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==Clinician experiences== |
==Clinician experiences== |
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A long-term study (spanning the years 1973-2003) published in 2011 of 324 patients in Sweden found that criminality, psychiatric morbidity, suicide, and death by cardiovascular disease following sex-reassignment procedures were "considerably" higher than in a matched non-transsexual control group. While the researchers admitted sex reassignment could alleviate gender dysphoria, they cautioned against it being pursued as a "sufficient" treatment for the high rates of morbidity and mortality found in transsexual patients.<ref name="Swedish">{{cite web |first1=Cecilia|last1=Dhejne|first2=Paul|last2=Lichtenstein|first3=Marcus|last3=Boman|first4=Anna L.V.|last4=Johansson|first5=Niklas|last5=Långström|first6=Mikael|last6=Landén |title=Long-Term Follow-Up of Transsexual Persons Undergoing Sex Reassignment Surgery: Cohort Study in Sweden |url=https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0016885#s3 |website=plos.org |publisher=PLOS ONE |accessdate=29 January 2019}}</ref> |
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Three short-term studies from Europe, published in 2014 and 2017, found sex-reassignment surgery to improve the quality of life for most patients who undergo it, and those who do not see improvement tend to be a minority.<ref>{{cite journal |last1=van de Grift |first1=Tim C. |last2=Elaut |first2=Els |last3=Cerwenka |first3=Susanne C. |last4=Cohen-Kettenis |first4=Peggy T. |last5=Kreukels |first5=Baudewijntje P. C. |title=Surgical Satisfaction, Quality of Life, and Their Association After Gender-Affirming Surgery: A Follow-up Study |journal=Journal of Sex & Marital Therapy |date=12 June 2017 |volume=44 |issue=2 |pages=138–148 |doi=10.1080/0092623X.2017.1326190 |pmid=28471328 }}</ref><ref>{{cite journal |last1=Hess |first1=Jochen |last2=Neto |first2=Roberto Rossi |last3=Panic |first3=Leo |last4=Rübben |first4=Herbert |last5=Senf |first5=Wolfgang |title=Satisfaction With Male-to-Female Gender Reassignment Surgery |journal=Deutsches Aerzteblatt Online |volume=111 |issue=47 |pages=795–801 |date=21 November 2014 |doi=10.3238/arztebl.2014.0795 |pmid=25487762 |pmc=4261554 }}</ref><ref>{{cite journal |last1=Papadopulos |first1=Nikolaos A. |last2=Lellé |first2=Jean-Daniel |last3=Zavlin |first3=Dmitry |last4=Herschbach |first4=Peter |last5=Henrich |first5=Gerhard |last6=Kovacs |first6=Laszlo |last7=Ehrenberger |first7=Benjamin |last8=Kluger |first8=Anna-Katharina |last9=Machens |first9=Hans-Guenther |last10=Schaff |first10=Juergen |title=Quality of Life and Patient Satisfaction Following Male-to-Female Sex Reassignment Surgery |journal=The Journal of Sexual Medicine |date=May 2017 |volume=14 |issue=5 |pages=721–730 |doi=10.1016/j.jsxm.2017.01.022 |pmid=28366591 }}</ref> |
Three short-term studies from Europe, published in 2014 and 2017, found sex-reassignment surgery to improve the quality of life for most patients who undergo it, and those who do not see improvement tend to be a minority.<ref>{{cite journal |last1=van de Grift |first1=Tim C. |last2=Elaut |first2=Els |last3=Cerwenka |first3=Susanne C. |last4=Cohen-Kettenis |first4=Peggy T. |last5=Kreukels |first5=Baudewijntje P. C. |title=Surgical Satisfaction, Quality of Life, and Their Association After Gender-Affirming Surgery: A Follow-up Study |journal=Journal of Sex & Marital Therapy |date=12 June 2017 |volume=44 |issue=2 |pages=138–148 |doi=10.1080/0092623X.2017.1326190 |pmid=28471328 }}</ref><ref>{{cite journal |last1=Hess |first1=Jochen |last2=Neto |first2=Roberto Rossi |last3=Panic |first3=Leo |last4=Rübben |first4=Herbert |last5=Senf |first5=Wolfgang |title=Satisfaction With Male-to-Female Gender Reassignment Surgery |journal=Deutsches Aerzteblatt Online |volume=111 |issue=47 |pages=795–801 |date=21 November 2014 |doi=10.3238/arztebl.2014.0795 |pmid=25487762 |pmc=4261554 }}</ref><ref>{{cite journal |last1=Papadopulos |first1=Nikolaos A. |last2=Lellé |first2=Jean-Daniel |last3=Zavlin |first3=Dmitry |last4=Herschbach |first4=Peter |last5=Henrich |first5=Gerhard |last6=Kovacs |first6=Laszlo |last7=Ehrenberger |first7=Benjamin |last8=Kluger |first8=Anna-Katharina |last9=Machens |first9=Hans-Guenther |last10=Schaff |first10=Juergen |title=Quality of Life and Patient Satisfaction Following Male-to-Female Sex Reassignment Surgery |journal=The Journal of Sexual Medicine |date=May 2017 |volume=14 |issue=5 |pages=721–730 |doi=10.1016/j.jsxm.2017.01.022 |pmid=28366591 }}</ref> |
