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World Professional Association for Transgender Health (WPATH) Files

1555658606165

Comments

  • Registered Users, Registered Users 2, Paid Member Posts: 8,827 ✭✭✭plodder


    A third of "people" across the UK are overdue their cervical cancer screening … according to the Guardian.

    I suppose the editorial argument over the terms "women" vs "people with a cervix" settled on "people" as a (ridiculous) compromise which overshadows the more important point that screening rates are declining. I wonder why …

    https://www.theguardian.com/society/2025/jun/20/third-overdue-cervical-cancer-screening-uk

    “The opposite of 'good' is 'good intentions'”



  • Registered Users, Registered Users 2 Posts: 11,016 ✭✭✭✭volchitsa


    Yeah this is exactly why the erasure of the word "woman" matters. Is that really 1/3 of all people? In which case it's 2/3 of all women, which would call into question the whole set up of their procedures for screening.

    Or is it a lie, and we're all supposed to know that it's a lie, and that it's really only 1/6 of all "people", because they actually meant women?

    And of course, women who don't speak good English and won't have had much if any sex ed in their probably brief schooling in their country of origin, may not realise what a cervix is - may not even know that they have one - and so don't realise that they are meant to be the target audience.

    It's difficult enough for women who've been educated in the UK apparently:



  • Registered Users, Registered Users 2 Posts: 1,511 ✭✭✭eeepaulo


    Martine Croxall made her own editorial decision on the bbc the other day, the eye roll says a hell of a lot



  • Registered Users, Registered Users 2 Posts: 25,310 ✭✭✭✭One eyed Jack


    How does it overshadow anything when it’s made clear in the article who is being referred to?

    Since the coronavirus pandemic, cervical screening attendance rates for women and other people with cervixes have been steadily declining, from 72.2% in 2020 to 68.4% in 2024, NHS England data shows.


    The
    article goes on to highlight some of the reasons why people are missing their appointments, before going on to make the point about the relationship between HPV and cervical cancer and why the low uptake of the HPV vaccine is a cause for concern -

    It also highlighted the main barriers people cited, with 42% of respondents finding cervical screening painful previously, 40% not wanting a man to carry out the screening test, and just under one in five (19%) of respondents saying they were too embarrassed to go for a screening.

    Of those who did not attend their screening, 16% of respondents said it was because they did not have any symptoms – highlighting the misinformation still prevalent regarding cervical screening, which is for people without symptoms.

    Separate figures from the UK Heath Security Agency (UKHSA) have found that uptake of the HPV vaccine greatly varies by region, with girls in London by year 10 having the lowest uptake (64.9%) and girls in the south-east the highest (82.7%).

    Among boys of the same age, it was also lowest in London (58.9%) and highest in the south-east (77.3%).

    HPV refers to a group of viruses that can be transmitted through sexual contact and cause no symptoms. About 13 high-risk types of HPV are known to cause 99.7% of cervical cancers.

    Yeah this is exactly why the erasure of the word "woman" matters. Is that really 1/3 of all people? In which case it's 2/3 of all women, which would call into question the whole set up of their procedures for screening.


    It’s 1/3 of all people who are due to be screened for cervical cancer are missing their appointments, due to a number of reasons, none of which are “I don’t speak good English”, and as for it being difficult enough for women who’ve been educated in the UK, I’ve no doubt it is, but the article you provided refers to a survey done among women in 2020, in the US -

    The survey asked 2,000 women to explain their anatomical knowledge of the female reproductive system and found there are some major gaps when it comes to what they knew about their own bodies.

    Nearly one in four misidentified the vagina and 46% could not properly identify the cervix.

    Over half (59%) identified the uterus as a different body part too.

    The survey, commissioned by INTIMINA and conducted by OnePoll, asked American respondents what the menstrual cycle was in their own words.

    One respondent wrote the menstrual cycle ‘got rid of bacteria’ while another called it a ‘periodical body reset button’.

    Another woman said ‘I think it’s the way we pee’ and another thought it was the ‘detoxification of [the] female body’.

