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.
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
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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NEW: A damning letter from Dr Hilary Cass to NHS England bosses, detailing serious concerns about adult gender clinics has been published. NHSE haven't drawn attention to it, instead releasing an update on implementation of Cass’s recommendations for children’s gender services.🧵
The most common concern of staff at clinics was “the very limited time for assessment and the expectation that patients would be put on hormones by their second visit.” First appointments wld often be with someone “not necessarily clinically trained”.
Majority of patient presentations “were extremely complex, with a mix of trauma, abuse, mental health diagnoses, past forensic history, ASD and ADHD, & therefore this limited assessment was inadequate." These issues weren't taken into account in decisions to prescribe hormones.
BREAKING: The BMA press office have released a statement accusing the New Statesman article as being misleading. Needless to say I absolutely reject this and will show why. The statement does not say how Council members voted on the motion to ‘disavow’ the Cass Review 🧵
Instead, the BMA press office say:
“The BMA will continue with further work in this area to contribute positively to the provision of care and services to this often neglected population and will be setting out the BMA’s stance in due course.”
More to come …
The Head of the BMA press office has confirmed: "The outcome of the discussions are not being made public"...
EXCLUSIVE: in one of the final actions of Parliament, just before dissolution, the Government had legislated to ban private prescriptions (originating in UK or abroad) of puberty blockers for under 18s. NHS prescriptions will be restricted - legally - to official trials.
Under 18s already receiving puberty blockers from the NHS will not be affected. Those receiving from abroad will no longer be able to. NHS prescriptions of GnRH analogues (blockers) NOT for treatment of gender incongruence for under 18s, are unaffected.
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.”
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…
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.”
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"…