnacles". But I watched Olson - a friend of Deutsch - carefully circling the issue on yesterdays podcast.
@LisaTMullin @MsYekaterina @lisaquestions @ZJemptv @Mermaids_Gender @JulieRei @GenderGP 1/ That is much better, but not good enough (see⬇️). Also reform in the current SOC was thwarted by Endocrine Society guidelines based on the previous one (agonists not before 12, or hormones before 16) so endos maintained there had been no reform. That must not happen again.
@LisaTMullin @MsYekaterina @lisaquestions @ZJemptv @Mermaids_Gender @JulieRei @GenderGP 2/ The ideal for trans girls is to have #PubertyWithPeers. With male Tanner2🖼️ being on average a year later than female🖼️, & a further delay for a period on agonists, that will not happen in many cases. What is the justification for that? Doubts about the patient's gender? 
@LisaTMullin @MsYekaterina @lisaquestions @ZJemptv @Mermaids_Gender @JulieRei @GenderGP 3/ If there are no doubts📽️ (& diagnosis of suitability for agonists seem almost 100% accurate currently) going straight to hormones when peers are commencing female puberty, pre-Tanner2, eliminates the need to ever use agonists or blockers, & has huge…
@anna_carlile 1/ Those are all topics that deserve research - indeed far more than most topics "leading researchers" like Zucker have wasted years on (eg "Are AMAB girls more attractive than male peers"), but there are several others too, that medics, especially, have neglected for too long…
@anna_carlile 2/ such as:-
a) What Tanner stage of "male puberty" needs to be avoided to prevent hands & feet exceeding normal women's sizes, in those so predisposed?
b) Is there an intervention could stop the "female" restriction of height in AFAB boys?
a) What Tanner stage of "male puberty" needs to be avoided to prevent hands & feet exceeding normal women's sizes, in those so predisposed?
b) Is there an intervention could stop the "female" restriction of height in AFAB boys?
@anna_carlile 3/
c) Practiced ears can diagnose male Tanner 2 from voice changes. Does that reverse if agonists or hormones are started before Tanner 3, or should, in the very clear cases where "desistance" never occurs (eg 📽️), Tanner 2 be avoided too?
c) Practiced ears can diagnose male Tanner 2 from voice changes. Does that reverse if agonists or hormones are started before Tanner 3, or should, in the very clear cases where "desistance" never occurs (eg 📽️), Tanner 2 be avoided too?