    EDIT: Just out of sheer curiosity, I did try to find some evidence which would give some insight into women’s views of healthcare in the UK, and I can’t say the results are surprising. They make for grim reading -

    Nearly 100,000 people in England got in touch to share:

    • their personal views and experiences as a woman
    • the experiences of a female family member, friend or partner
    • their reflections as a self-identified health or care professional


    The top 5 topics respondents want DHSC to prioritise for inclusion are:

    • gynaecological conditions (63%)
    • fertility, pregnancy, pregnancy loss and postnatal support (55%)
    • the menopause (48%)
    • menstrual health (47%)
    • mental health (39%)

    Over 4 in 5 women (85%) feel, or are perceived to feel, comfortable talking to healthcare professionals about general physical health concerns. This falls to less than 3 in 5 women when discussing mental health conditions (59%).

    When asked about specific women’s health topics, the proportion of women who felt (or were perceived to) feel comfortable talking to professionals was:

    • 77% for menstrual wellbeing
    • 72% for gynaecological cancers
    • 71% for gynaecological conditions
    • 64% for the menopause

    More than 4 in 5 (84%) went on to tell us there have been times when they (or the woman they had in mind) were not listened to by healthcare professionals.


    The top 5 sources respondents rely on for health information are:

    • family or friends (74%)
    • Google search (71%)
    • other online search engines and blogs (69%)
    • GPs or other healthcare professionals (59%)
    • the NHS, including their non-emergency helpline and the NHS website (54%)


    The topics at least 1 in 2 respondents said they have enough information on are:

    • how to prepare for or prevent a pregnancy (59%)
    • general physical health concerns (56%)
    • how to prevent ill-health or maintain their health (51%)

    Access to information falls substantially for topics specific to women’s health:

    • less than 1 in 5 have enough information on menstrual wellbeing (17%)
    • around 1 in 7 have enough information on gynaecological cancers (14%)
    • less than 1 in 10 have enough information on the menopause (9%), female genital mutilation and sexual assault centres (9%), and gynaecological conditions (8%)

    Just 2 in 5 respondents said they, or the woman in mind, can conveniently access the services they need in terms of location (40%), and around 1 in 4 said the same in terms of timing (24%).

    https://www.gov.uk/government/calls-for-evidence/womens-health-strategy-call-for-evidence/outcome/3fa4a313-f7a5-429a-b68d-0eb0be15e696

    Post edited by One eyed Jack on


  • Registered Users, Registered Users 2 Posts: 11,016 ✭✭✭✭volchitsa


    Sorry Jack. You know I (have come to) like you, but as so often, I genuinely have NO idea what your point is here.

    Mine is this:



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  • Registered Users, Registered Users 2 Posts: 25,310 ✭✭✭✭One eyed Jack


    I got your point, the point I’m making is that in terms of addressing public health issues, while the language is cumbersome, the idea of it’s use is to include dare I say it - people with a cervix, who do not refer to themselves as women. They still have a cervix, and I know you’d prefer to refer to those people as women, but the fact is that they don’t, and that’s why articles are written like that. Those people still require screening for cervical cell abnormalities, which is more of a concern in terms of public health than however anyone chooses to identify themselves. It’s those people who don’t share your views who still need to be targeted, educated, informed about their healthcare.

    They clearly didn’t ‘erase women’ in the article plodder refers to, and if you wanted them to use the word women to refer to people with a cervix, then when they refer to men in terms of issues pertaining to men, it shouldn’t be an issue? I say it shouldn’t be an issue, but I know why it is, because I understand where you’re coming from. At the same time, I don’t imagine referring to ‘the female prostate’ in order to achieve balance, is particularly helpful to anyone attempting to understand women’s healthcare -

    https://flo.health/menstrual-cycle/health/symptoms-and-diseases/do-women-have-prostates

    It’s for that same reason I don’t imagine the FDA has Zoloft in its sights for scientific review as to its efficacy and safety, but medication which is beneficial to women? That’ll have to be reviewed of course 🤨

    The reasons for the decline in people availing of cervical screening has nothing to do with the idea that women are being erased from anywhere, and the reasons for women being unable to access healthcare are much more than simply because some article in the Guardian (which apparently they can’t read anyway because they don’t have good English) isn’t using their words.



  • Registered Users, Registered Users 2 Posts: 11,016 ✭✭✭✭volchitsa


    the idea of it’s use is to include dare I say it - people with a cervix, who do not refer to themselves as women. They still have a cervix, and I know you’d prefer to refer to those people as women, but the fact is that they don’t, and that’s why articles are written like that.

    No, I don't care in the least if they call themselves frogs or snails, or men: my argument is that those people KNOW that they are female and that their wish to pretend to be something else cannot be allowed to even potentially put other women in danger just because an unclear use of language would please a tiny minority.



