Benjamin Ryan Profile picture
Jul 10 23 tweets 9 min read Read on X
‘Damning’ Information About Trans Medical Group Expected To Reach Supreme Court, as Justices Consider Challenge to Ban on Gender Treatments for Minors
🧵⬇️I report for the @NewYorkSun: Unsealed internal communications from the trans medical organization @WPATH will likely undermine pediatric gender-transition treatment in litigation, including a Supreme Court case.Image
‘Damning’ Information About Trans Medical Group Expected To Reach Supreme Court, as Justices Consider Challenge to Ban on Gender Treatments for Minors
nysun.com/article/damnin…
The World Professional Association for Transgender Health is tasked with promoting and defending access to gender-transition treatment for minors. Amid a storm of litigation over these practices @WPATH’s leaders now find that their own words threaten to undermine this mission.
Last month, a federal court began unsealing an abundance of subpoenaed internal communications among top @WPATH members.  The docs concern Wpath’s recent revision of the chapters in its trans-medical-care guidelines concerning pediatrics, or medical care for children and teens. Image
Wpath’s once-secret maneuverings, now laid bare, have only just begun to backfire. The explosive contents of the unsealed communications are expected to impact the litigation that will determine the future of pediatric gender medicine , including a SCOTUS ruling next term.
Erica Anderson, a psychologist, transgender woman, and former head of Wpath’s American branch, characterized the recent disclosures as “damaging” to @WPATH. @eanderh nysun.com/article/damnin…
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Why did @WPATH remove all the age limits on pediatric gender-transition treatment in its 2022 revision on its treatment guidelines? Internal comms unsealed in an AL court case suggest HHS official Rachel Levine, the @AmerAcadPeds and @Trevor_Project all pressured WPATH to do so. Image
Even as she pressured @WPATH to remove age limits on pediatric gender-transition treatment for political reasons, Rachel Levine touted WPATH as the go-to source for evidence-based guide to such care and said that laws banning such treatment were all politically based. Image
WPATH published its new transgender treatment guidelines on Sept. 10, 2022, and later that same day removed the age limits on pediatric gender-transition treatment. This was in the immediate wake of the @AmerAcadPeds and the @Trevor_Project pressuring them to do so. Image
The documents unsealed in the Alabama court case that have so damaged @WPATH's credibility as a science-based organization removed from politics have already started to show up in litigation.
nysun.com/article/damnin…
Image
In private, at least some @WPATH members have acknowledged that the evidence behind some of their treatment recommendations is wanting. But in public the organization has said the opposite. nysun.com/article/damnin…
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Eli Coleman, who headed up @WPATH's revision of its treatment guidelines, issued a full-throated denial of the suggestions of a trove of internal communications from the organization that were recently unsealed. nysun.com/article/damnin…
Image
How might the unsealed @WPATH communications impact the Supreme Court case about Tennessee's pediatric gender-transition ban next term? I spoke with TN's attorney general, Jonathan Skrmetti, for the @NewYorkSun: nysun.com/article/damnin…
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The internal @WPATH documents are also expected to aid the plaintiffs in the approximately 20 medical-malpractice lawsuits waged by detransitioners against their former care providers. Image
The unsealed @WPATH communications are expected to aid in the conspiracy suit against the @AmerAcadPeds. One WPATH member was particularly scornful of the AAP's 2018 policy statement on the gender-affirming care method. nysun.com/article/damnin…
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Roger Brooks of the Alliance Defending Freedom said he expected the Alabama documents would have an even greater impact on future detransitioner lawsuits, by undermining physicians’ arguments that they were acting in good faith by following WPATH’s guidelines.
Psychologist Erica Anderson, who positioned herself as WPATH’s Cassandra some years ago, having sought to warn her colleagues that they were steering the organization in a perilous direction, reflected over what it has meant to have, as she sees it, been proved right.

“Many who know of my historic efforts to stem the tide of ideology have proclaimed that I should feel vindicated, but I cannot be consoled,” Dr. Anderson said.

