Science AMA Series: I’m Dr. Kate Greenberg of the University of Rochester Medical Center, and I treat transgender youth and young adults who are looking for medical transition. Ask me anything!

PrettyIceCube · 5時間前

Trans people are kind of unique in that we're trying to convince the doctors to give us medication to take rather than the other way around. If people that get their HRT through other (sometimes illegal sadly) channels are included then there probably is more people taking HRT than there are prescriptions for it.

PrettyIceCube · 9時間前

The NHS considers it to be a birth defect instead.

PrettyIceCube · 9時間前

That's deliberate misinformation spread as propaganda. What actually happens is that the attempted suicide rates dropped from around 40% pre transition to around 4% or less post transition. But the study deliberately compares the people to the general population, who's attempted suicide rate is closer to 0.04%, and uses that to say that suicide rates are still high, even though they've dropped a lot.

PrettyIceCube · 10時間前

The whole idea of masculinity is something I hated from pretty much the start. Everything about acting like a man felt wrong for me. I wasn't happy with my body either, but it wasn't like how most other trans people describe it.

PrettyIceCube · 10時間前

This article is a good summary http://theterfs.com/terfs-trans-healthcare/

PrettyIceCube · 1日前

As long as people are well informed and have done their research, I think they should be allowed to participate.

That excludes 99.9% of the planet then :-P

A lot of tension between neuro atypical and the psychiatric community has been how they look at things clinically and from an outside perspective rather than listening to the voices of these people. It's been a particularly big problem for the autistic community and the transgender community.

PrettyIceCube · 1日前

but lacking gender dysphoria seems to make it sound like it would be okay (just not preferable) if one didn't transition.

I guess that could describe how I felt about my body? It was the social side that caused issues with me. Dating / relationship stuff in particular, there's no way I could have done that as a man.

PrettyIceCube · 1日前

I'd say its more like a person who is uncomfortable with how out of shape their body is. It didn't bother me much. Maybe it could be called mild dysphoria, but it definitely wouldn't line up with the medical definition of dysphoria.

PrettyIceCube · 1日前

There isn't really any way cis people can have reasonable discourse about trans issues. It's not something they can really comprehend. Much like with OCD, the people that have it should be leading the discussion.

PrettyIceCube · 1日前

The whole idea of being a man is something that I don't like. And I was never happy with my body. Only on one occasion did I feel strongly dysphoric though.

I feel good about my body now that I've started transitioning and can see some physical changes happening.

PrettyIceCube · 1日前

I brought it up because those sort of people are the ones that need to be shut down. For a start they're using calling people mentally ill as an insult, which contributes to the stigmatization of mental illness. Also they perpetuate the idea that "mentally ill people aren't capable of making decisions about their health" and other ablest ideas.

PrettyIceCube · 1日前

I hated the idea masculinity in general from around the start of puberty. I wanted to be more feminine but society had taught me that men had to be men and women had to be women so I didn't work things out properly until around 10 years later.

PrettyIceCube · 1日前

That is not the definition of dysphoria at all.

For a person to be diagnosed with gender dysphoria, there must be a marked difference between the individual’s expressed/experienced gender and the gender others would assign him or her, and it must continue for at least six months. In children, the desire to be of the other gender must be present and verbalized. This condition causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

http://www.dsm5.org/documents/gender%20dysphoria%20fact%20sheet.pdf

PrettyIceCube · 1日前

Those people aren't having any affect on the scientific classification. The psychiatric community overwhelmingly decided that being transgender is not a mental illness. All of the major psychiatric groups like the APA and WHO have said that being transgender is not a mental illness. All this post is doing is sharing that consensus with this subreddit.

PrettyIceCube · 1日前

Having suicidal tendencies is way more common than attempting suicide, and many suicide attempts don't kill the person. That number is only for people that die from suicide attempts, that were officially determined to be suicide attempts.

PrettyIceCube · 1日前

The reason that "being transgender is not a mental illness" is needed is not because there is something wrong with being mentally ill. There is nothing wrong with having a mental illness.

The reason for it is because people use it to try and deny trans people access to medical treatments like HRT and to transitioning. Statements such as "you're not a women you're a mentally ill man" are the reason why it is important to make it clear that being transgender is not a mental illness.

PrettyIceCube · 1日前

Genital surgery is incredibly expensive and most people can't afford it. The majority of transgender people will take Hormone Therapy, which causes the body to go through puberty (a second one in the other direction if done later one, but done early enough it will replace the first puberty).

Being transgender is a much better way of wording it than transgenderism. Gender dysphoria is a feeling of distress, anxiety, depression or other feeling caused by having a body that you're not happy with because of gender characteristics. Many trans people will feel dysphoria at some point during their lives, and it usually disappears or mostly fades away after transitioning.

PrettyIceCube · 1日前

Gender is built into the brain in the womb, and is connected to many key areas, for example the ones used for sensory perception. You can't go changing all of that without changing who the person is. I'd rather not be replaced with a different person and I believe that most people would feel the same way.

PrettyIceCube · 1日前

Gender dysphoria isn't the only sort of distress you can have. Sometimes it's not your body but how society treats you (because of what your body looks like) that causes you distress.

PrettyIceCube · 1日前

Nope not at all. Quite a few trans people don't experience dysphoria. For me for example most of the problems were because of how society was trying to treat me like a man when I'm not one.

PrettyIceCube · 1日前

That number is years old and isn't accurate for younger trans people. Also most of those suicide attempts happen before transitioning, and the number massively drops after transitioning. (something like 10 to 100 times less likely to attempt suicide after compared with before)

The main reasons for suicide attempts are being denied access to medical treatment, getting bullied at school, work or at home, and having a family that doesn't support you.

PrettyIceCube · 1日前

This isn't true at all. Every study of trans people done in the past 30 years shows massive improvement in quality of life.

See all of these studies for example. https://www.reddit.com/r/science/comments/4l3h64/subreddit_policy_reminder_on_transgender_topics/d3k0r8m

PrettyIceCube · 1日前

I have seen zero anti-transgender statements in /r/science.

That's because we remove them lol. Like hundreds of them every time a post about trans people reaches the front page.

PrettyIceCube · 1日前

http://www.dsm5.org/documents/gender%20dysphoria%20fact%20sheet.pdf

http://www.nhs.uk/Conditions/Gender-dysphoria/Pages/Introduction.aspx

PrettyIceCube · 1日前

Conversion therapy was abandoned because it made things worse. You can't just go and "rewire" people's brains. People are not computers or cars.

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