  • Registered Users, Registered Users 2 Posts: 3,641 ✭✭✭Bogey Lowenstein
    That must be Nigel with the brie...


    You know the house of cards is falling down when even BBC newsreaders have had enough.



  • Registered Users, Registered Users 2 Posts: 25,310 ✭✭✭✭One eyed Jack


    The problem with your argument should be obvious - according to you, other people KNOW what you think they know. According to themselves, they think they’re men, and cervical cancer screening doesn’t apply to them, and that’s even if they’re aware of a cervix at all, given that you’ve already provided evidence that half of women couldn’t point to their cervix on a map of the female anatomy. I’m discounting the possibility of a total hysterectomy which would mean they definitely don’t have a cervix -

    How do I know if I need to have a cervical screening?

    You’ll need to have cervical screenings if you have a cervix – whether or not you identify as female. If you’ve had a total hysterectomy, you won’t have a cervix, which means you won’t need to go to cervical screenings. If you aren’t sure what you need, check with your healthcare team. 

    https://onlinedoctor.lloydspharmacy.com/uk/sexual-health-advice/trans-men-and-cervical-screening

    Their wish to be recognised and referred to as men isn’t putting anyone else at risk, only themselves. The language other people use though, that’s not putting anyone else in danger either, given that from the survey I posted earlier, the majority of women rely on family and friends for healthcare related information, and online searches second, whereas only half will bother with the NHS services for their healthcare related information -

    The top 5 sources respondents rely on for health information are:

    • family or friends (74%)
    • Google search (71%)
    • other online search engines and blogs (69%)
    • GPs or other healthcare professionals (59%)
    • the NHS, including their non-emergency helpline and the NHS website (54%)


  • Registered Users, Registered Users 2 Posts: 11,016 ✭✭✭✭volchitsa


    But they don't need to know they have a cervix if the campaign is for all women between the ages of (say) 25 to 64.

    That's exactly the point.

    If you're going to pretend to believe that a 30 year old of even nearly normal intelligence living in a developed country doesn't know what sex they are, or that a woman might have had a radical hysterectomy with removal of her cervix without noticing… well… you do you, I suppose - but I'm not going to follow you there.

    Would you similarly pretend that they might not know what age they were?



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  • Registered Users, Registered Users 2 Posts: 4,008 ✭✭✭Hamsterchops


    Well indeed, finally after far too many years of confusion & delusion the house of cards is now rapidly falling. Interesting chat below from Talk TV. Firstly there is a discussion about UK courts and the fact that judges are no longer bound to use "preferred pronouns", and secondly they talk about the BBC Martine Croxall story, where she corrects the teleprompter …



  • Registered Users, Registered Users 2 Posts: 25,310 ✭✭✭✭One eyed Jack


    I’m not pretending that a 30 year old of normal intelligence living in a developed country doesn’t know what sex they are. That’s not the issue - the issue is that they DO know what sex they are, it’s just not the sex that I know they are. The point about having a total hysterectomy goes back to the fact that in some developed countries, women who wish to be recognised in law as men are forced to undergo a total hysterectomy - meaning obviously no cervix.

    No, I wouldn’t similarly pretend they might not know what age they are, it’s an annual celebration in developed countries, though there are men who will claim they didn’t know what age a girl is, when it suits their purposes 😒 It’s not uncommon for those same men to claim to know what a woman is, again when it suits their purposes.

    I do get where you’re coming from, and there’s nothing preventing you from campaigning for all women if that’s what you choose to do, but the same time I don’t expect anyone who doesn’t share your beliefs should follow suit when their concerns are about reducing the prevalence of cervical cancer as a public health issue. Then it’s not just a matter of all women, rather it pertains to all people with a cervix.



  • Registered Users, Registered Users 2 Posts: 11,016 ✭✭✭✭volchitsa


    That’s not the issue - the issue is that they DO know what sex they are, it’s just not the sex that I know they are.

    Don't know what you mean here: do you think that sex and gender are the same thing? IOW that transwomen change biological sex?? Nobody sane believes that.



  • Registered Users, Registered Users 2 Posts: 25,310 ✭✭✭✭One eyed Jack


    What I meant there is that I didn’t want to be putting words in your mouth so I used myself as the example, given that I have never cared for the concept of gender or the kind of granularity that sex is distilled into.