Revision as of 15:59, 29 January 2019
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Detransition is the desistance and reversal of a gender transition. Like transition, it is a process that can involve changing one's gender expression, social identity, legal IDs, and sexual characteristics.[1][2][3]
Personal experiences
Some people detransition after feeling that their transition did not properly address their needs, citing reasons including discomfort with the sex characteristics developed during transition,[4] concern regarding the lack of data on long-term effects of hormone replacement therapy,[2] and surgical complications.[5][6][7] One individual who detransitioned said that he struggled with his gender identity after enduring years of sexual abuse and forced cross-dressing as a child, which his transition did not address.[8]
In September 2017, the Australian 60 Minutes television program featured a 12-year-old boy who had underwent hormone replacement therapy for two years before deciding to stop, though both he and his mother have stated that they did not regret the event.[9]
Clinician experiences
Three short-term studies from Europe, published in 2014 and 2017, found sex-reassignment surgery to improve the quality of life for most patients who undergo it, and those who do not see improvement tend to be a minority.[10][11][12]
In August 2017, the Philadelphia-based Mazzoni Center's Trans Health Conference, which is an annual meeting of transgender people, advocates, and health care providers, canceled a panel discussion on detransitioning. The conference organisers said, "When a topic becomes controversial, such as this one has turned on social media, there is a duty to make sure that the debate does not get out of control at the conference itself. After several days of considerations and reviewing feedback, the planning committee voted that the workshops, while valid, cannot be presented at the conference as planned".[13]
In September 2017, Bath Spa University refused permission for James Caspian, a counsellor who specialises in transgender therapy, to undertake research relating to people who had decided to reverse their gender reassignment operations. Caspian alleged that the reason for the refusal was that it was, "a potentially politically incorrect piece of research [which] carries a risk to the university".[14][15]
Urologist and gender-reassignment surgeon Miroslav Djordjevic reported in October 2017 an increase in demand for reversal surgeries, most commonly in those born male and who are over the age of 30. Djordjevic has reported patient expressing "crippling depression" and suicidality. He also has asserted the existence of a "taboo" in talking about issues relating to detransitioners' needs, for it being perceived as "politically incorrect".[16][17]
A 2018 survey of WPATH-registered surgeons found that roughly half of the 46 responding surgeons from the United States and Europe had encountered a patient who regretted transition or sought detransition treatments with them. The total number of patients who sought surgical detransition procedures composed less than one percent of all patients seen by these surgeons. Of the patients seeking surgical detransition, about a third reported a change in gender identity, a quarter cited social or romantic dissatisfaction, and a quarter cited surgical complications.[18]
Public and professional opinions
Detransitioners, researchers, and medical providers advocate that there is a lack of legal, medical, and psychological assistance for those seeking detransition care and support,[19][3] often citing an atmosphere of censorship in academic and professional realms.[17][14][16][15]
See also
- Feminist views on transgender and transsexual people
- Gender fluidity
- List of transgender-related topics
- List of LGBT-related organizations
- Transitioning (transgender)
- Transgender health care
- Transgender publications
References
- ^ "Detransitioning: Going From Male To Female To Male Again". Vocativ. 15 June 2015. Retrieved 1 September 2017.