“I am heartsick.”
nysun.com/article/damnin…Image
The internal @WPATH communications in the Alabama suit over the state's pediatric gender-transition treatment ban also suggested that WPATH coordinated on the drafting of its 2022 trans-care guidelines update with the @ACLU, which is behind many of the lawsuits seeking to overturn the bans of the treatment that WPATH recommended in those guidelines. nysun.com/article/damnin…Image
Here is my coverage for the @NewYorkSun about the detransitioner lawsuit against the @AmerAcadPeds: nysun.com/article/lawsui…

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More from @benryanwriter

Nov 22
The posts on Blues*y are literally mostly about how great Blues*y is. It’s a funny reaction to the election. No one is talking about how upset they are Trump won. They’re just glad they are only around people who don’t like X anymore.
I’m not even joking. It is very Stepford coded.
I’ll just die if I don’t get this recipe.
Read 4 tweets
Nov 21
There are myriad errors in the @SamLevin @Guardian article on the SCOTUS case over Tennessee's pediatric gender-transition treatment ban, as well as claims that demand greater context.

See the 🧵⬇️ Image
1. Not all major medical associations back gender-transition treatment for minors. Notably, the American Society of Plastic Surgeons declined to endorse such treatment.
benryan.substack.com/p/top-plastic-…
2. There is no evidence that there is a causal relationship between such treatment and improved mental health. Just because the AMA says this is true does not make it true. In fact, it should make one question why the AMA is making a non-evidence-based claim.
3. The only study ever to assess whether such treatment was associated an independent, statistically significant relationship with a difference in the suicide death rate in gender dysphoric youth found it was not.
nypost.com/2024/02/24/opi…
mentalhealth.bmj.com/content/27/1/e…Image
Read 14 tweets
Nov 18
NEW STUDY:
Sexual Dysfunction Is Common In Trans People Who Have Had Gender-Transition Surgery
🧵I report: The first-ever systematic review and meta-analysis of pelvic floor dysfunctions among trans people who have had genital gender-transition surgery found that rates varied widely between studies.Image
LINK: Sexual Dysfunction Is Common In Trans People Who Have Had Gender-Transition Surgery
benryan.substack.com/p/sexual-dysfu…Image
Among transgender people who have had genital-transition surgery, pelvic floor dysfunctions are common. This includes sexual dysfunction, including pain during intercourse and difficulty or an inability to experience orgasm, as well as urinary irritation and incontinence, among other problems. These findings come from the first-ever systematic literature review—the gold standard of scientific evidence—and meta-analysis of pelvic floor dysfunctions in this population. benryan.substack.com/p/sexual-dysfu…Image
Read 9 tweets
Nov 18
Jen Psaki accurately asserts that there are few trans kids playing in sports.

But she falsely claims there’s no evidence that such kids pose a threat to fairness. There are studies finding that natal males, even on estrogen, have a competitive advantage
Jen Psaki also neglects to note how fast the population of young people identifying as trans has grown in recent years—with estimates ranging between 1.4% and 3% of young people today. As this generation grows up, they will increasingly move into collegiate competition.
Here is a list of research finding that natal males, even on estrogen, maintain a competitive advantage in sports:
Read 5 tweets
Nov 15
John Oliver, in arguing how the Dems should respond to the trans kids issue, falsely claims “there is no evidence” trans kids “pose any threat” to fairness in sports.

There absolutely is evidence that trans females have a competitive advantage.
What’s remarkable about @IamJohnOliver’s false claims about trans females in sports is he has a staff of fact checkers. There are multiple studies indicating that even when receiving estrogen, natal males who identify as females are stronger and faster than women & girls.
See: @PowellAtlantic's article on Lia Thomas: nytimes.com/2022/05/29/us/…
Read 5 tweets
Nov 14
People still falsely claiming that children aren’t receiving gender-transition treatment and surgeries and that they only receive them after extensive assessment. Here’s what we know:
▶️At least 14,000 kids got such interventions from 2019-2023
▶️Boston Children’s policy since 2018 has been to refer minors to endocrinology for such treatment after a since 2-hour assessment appointment.
▶️Since 2022, the @WPATH policy is there is no age limit on any of this treatment.
▶️The youngest documented double mastectomy for gender dysphoria was on a 12 year old.

See the thread for all the citations.
At Least 14,000 U.S. Minors Have Received Gender-Transition Treatment or Surgeries In 5 Years, With Docs Billing $120 million

open.substack.com/pub/benryan/p/…Image
‘Shocking’ and ‘Reckless’: Top Gender Clinic Assesses Children for Gender-Altering Medical Treatments in Just 2 Hours, Lawsuit Lays Bare nysun.com/article/shocki…
Read 6 tweets

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