    That’s why I don’t think anything of the concept of ‘biological sex’ either, and if you were to swap out the term ‘woman’ for ‘biological female’, and refer to ‘all biological females’, you’ll find an equal number of people who are confused by the term as those who are confused by the term ‘people with a cervix’, or concerned about what they claim is evidence of women being erased.

    While we’re at it, we were talking about women, neither of us was talking about whether transwomen change biological sex or not. That would require us to share a belief in the concept of transwomen which, I dunno ‘bout you, but I don’t believe in it. That doesn’t mean I don’t understand when someone who does use that language refers to themselves in that way. It simply means we don’t speak the same language is all.



  • Registered Users, Registered Users 2 Posts: 11,016 ✭✭✭✭volchitsa


    But the reality is that, barring some very young people who are basically brainwashed, none of them believe that they are actually a different sex. They prove it themselves over and over: just today, India willoughby, a transwoman who claims to have developed female chromosomes, and to have been using female toilets "undetected" from the age of 14, tweeted to Joanne Rowling that she (Rowling) looked so masculine she could be taken for a transwoman herself.

    That this is apparently such an insult in I.Willoughby's mind tells us what IW thinks of transwomen, despite the claim to be indistinguishable from women generally.

    Or the way the TRAs regularly bring up the case of Imane Khelif as evidence that someone or other "hates people"… when Khelif is not trans - but is genetically male.

    And so on. So many instances where their own words betray them.



  • Registered Users, Registered Users 2 Posts: 25,310 ✭✭✭✭One eyed Jack


    But the reality is that, barring some very young people who are basically brainwashed, none of them believe that they are actually a different sex.


    That’s not reality though, it’s your opinion based upon, well, given the examples you presented, I’m not surprised. Regardless of anyones characteristics, it has never precluded the possibility of them also being an idiot.

    So many instances where their own words betray them.

    And were I of a mind to do so, I could point out that you care for all women so long as they share your opinion that they are women. The little amount of time this discussion has spent discussing women and yet you still want to discuss men, when this discussion has been pretty much centred around men to the point that it’s not that women are being erased, they’re simply being ignored as though they don’t exist.

    I don’t think you’re betraying women at all btw, that’d be a fairly uncharitable interpretation, like the idea that young people who don’t share your views must be brainwashed, or the idea that no sane person wouldn’t share your views. I understand what you mean, even though I don’t share your belief in the concept of brainwashing -

    Brainwashing is used so frequently to describe religious conversions that it has a certain panache to it, as if it were based in scientific theory.

    But brainwashing presents what scientists call an “untestable hypothesis.” In order for a theory to be considered scientifically credible, it must be falsifiable; that is, it must be able to be proven incorrect. For example, as soon as things fall up instead of down, we will know that the theory of gravity is false. 

    Since we cannot really prove that brainwashing does not exist, it fails to meet the standard criteria of the scientific method.

    In addition, there seems to be no way to have a conversation about brainwashing: you either accept it or you don’t. You can’t argue with someone who says “I was brainwashed.” But real science seeks argument and disagreement, as scholars challenge their colleagues’ theories and presuppositions. 

    Finally, if brainwashing really existed, more people would join and stay in these groups. But studies have shown that members of new religions generally leave the group within a few years of joining.

    Even advocates of brainwashing theories are abandoning the term in the face of such criticism, using more scientific-sounding expressions such as “thought reform” and “coercive persuasion” in its stead.

    https://theconversation.com/the-brainwashing-myth-99272

    It’s a bit like the way it’s not called conversion therapy any more, now it’s gender exploratory therapy, makes it sound more like a legitimate scientific discipline -

    https://time.com/7281894/new-hhs-report-exploratory-therapy-transgender-youth/

    It’s not though, just to be clear.



  • Registered Users, Registered Users 2, Paid Member Posts: 8,827 ✭✭✭plodder


    I understand what you mean, even though I don’t share your belief in the concept of brainwashing -

    It's not a scientific term certainly, but that's not to say it doesn't have a meaning.

    boyg.jpg

    This kind of constant repetition is definitely part of it. What kind of mind thinks that just by repeating something like … a mantra … will make it true?

    It’s a bit like the way it’s not called conversion therapy any more, now it’s gender exploratory therapy, makes it sound more like a legitimate scientific discipline -

    https://time.com/7281894/new-hhs-report-exploratory-therapy-transgender-youth/

    It’s not though, just to be clear.

    Nice segue there to something that is highly controversial, and absolutely does need to be subjected to scientific standards and scrutiny.

