These children who regret their “gender reassignment”

It could be one of the biggest health scandals of our time: the gender reassignment of children who request it without measuring the consequences. Blanche Streb, director of education and research at Alliance Vita, forwards the scream of alarm from childhood professionals.

The Academy of Medicine is talking about an epidemic-like phenomenon. A psychoanalyst from the Pitié-Salpêtrière hospital, who receives young people concerned about the issue of transidentity for consultation, is causing a “tidal wave”. They are, in fact, more and more and younger and younger to express this deep disorder: to have the feeling of belonging to the other sex than one’s own, or sometimes to “no sex.” Many of them begin social transitions (by changing their first name, appearance, and behavior) and sometimes medical transitions (by injecting hormones, resorting to surgery, and for the youngest by administering puberty blockers).

In France, as in many countries, the numbers and their rise are staggering. For example, the number of recipients of ALD (Affection Long Term) for a diagnosis of transidentity or gender dysphoria shows ten times more admissions in 2020 than in 2013. Requests for access to surgery to remove or remove breasts or genitals have quadrupled between 2012 and 2020. A child psychiatrist in charge of a reception center for young people (CAA) in Paris testifies to this: “Ten years ago we had about ten inquiries a year, today it is ten inquiries a month, only for the Île-de-France region” But today, many young people who regret come out of the woodwork. They are called “detransitioners.” Have they over time ended up “reconciling” with their gender? often too late.Their illness has led them on the highway of transition, a trip sometimes without return, as certain decisions are irreversible.

Many trans men talk about not being able to cry with a high dose of testosterone in the body, and that also affected me.

This is the case with Anna, who testifies in the columns of Parisian (3/5/2022). As a teenager who felt bad about herself, she discovered transidentity on the internet and found herself there. Her parents support her. After a few doctor visits, which she describes herself as “fast”, she will start with testosterone as a 14-year-old, become Sacha and will undergo a mastectomy (removal of the breasts) as a 16-year-old. As a 19-year-old, his descent into hell begins. She does not tame “this new sex”. She regrets. Realizes she’s actually a woman, but now with a flat chest and a deep voice. She stops the hormones. Her menstruation has returned, so she hopes her fertility will not be permanently altered. Today, she regrets that “at no time were the deep reasons that made me change gender treated. I was put on track” and realizes that “puberty is not the ideal time to make such choices”.

The Keira Bell affair

His case is not isolated. Associations of detransitions are popping up in the US, Canada, Belgium, England, Sweden … In the UK, the Keira Bell affair has hit the headlines and brought this painful topic to the fore. This young woman, who has become a trans man, lodged a complaint with the clinic that had treated her. She maintains that she did not have the capacity to give consent, even though it was she who had requested access to this medical transfer. “The more my transition progressed, the more I realized that I was not a man and that I never will be. As I matured, I realized that gender dysphoria was a symptom of my general misery, not its cause, She explains. The case has just been closed. She lost her case even though the High Court in London had initially stopped the prescribing of puberty blockers in children and found that before the age of 13 “it is highly unlikely that a child is competent to give consent to the administration of puberty inhibitors “, and that before the age of 16 they can only take this treatment if they understand the immediate and long-term consequences.

She addresses parents and recommends that they be vigilant when faced with questions from their children about transidentity or their discomfort (…

Clearly, the difficulty lies not so much in the quality of the information given and received, but in the children’s ability to understand and evaluate this information, to imagine the extent of such decisions that will make them patients for life. How, for example, how to measure the consequence of the loss of fertility, even though we are still far from any desire for a child? Keira Bell shares her unvarnished story. “Five years after I began my medical transition to becoming a man, I began the process of detransition. Many trans men talk about not being able to cry with a high dose of testosterone in the body, and it also affected me: I could not release my feelings. One of the first signs that I was about to become Keira again was that I – thankfully, finally – was able to cry. And I had a lot to cry over. “

A scream of alarm

In the face of these tragedies, voices are raised. The Academy of Medicine calls on the attention of the medical community and requests that “great medical caution is required in children and adolescents given the vulnerability of this population, especially psychological, and the many side effects, even serious complications, that some of the therapies may have She addresses parents and recommends that they be vigilant when faced with questions from their children about transidentity or their malaise, emphasizing the addictive nature of excessive consultation of social networks, which is harmful to young people. human psychological development and responsible for a very important part of the growing sense of gender incongruence.

A real alarm scream was launched in a gallery of the expression of several associations of professional childhood professionals as well as fifty personalities – doctors, intellectuals, psychologists, judges, sociologists, feminist activists – from vastly different horizons of thought, such as Élisabeth Badinter, Jean-Pierre Winter, Chantal Delsol, René Frydman or again Xavier Emmanuelli: “It Urgent to inform the largest number of citizens, of all professions, of all backgrounds, of all ages, about what tomorrow might look like one of the biggest health and ethical scandals that we would have seen happen without saying a word: the care of children’s bodies. “


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