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Aug 1·edited Aug 1Author

This letter was long and many other points could have been stated. It may be good to link a few articles here as to why regret rates are not as low as claimed and are likely to increase.

https://segm.org/transition-regret-and-detransition:

"More recent studies that have included the current case mix of predominantly adolescent-onset gender dysphoria suggest that up to 30% of those who undergo medical transition may discontinue it within only a few years (Roberts et al., 2022). It is likely that a number of them will experience significant regret over lost opportunities and permanent physical changes."

https://manhattan.institute/article/trust-the-experts-is-not-enough:

"The final of the two famous Dutch studies, published in 2014, relied on only 1.5 years of follow-up after subjects had completed their transition. This is hardly enough time to reveal whether the procedures ultimately benefit the patients. Two studies found that the average time to regret is around 10 years.[11] But, remember, almost all the data in these studies comes from those who transitioned as adults and were gathered before the “affirming” model and its hostility to safeguards became widespread. Increasingly, we hear from detransitioners who describe a period of euphoria immediately after completing some or all of the transition. As even Peggy Cohen-Kettenis, one of the Dutch researchers who co-authored the 2011 study, would later observe, “a truly proper follow-up needs to span a minimum period of 20 years.”[12]"

People should be skeptical of Laura Edwards-Leeper's claim that her earlier cohorts all had the mental health issues resolved. Better hospital data from healthcare systems don't show improved mental heath among medicalized dysphoric adults-see Swedish data). But she is correct that there are often even bigger issues with the new cohorts:

https://www.nytimes.com/2024/02/02/opinion/transgender-children-gender-dysphoria.html:

"Laura Edwards-Leeper, the founding psychologist of the first pediatric gender clinic in the United States, said that when she started her practice in 2007, most of her patients had longstanding and deep-seated gender dysphoria. Transitioning clearly made sense for almost all of them, and any mental health issues they had were generally resolved through gender transition.

'But that is just not the case anymore,' she told me recently. While she doesn’t regret transitioning the earlier cohort of patients and opposes government bans on transgender medical care, she said, 'As far as I can tell, there are no professional organizations who are stepping in to regulate what’s going on.'"

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