    At the risk of sounding like I have a financial stake in it, but anyone who still believes the paragraph quoted above or suspects it to be true should listen to the New York Times podcast "The Protocol". It's an excellent description of how the Dutch Protocol which was very heavy on mental health evaluation, was brought back to the US by a clinician who now regrets (or has serious concerns about) it, precisely because the US system was never set up to have remotely sufficient mental health resources. And then when activists got involved, all caution was taken away. Episode 3 goes into this in detail.

    https://open.spotify.com/episode/3Cyp0RfFnnDso2i1qzseMy?si=A35GEnLUSsGWPVNh5c9UIA (Episode 3)

    Intro to the whole series

    https://www.nytimes.com/2025/06/02/podcasts/trans-gender-care-protocol.html

    “The opposite of 'good' is 'good intentions'”



  • Registered Users, Registered Users 2 Posts: 11,016 ✭✭✭✭volchitsa


    I've been listening to that podcast too (thanks to you - I think - having posted it here)

    It really is very good.

    Also that NYT article from a few days ago, about the US vs Skrmetti case, where Chase Strangio, a transidentifying female lawyer, argued that refusing boys oestrogen and girls testosterone is an attack on sex equality because girls are sometimes given oestrogen and boys testosterone:

    How the Transgender Rights Movement Bet on the Supreme Court and Lost

    It's long but worth reading, for a clear timeline of some of the most extreme positions taken by the trans lobby, and how many trans people had severe doubts but were dismissed by their own side - or worse, accused of wrongthink and betrayal.



  • Registered Users, Registered Users 2 Posts: 25,310 ✭✭✭✭One eyed Jack


    It's not a scientific term certainly, but that's not to say it doesn't have a meaning.

    This kind of constant repetition is definitely part of it. What kind of mind thinks that just by repeating something like … a mantra … will make it true?

    Nice segue there to something that is highly controversial, and absolutely doesneed to be subjected to scientific standards and scrutiny.

    It has no scientific merit or value whatsoever, nobody said it doesn't have meaning. I understood the way volchista meant it when she used it in a way that suggested very young people who claim an identity different from that which they are expected to have, are brainwashed, meaning that they have been taught to believe it's true, not that they have come up with the idea themselves.

    What kind of mind thinks that just by repeating something like a mantra will make it true? Well, the kind of mind that believes that just by repeating something like a mantra will make it true. I'm going back a couple of years now but the example that immediately comes to mind was a show called 'My Husbands Not Gay' that aired on TLC back a couple of years ago.

    Spoiler - their husbands are gay.

    The whole conversion therapy nonsense has already been subject to scientific standards and scrutiny, that's how it has been determined that not only is it nonsense, it's harmful nonsense. The only reason it's still regarded at all, let alone considered controversial, is because it's permitted by the First Amendment in the US, like those fake abortion clinics.

    It's long but worth reading, for a clear timeline of some of the most extreme positions taken by the trans lobby, and how many trans people had severe doubts but were dismissed by their own side - or worse, accused of wrongthink and betrayal.

    I think you'll find that's a feature, not a bug, of any movement throughout history you'd care to think of. In terms of Women's Suffrage, the Pankhurst family were a bit… special. Emily disowned her daughters for not falling in line with her ideology, but it wasn't all bad for at least one daughter who disagreed with her mother's violent tactics, instead she wrote about how well she was treated while in prison (that still doesn't make any sense to me, but hey ho), before being sent to Australia by her mother where she… shall we say 'fell in with the wrong crowd' (the right crowd of course from her point of view!) -

    The key to Adela’s fall from grace lies perhaps not in her contribution to the campaign for votes for women in the UK, but in the more controversial causes she gravitated towards once the battle was won. She denounced contraception, abortion and even nursery schools for undermining maternal instincts and responsibilities. She campaigned heavily against Australian participation in World War I (the WSPU had suspended its activities, in order to support the war effort).

    After dabbling in the newly emerged Australian Communist Party and subsequently rejecting the ideology, Adela’s politics shifted to the right, and she went on to be associated with the Australia First movement, an anti-communist, anti-immigration political party. In the 1930s, Australia First was an anti-semitic and proto-fascist organisation which favoured an alliance with Nazi Germany and Imperial Japan. Due to her activities with Australia First, Adela was interned in a camp for political prisoners in March 1942 where she remained for several months.