- ^ a b Hertzog, Katie (28 June 2017). "The Detransitioners: They Were Transgender, Until They Weren't". The Stranger. Retrieved 13 November 2017.
- ^ a b Graham, Julie. "Detransition, Retransition: What Providers Need to Know" (PDF). fenwayhealth.org. Fenway Health. Retrieved 29 January 2019.
- ^ McFadden, Joan (16 September 2017). "'Transition caused more problems than it solved'". The Guardian. Retrieved 1 November 2017.
- ^ "Experience: I regret transitioning". The Guardian. 4 February 2017. Retrieved 1 November 2017.[better source needed]
- ^ Fogarty, Taylor (11 October 2017). "What two former trans men want you to know about al -the lies". The Federalist. Retrieved 1 November 2017.
- ^ Bowen, Innes (1 August 2007). "Are sex change operations justified?". BBC. Retrieved 22 December 2017.
- ^ Heyer, Walt (1 April 2015). "I Was a Transgender Woman". Public Discourse. Retrieved 2 November 2017.
- ^ Schipp, Debbie (8 September 2017). "Patrick's pain: 'I didn't know who the person staring back at me was'". News Ltd. Retrieved 1 November 2017.
- ^ van de Grift, Tim C.; Elaut, Els; Cerwenka, Susanne C.; Cohen-Kettenis, Peggy T.; Kreukels, Baudewijntje P. C. (12 June 2017). "Surgical Satisfaction, Quality of Life, and Their Association After Gender-Affirming Surgery: A Follow-up Study". Journal of Sex & Marital Therapy. 44 (2): 138–148. doi:10.1080/0092623X.2017.1326190. PMID 28471328.
- ^ Hess, Jochen; Neto, Roberto Rossi; Panic, Leo; Rübben, Herbert; Senf, Wolfgang (21 November 2014). "Satisfaction With Male-to-Female Gender Reassignment Surgery". Deutsches Aerzteblatt Online. 111 (47): 795–801. doi:10.3238/arztebl.2014.0795. PMC 4261554. PMID 25487762.
- ^ Papadopulos, Nikolaos A.; Lellé, Jean-Daniel; Zavlin, Dmitry; Herschbach, Peter; Henrich, Gerhard; Kovacs, Laszlo; Ehrenberger, Benjamin; Kluger, Anna-Katharina; Machens, Hans-Guenther; Schaff, Juergen (May 2017). "Quality of Life and Patient Satisfaction Following Male-to-Female Sex Reassignment Surgery". The Journal of Sexual Medicine. 14 (5): 721–730. doi:10.1016/j.jsxm.2017.01.022. PMID 28366591.
- ^ "Response to the cancellation of workshops". Mazzoni Center. 29 August 2017. Retrieved 1 November 2017.
- ^ a b "Bath Spa University 'blocks transgender research'". BBC. 25 September 2017. Retrieved 1 November 2017.
- ^ a b Weale, Sally (26 September 2017). "University 'turned down politically incorrect transgender research'". The Guardian. Retrieved 1 November 2017.
- ^ a b Borreli, Lizette (3 October 2017). "Transgender surgery: regret rates highest in male-to-female reassignment operations". Newsweek. Retrieved 28 January 2019.
- ^ a b Shute, Joe (2 October 2017). "The new taboo: More people regret sex change and want to 'detransition', surgeon says". National Post. Postmedia. Retrieved 28 January 2019.
- ^ Danker, Sara, MD; Narayan, Sasha K., BA; Bluebond-Langner, Rachel, MD; Schechter, Loren S., MD, FACS; Berli, Jens U., MD (August 2018). "A Survey Study of Surgeons' Experience with Regret and/or Reversal of Gender-Confirmation Surgeries". Plastic and Reconstructive Surgery – Global Open. 6: 189 – via Wolters Kluwer.
{{cite journal}}
: CS1 maint: multiple names: authors list (link) - ^ Walt Heyer (16 November 2017). "While Three Transgenders Celebrate Election Victories, Detransitioners Tell A Different Story". The Federalist. Retrieved 8 December 2017.