Thread by @4th_WaveNow

1/ Except there is no such medical consensus. Watchful waiting is the protocol followed in most part of the world, outside North America and Australia. Claiming there is a consensus on "affirmative" care is misleading. See tweets that follow.

https://twitter.com/MavenOfMayhem/status/1074677559604826112

2/ This qualitative 2015 study features commentary by providers at 17 clinics worldwide. The key conclusion is this: "As long as debate remains on these 7 themes & only limited long-term data are available, there will be no consensus on treatment."
ncbi.nlm.nih.gov/pubmed/26119518

3/ The providers raised many concerns about the use of puberty blockers and cross-sex hormones in gender dysphoric youth. Some also mentioned the influence of the Internet.

4/ "Treatment teams feel pressure from parents and adolescents to start with treatment at earlier ages...these professionals also have doubts because of the lack of long-term physical and psychological outcomes."

5/ Concerns about gay and lesbian youth being wrongly transitioned were also mentioned. Remember: These are professionals from 17 international gender clinics speaking, not the parents and clinicians Amanda et al dismiss as "bigots."

6/ Pretending there's clinical consensus for "affirmative" care is disingenuous at best, damaging at worst (e.g. this psych worries blockers interfere w/ identity development). There is more than one way to treat gender dysphoria in youth, & activists should stop lying about it.

7/ Finally, @AmerAcadPeds policy statement actually referenced "watchful waiting" studies (which show high desistance). Affirmative treatment is new, experimental, & not supported by reliable long term evidence. @Mermaids_Gender is an outlier in the UK.
sexologytoday.org/2018/10/americ…

8/ Again, the study is here. It is authored by members of the Amsterdam team who pioneered puberty blocking. Any honest person interested in gender dysphoria in youth must admit that there is anything BUT a consensus on "affirmative care."
ncbi.nlm.nih.gov/pubmed/26119518

9/ It's extremely troubling so many activists continually promulgate the lie that affirmative care is a "consensus." Clinicians around the world know better. Here's Alexander Korte et al expressing concerns about blockers/hormones interfering w/ normal sexual development.

10/ Korte et al produced another study in 2016, expressing many of the same concerns. Abstract in English, full study in German.

sexualmedizin-kiel.de/ANL24.pdf