    She died in Australia in 1961, having had, seemingly, a very happy family life there. Yet despite being named alongside 58 others on a statue of Millicent Fawcett recently unveiled in London, Adela Pankhurst has been largely ignored by popular histories of suffrage.

    https://theconversation.com/adela-pankhurst-the-forgotten-sister-who-doesnt-fit-neatly-into-suffragette-history-101918

    You're doing the same when you characterise Strangio as a transidentifying female lawyer. I get why, because it makes sense from your point of view, but Strangio themselves does not share your opinion -

    I was assigned female at birth, but I have never had a female body. If it takes longer to convince the world of that than it would to simply say that I was born with a female body but am now male, I am invested in that longer path, because ultimately we will all be better off when we can challenge the idea that our body parts define us.

    Quite why someone would want to be accepted by people who they know have no respect for them has always mystified me, but what mystifies me more is why those people would think that anyone should actually want anything to do with them in the first place when they characterise their targets as being not one of them, uncivil, etc. I was reminded of this recently due to a Democrat candidate running for election in 2026, she was raised Republican, but had a bit of an eye-opening moment when she turned 16 and realised the whole 'pull yourself up by your bootstraps' was a myth she'd been taught to believe. Recently she came under fire (she's been under fire a lot tbf!), for giving two fingers to some people who saw it as their duty to tell parents who were bringing their children to a 'drag queen story hour' at the local library, that they were going to Hell -

    Our political views and social outlook couldn't be more different, but there are some things I agree with her on. People who take it upon themselves to declare that anyone who doesn't share their views is going to Hell, deserve to be told to fcuk off.



  • Registered Users, Registered Users 2, Paid Member Posts: 8,827 ✭✭✭plodder


    What kind of mind thinks that just by repeating something like a mantra will make it true? Well, the kind of mind that believes that just by repeating something like a mantra will make it true.

    i.e. the kind of mind that is brain washed, in the informal sense of its meaning, ie someone who has bought into the ideology hook, line and sinker, and when confronted with a real argument can only parrot slogans

    The whole conversion therapy nonsense has already been subject to scientific standards and scrutiny, that's how it has been determined that not only is it nonsense, it's harmful nonsense. The only reason it's still regarded at all, let alone considered controversial, is because it's permitted by the First Amendment in the US, like those fake abortion clinics

    What the report(*) in the link you provided is recommending is similar to what Hilary Cass said (and who is quoted favourably in the report) which is Evidence Based Medicine, but yes that is being mischaracterised as Conversion Therapy by those who believe children should just be given the medication that they ask for.

    (*) https://opa.hhs.gov/sites/default/files/2025-05/gender-dysphoria-report.pdf

    “The opposite of 'good' is 'good intentions'”



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  • Registered Users, Registered Users 2, Paid Member Posts: 2,896 ✭✭✭aero2k


    Zoloft) is approved as an anti-depressant but is also commonly prescribed off-label to help men suffering from premature ejaculation

    At first I thought dragging in psychiatric drugs might be OT, but there are some interesting parallels here. The published trials for Sertraline (Zoloft) indicate a statistically significant (not necessarily a clinically significant) improvement in efficacy compared to placebo. When the unpublished trials are included no benefit is evident. The off-label use you describe is actually due to an adverse effect, common to SSRI's and many other drugs - they adversely affect sexual function. This effect is not always reversible, and post ssri sexual disfunction is gradually being accepted as a treatment-induced harm.

    Given that the use of puberty blockers and wrong-sex hormones is even less well understood, and has inability to experience an orgasm as a likely outcome, it's no surprise that the tide is turning against this type of (mis)treatment.



  • Registered Users, Registered Users 2, Paid Member Posts: 2,896 ✭✭✭aero2k


    Colfer also had an article on Genspect in April questioning RTE's impartiality - here's a quick excerpt:

    Although RTÉ issued a statement to say that their involvement in the Strategy ‘did not impact on RTÉ’s mandate to be fair, impartial, and objective’, there is ample evidence of RTÉ bias on the topic of gender identity. For example, Irish author Helen Joyce who wrote the best-selling book Trans: When Ideology Meets Realityhas not once been interviewed on RTÉ. In fact, I am not aware of any critic of gender identity theory who has been interviewed on any RTÉ television chat show in the last five years – if ever.

    It's interesting that while the National LGBTQI+ Inclusion strategy includes all govt. departments and many public bodies, the National Press Council is not involved.



