Hannah Barnes Profile picture
Jul 12, 2020 7 tweets 3 min read Read on X
In November 2019, we made two pieces on detransitioning – for @BBCNewsnight and @BBCfileon4. They featured ‘Debbie, ’ who began transitioning to a man at the age of 44.

Watch: bit.ly/38Pyy0U
Listen: bbc.in/2C4KEqX
Read: bbc.in/32c57VA
She had been given testosterone at her first appointment, and completed a full surgical transition over a number of years. She changed her name legally to Lee. When we spoke, Debbie had taken the decision, after 17 years, to stop her testosterone injections.
She wanted to detransition and posed the question, “how the hell do I go back to being the Debbie that I was?” Speaking then, Debbie was unsure about what the long-term implications may be for her and talked about the possibility of reversing some of her surgery.
She was being seen by one of the NHS’s Gender Identity Clinics, but said they were not sure how to help.
Today, Debbie, now preferring to be called Lee again, is pictured along with four more detransitioning or detransitioned women in @BareReality ‘s piece for the Sunday Times

thetimes.co.uk/article/25f95e…
Lee is quoted as saying, “I thought I would detransition, but I’ve decided I can’t physically do it. My body can’t take it. I’m not sure I’d survive all the surgeries. I’d be battling my body for the rest of my life. I have to accept my body the way it is now.”
“On the outside people see a little bloke. Inside I’m a traumatised little girl. But I’m more accepting of myself for the first time ever.”

I hope they can find happiness and peace.

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More from @hannahsbee

May 1
Extraordinary details in this case from the family court, highlighting just how badly gender-questioning young people are being let down: lack of NHS provision has led them to private providers. Here there was no physical examination before prescribing… bailii.org/ew/cases/EWHC/…
“Dr Hewitt's principal criticism of Gender GP's intervention, however, relates to the dose of testosterone that was prescribed….[it] was at the level that one would administer to an adult only after a course of treatment … built up …over the course of two or three years.”
“Not only did Gender GP prescribe this top-end dosage to a testosterone-naïve child, but they did so by directing a 'loading' (double) dose at the commencement of the treatment.”
Read 5 tweets
Apr 20
I wrote in this week’s @NewStatesman about the entirely false claim being spread by some that the Cass review excluded 100 studies on puberty blockers and hormones to reach its conclusion. The report and systematic reviews set out clearly what they’ve done… Image
Today, Dr Cass tells the Times, “If you deliberately try to undermine a report that has looked at the evidence of children’s healthcare, then that’s unforgivable. You are putting children at risk by doing that.”
Read 4 tweets
Apr 15
Health Secretary Victoria Atkins making a statement on Cass Review on gender identity services for children says: "professionals were not asking the right questions of themselves or of their patients"
Praises Hilary Cass and her team, who have "meticulously unpicked what went wrong, what the evidence actually shows, and how to design a fundamentally different service that better serves the needs of children."
Atkins also thanks "those who raised the alarm and contributed to the review". This includes, "the clinicians who spoke up against their peers to blow the whistle about what was happening at the Tavistock clinic, even though it risked their careers"…
Read 13 tweets
Mar 21
NEW: NHS England has announced that new youth gender services will provide masculinising and feminising hormones to children from ‘around their 16th birthday.’ This goes further than GIDS ever did: YPs cld only access hormones at 16 if they’d been on puberty blockers for 1 year🧵
Just last week, it seemed that the new services would have no medical pathway, with NHSE ending the routine prescription of puberty blockers. Today’s announcement, which was not put out to consultation, appears to signal a move in the opposite direction.
NHSE says it’s considered whether ‘scientific research has shown the treatment to be of benefit to patients’ & if it represents best use of NHS resources. Three documents have informed the policy, dating from 2013, 2016 & 2018 – two apply to adults only.
england.nhs.uk/wp-content/upl…
Read 10 tweets
Mar 12
NEW: Today's announcement from NHS England on ending the prescription of puberty blockers for children with gender-related distress goes further than before (we've known of their intention to end their use in routine clinical practice for a while) 🧵
news.sky.com/story/children…
NSHE consulted on plans to only allow the prescribing of puberty blockers as part of clinicals research or in 'exceptional cases' last summer. Today they've said there will no exceptional cases, as it wouldn't be workable in practice...
Instead, a child's clinician will have to apply under NHSE's 'Individual Funding Request' process. They would have to demonstrate why they believed the case was exceptional and 'why a treatment that is not routinely commissioned by the NHS is an appropriate treatment option.'
Read 8 tweets
Mar 5
As more information comes to light on WPATH, English health authorities have sought to distance themselves from the organisation. The Dept of Health told the Mail NHS England ‘moved away from WPATH guidelines more than five years ago’.... Some context 🧵

dailymail.co.uk/news/article-1…
It's true NHSE has said WPATH was irrelevant to its recommendation that puberty blockers no longer be part of routine clinical practice: 'NHS[E] does not commission based upon guidelines or treatment protocols eg WPATH 8.0 or practices in other countries' tinyurl.com/26afb54h
It's also true that the Tavistock's GIDS always took a more cautious approach than WPATH.
But, the 2016 service spec (still underpinning GIDS despite expiring in 2020) says explicitly: 'The service will be delivered in line with' WPATH 7 and other sources
tinyurl.com/4kwa68nw
Read 4 tweets

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