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It is going to be very disheartening for people who bought into the puberty blockers as a solution to their ‘gender dysphoria’ realize that they were the first test subjects in a long term trial. What they were told, and what will happen are likely to be two very different occurrences.
“When ECRI was contacted by this author and asked why WPATH guidelines were not included, and why the Endocrine Society guidelines did not have a scorecard rating, they responded in an email, saying that the reason the Endocrine Society guidelines did not meet inclusion criteria to be rated was because “Only a few of their recommendations were supported by the systematic review; the majority were not.” The reason WPATH was not included, ECRI stated, was because the guidelines were over five years old, and “did not use a systematic review to process”.
They did not use a systematic review to process.
ECRI
A search of the Canadian database yielded no results for transgender treatment. When contacted, Joule’s response was “In order to be included in our database, all guidelines have to be either developed or endorsed by an authoritative medical/healthcare organization. Neither the WPATH nor the Endocrine Society guidelines on transgender care have been endorsed by any Canadian organization(s) and therefore are not included in our database”. A search of the GIN library also yielded no results for transgender care.
Neither the WPATH nor the Endocrine Society guidelines on transgender care have been endorsed by any Canadian organization(s) and therefore are not included in our database.
Joule
Guidelines over five years old are at high risk of becoming clinically irrelevant due to new research findings, or changes in patient populations. Given the rapidly changing epidemiology and treatments in transgender care, seven-year-old guidelines are severely outdated in this field. One case in point is that when the WPATH guidelines were published in 2011, natal males were the primary group presenting to gender clinics in adolescence, but now males have been eclipsed by natal females 3 to 1.
Research on male adolescent clients cannot be generalized to females, an age-old fallacy in medicine. This makes the entire recommendation section for adolescent transgender care in the WPATH SOC dubious at best, irrelevant at worst. Investigation must be undertaken to determine why a new cohort has developed, and whether this group can be included in guidelines that were developed for a group with different histories and possibly different etiologies.”
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To their credit, WPATH does not say anywhere in the SOC that treatment is proven safe and effective. Instead, the overall message in the guidelines is to urge physicians to follow the patient’s wishes only, putting aside scientific evidence and ethical delivery of care.
The concept of an innate gender identity is unproven, unverifiable, and does not even have a clear definition. In the same spirit of historical psychiatric misadventures, somatic treatments are being prescribed for a psychologically based identity disorder. How many vulnerable children, adolescents and young adults will be harmed before we realize that history is repeating itself.
8 part choral fun. :) Singing it this year as well.
We need to get the word out and get C-16 repealed. Protect Canadian Women (adult human females).
Justin Trudeau refuses to release the Gender Based Analysis for Bill C-16
When Justin Trudeau became Prime Minister of Canada, he promised to do a Gender-Based Analysis (GBA) before passing any new legislation. A GBA is a study on the impact of new legislation on women and girls. It now appears that a GBA may not have been done on Bill C-16, the legislation that adds gender identity and expression to the Canadian Human Rights Act and the Criminal Code.
Many women’s groups have requested a copy of the GBA for Bill C-16, and the government is still refusing to release it. A Twitter campaign called #ReleaseTheGba has brought many concerned Canadians together to petition the government to publish it. If the government cannot produce this GBA, it must admit that this protocol was never followed, which will further undermine the appropriateness of passing Bill C-16.
Finally, after a number of MPs turned down the opportunity to sponsor this petition, Derek Sloan courageously accepted the challenge. If you support government transparency and the rights of girls and women, please click on the link below, read the short description and sign this petition.
Canadians please follow the link and sign the petition, we need to fight the gender unreality that is currently codified in our laws.
The World Rugby Association gets a clue that maybe, just maybe, we shouldn’t have men competing against women in a sport (especially full contact ones).
“The governing body will hold a forum next week to consult “expert voices” and is seeking elite players’ views.
As a reason for the review, World Rugby cites research suggesting that reducing testosterone does not lower strength and power proportionately.
“World Rugby’s vision is ‘a sport for all, true to its values’,” said World Rugby chairman Sir Bill Beaumont.
“There is growing recognition of the importance of autonomy of gender identity in society and all sports are currently evaluating their policies to ensure that they are fit-for-purpose in the modern sporting and societal landscape.”
If the tide can be turned in Rugby, elsewhere common sense and dedication to scientific material reality can prevail. :)
On Gender Ideology – a must read.
The UK is not going to change the Gender Recognition Act!
The tide of gender ideology may just have broken. Finally some good news for women. Now in Canada we have to get after Bill C-16 and get it changed stat, because both gender and sex cannot be protected characteristics under the law.
“The law on women-only spaces also needs clarity. Some of this will take time — you can’t grow healthcare and support capacity overnight, but I think all sides of the debate will be reassured when the consultation results are published.”
At present NHS rules enable children to start gender transition treatment before puberty without their parents’ support. Children unhappy with their birth gender can begin treatment after as few as three therapeutic assessments. They can discuss treatments separately from their parents and are encouraged to self-define their status and to develop “autonomy” in decision-making. Interventions include hormone blockers to suppress puberty and, later, cross-sex hormone therapy. The average age at which children begin such treatments is 14, but some are as young as 12.
NHS England has ordered an independent review into the use of puberty suppressant drugs and cross-sex hormones. The National Institute for Health and Clinical Excellence (Nice), which is responsible for clinical practice guidelines in England and Wales, has also been asked to develop guidance for the first time about referring children to gender identity services.
Existing NHS treatment draws heavily on international guidelines that recommend approaches in care for gender dysphoria.
An NHS contract with the Tavistock & Portman Trust, issued in 2016, says that it will “conform” or “broadly conform” to standards of care issued by the World Professional Association for Transgender Health (WPATH) in 2012. These say that they reflect the best available science and “professional consensus”. The Tavistock Trust works with children and young people with gender identity issues.
However, Gene Feder, professor of primary care at the University of Bristol and an expert in clinical guidelines, said that these fell far below the benchmark for British healthcare guidelines used by Nice and that he would not recommend their use.”
bleatmop
Mystro
The Arbourist
Dead Wild Roses 
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