  • Registered Users, Registered Users 2 Posts: 25,310 ✭✭✭✭One eyed Jack


    The off-label use you describe is actually due to an adverse effect, common to SSRI's and many other drugs - they adversely affect sexual function. This effect is not always reversible, and post ssri sexual disfunction is gradually being accepted as a treatment-induced harm.


    The post I was responding to was making a point about the safety and efficacy of drugs being used off-label, to which I was pointing out that the use of drugs off-label is common in medicine to treat conditions which the drugs weren’t designed specifically for. Anti-depressants were never designed for use in the treatment of premature ejaculation, and the last time I checked, which was a while ago, the figures for impotence in men prescribed anti-depressants to treat depression was about 30%. Impotence in those circumstances is considered the lesser of two evils as it were, in the same way that puberty blockers and cross-sex hormones (I like the way you did that though, “wrong-sex hormones” indeed 😏) are considered the lesser of two evils in the treatment of what is known in medicine and science as gender dysphoria, formerly known as a sex change.

    It’s not at all unusual that in their struggle for greater accuracy and acceptance of their terminology, proponents have only managed to shoot themselves in the foot. It’s why the whole “biological males”, “biological females” nonsense doesn’t even get out of the starting blocks before it is rightfully mocked mercilessly, while it’s proponents claim that it’s more accurate, and that their right to freedom of speech is being violated, as though their right to freedom of speech actually is being violated by being held to the same standards as everyone else in society.



  • Registered Users, Registered Users 2, Paid Member Posts: 2,896 ✭✭✭aero2k


    I got your point about off-label use. My point was that in the case of Sertraline for premature ejaculation, the therapeutic action is actually due to a drug adverse effect, which is not always reversible, just as the effects of drugs used in gender medicine (I'm more inclined to call it experimentation) are not always reversible. SSRi's have a poor evidence base supporting their use, drugs used in gender medicine have none.

    And, if someone is prevented from using the terms "biological male" or "biological female", then that is definitely an infringement on their right to free speech.



  • Registered Users, Registered Users 2 Posts: 25,310 ✭✭✭✭One eyed Jack


    Minor detail cos I get where you’re coming from, but the effects of the drugs used in the treatment of gender dysphoria aren’t reversible, at all. That’s the whole point. It never should have been claimed that the effects were reversible, but I understand why the claim was made that the effects are reversible - to assuage parents concerns about the treatment. Because just like the way John Money had exploited parents ignorance in order to conduct experiments on children to demonstrate evidence of his hypothesis that sex was malleable and children experiencing gender dysphoria could be made to fit in with society’s expectations and norms and standards, the proponents of the treatment were basing their assumptions on bad science, bad science that relied on Money’s reputation as an authority, or an expert in the field of sex and sexual dysfunction.

    Money’s experiments were a complete failure, they contradicted his hypothesis, but that didn’t stop him, and it didn’t stop his ideas from gaining traction enough that they became regarded as standard practice. By the time his fcukwittery became public knowledge, it was too late as the practice was already regarded as the standard of treatment and people who were desperate seeking help for their children were already claiming the practice was beneficial for them and their children. It was a combination of parents who were told to lie, parents who if they didn’t lie would be denied any further help, and parents who genuinely believed that their children were being treated for gender dysphoria and that it was beneficial and medically necessary. That’s how the whole idea of using suicide as emotional blackmail got legs.

    SSRI’s evidence base is fine, depends on what conditions they are designed to treat, same as the evidence base for puberty blockers and cross-sex hormones is fine for what they’re designed to treat, the evidence base for off-label use to treat conditions they weren’t designed to treat is what’s sketchy. That’s not to say there’s none, there is evidence to support their use, but the quality of the evidence is poor, and I didn’t need a 400 page review to know that much. The Cass Review was only ever intended for use by the NHS to justify the fact that because the NHS had no research of their own, they had to go back to the drawing board and produce research for the UK population.

    It was of no relevance whatsoever to how medicine is practiced in any other country, which each have their own public healthcare systems, except for the US, which is the only developed country without a system of universal public healthcare, and because the majority of people there have no health insurance, they rely on coverage by their employer to pay for drugs, or they rely on the likes of Planned Parenthood to provide drugs as the funding is covered by various Federal Healthcare programs… well, it was at least, until recently, not sure if it’s still the case with the way Republican legislators are moving so quickly over there while Democrats appear to be left holding their dick in their hands 😒


    And, if someone is prevented from using the terms "biological male" or "biological female", then that is definitely an infringement on their right to free speech.


    Nobody is being prevented from using the terms, they’re just mocked mercilessly when they do, because it’s the sort of language more often associated with incels and the… frankly, pathetic way in which they choose to characterise and refer to women. They too like to portray themselves as victims of society, they’re not though, just to be clear, and even if it were the case that people are being prevented from referring to other people in ways which those people do not wish to be referred to, that’s still not an infringement on anyone’s right to free speech or freedom of expression.



  • Registered Users, Registered Users 2, Paid Member Posts: 2,896 ✭✭✭aero2k


    Actually, on mature reflection (I'm obviously paying too much attention to the talk of the upcoming presidential election😀) the subject of SSRi's is more relevant here than I first thought. They are marketed on the basis of a number of lies: that they fix a chemical imbalance in the brain, that they are safe and effective, that they are selective, that they are not addictive (they don't cause cravings but withdrawal effects can be severe, prolonged, and many people are unable to stop taking them due to physical effects), that they save lives - data shows they double the risk of suicide. Also, the demographic with the most rapid increase in prescription rates is teen girls. I don't have the source to hand but I have read something questioning the wisdom of adding another ingredient into the mix of hormonal fluctuations and probable use of oral contraceptives - it was interesting even though there was no definite conclusions. At any rate the parallels with drugs used in gender medical care are obvious.

    SSRI’s evidence base is fine, depends on what conditions they are designed to treat

    Depends on what you mean by fine. The published trials show a small benefit on average but if unpublished trials are included then the picture is pretty poor. Some people find them very beneficial, some find them slightly beneficial, some find no benefit and many are harmed. They are approved on the basis of RCTs which seems like a great idea but is very problematic due to the fact that most if not all participants in the placebo side of the trials were previously on drug treatment so they are actually experiencing withdrawal effects during the trial. Also, trials are generally 8-12 weeks in duration and many of the conditions these drugs are prescribed for resolve in a similar time frame without drug treatment. While drugs to reduce blood pressure or cholesterol levels can be assessed by some objective measure (leaving aside the question of why reducing either is desirable), for these drugs assessment is against a rating scale such as Hamilton, with all the limitations implicit in such an approach. Trials are not designed to capture adverse effects - in one egregious case a participant was recorded as having died of burns (all deaths have to be recorded) but investigators found that he had poured petrol over himself and set himself on fire.

    Lest you think I'm biased against these drugs in particular, I'm actually sceptical about prescription medicine in general. The case of Vioxx, where Merck got approval to market their new painkiller even though they knew it would increase the risk of death is an example of why scepticism is merited. At least 70,000 people died as a result. And don't get me started on Oxy and the Sackler family….

    If you're at all interested in this stuff Kim Witczac's website is a good resource (she became a consumer advocate after the Zoloft-induced suicide of her husband).



  • Registered Users, Registered Users 2, Paid Member Posts: 2,896 ✭✭✭aero2k


    In other news, the monster Johanna Olson-Kennedy is being sued. The timing is inconvenient given that she's about to take up the post of President of USPATH. In case anyone is not familiar with her, among other things she has commissioned research and then suppressed the results when they were "inconvenient", participated in a pseudo-academic critique of the Cass review without declaring her conflicts of interest, and said "they can get breasts later if they want them", in reference to early teen mastectomy subjects. At a glance the lawsuit is pretty damning, and presumably will be devastating to Olson-Kennedy if she loses.

    Here's an article about the lawsuit which also deals with the wider context:



  • Moderators, Science, Health & Environment Moderators Posts: 18,600 Mod ✭✭✭✭CatFromHue


    She also said "We often ask parents, ‘Would you rather have a dead son than a live daughter?" in an interview with ABC news in America.



  • Registered Users, Registered Users 2 Posts: 11,016 ✭✭✭✭volchitsa


    Such awful emotional blackmail, and it goes completely against any sort of good practice to use threats of suicide as a reason to provide a treatment which hasn't been medically proven to be the right treatment for that person. Anorexics don't get Wegovy on the grounds that they really really want it. Even though I have no doubt that they genuinely would want it.

    And for a doctor to use that sort of blackmail to get parental consent is surely a serious ethical failure?



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  • Registered Users, Registered Users 2 Posts: 4,008 ✭✭✭Hamsterchops


    A common theme and a threat used by a lot of trans healthcare "professionals" to dupe the parents. Quite despicable.

    Backed up by the WPATH nutters no doubt.



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