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I’m a Pediatrician. How Transgender Ideology Has Infiltrated My Field and Produced Large-Scale Child Abuse.

trans_childrenI’m a Pediatrician. How Transgender Ideology Has Infiltrated My Field and Produced Large-Scale Child Abuse.

Professionals who question the unscientific party line of supporting gender transition therapy could find themselves out of a job.

Michelle Cretella | July 5, 2017

Transgender politics have taken Americans by surprise, and caught some lawmakers off guard.

Just a few short years ago, not many could have imagined a high-profile showdown over transgender men and women’s access to single-sex bathrooms in North Carolina.

But transgender ideology is not just infecting our laws. It is intruding into the lives of the most innocent among us—children—and with the apparent growing support of the professional medical community.

As explained in my 2016 peer reviewed article, “Gender Dysphoria in Children and Suppression of Debate,” professionals who dare to question the unscientific party line of supporting gender transition therapy will find themselves maligned and out of a job.

I speak as someone intimately familiar with the pediatric and behavioral health communities and their practices. I am a mother of four who served 17 years as a board certified general pediatrician with a focus in child behavioral health prior to leaving clinical practice in 2012.

For the last 12 years, I have been a board member and researcher for the American College of Pediatricians, and for the last three years I have served as its president.

I also sat on the board of directors for the Alliance for Therapeutic Choice and Scientific Integrity from 2010 to 2015. This organization of physicians and mental health professionals defends the right of patients to receive psychotherapy for sexual identity conflicts that is in line with their deeply held values based upon science and medical ethics.

I have witnessed an upending of the medical consensus on the nature of gender identity. What doctors once treated as a mental illness, the medical community now largely affirms and even promotes as normal.

Here’s a look at some of the changes.

The New Normal

Pediatric “gender clinics” are considered elite centers for affirming children who are distressed by their biological sex. This distressful condition, once dubbed gender identity disorder, was renamed “gender dysphoria” in 2013.

In 2014, there were 24 of these gender clinics, clustered chiefly along the east coast and in California. One year later, there were 40 across the nation.

With 215 pediatric residency programs now training future pediatricians in a transition-affirming protocol and treating gender-dysphoric children accordingly, gender clinics are bound to proliferate further.

Last summer, the federal government stated that it would not require Medicare and Medicaid to cover transition-affirming procedures for children or adults because medical experts at the Department of Health and Human Services found the risks were often too high, and the benefits too unclear.

Undeterred by these findings, the World Professional Association for Transgender Health has pressed ahead, claiming—without any evidence—that these procedures are “safe.”

Two leading pediatric associations—the American Academy of Pediatrics and the Pediatric Endocrine Society—have followed in lockstep, endorsing the transition affirmation approach even as the latter organization concedes within its own guidelines that the transition-affirming protocol is based on low evidence.

They even admit that the only strong evidence regarding this approach is its potential health risks to children.

The transition-affirming view holds that children who “consistently and persistently insist” that they are not the gender associated with their biological sex are innately transgender.

(The fact that in normal life and in psychiatry, anyone who “consistently and persistently insists” on anything else contrary to physical reality is considered either confused or delusional is conveniently ignored.)

The transition-affirming protocol tells parents to treat their children as the gender they desire, and to place them on puberty blockers around age 11 or 12 if they are gender dysphoric.

If by age 16, the children still insist that they are trapped in the wrong body, they are placed on cross-sex hormones, and biological girls may obtain a double mastectomy.

So-called “bottom surgeries,” or genital reassignment surgeries, are not recommended before age 18, though some surgeons have recently argued against this restriction.

The transition-affirming approach has been embraced by public institutions in media, education, and our legal system, and is now recommended by most national medical organizations.

There are exceptions to this movement, however, in addition to the American College of Pediatricians and the Alliance for Therapeutic Choice. These include the Association of American Physicians and Surgeons, the Christian Medical & Dental Associations, the Catholic Medical Association, and the LGBT-affirming Youth Gender Professionals.

The transgender movement has gained legs in the medical community and in our culture by offering a deeply flawed narrative. The scientific research and facts tell a different story.

Here are some of those basic facts.

1. Twin studies prove no one is born “trapped in the body of the wrong sex.”

Some brain studies have suggested that some are born with a transgendered brain. But these studies are seriously flawedand prove no such thing.

Virtually everything about human beings is influenced by our DNA, but very few traits are hardwired from birth. All human behavior is a composite of varying degrees for nature and nurture.

Researchers routinely conduct twin studies to discern which factors (biological or nonbiological) contribute more to the expression of a particular trait. The best designed twin studies are those with the greatest number of subjects.

Identical twins contain 100 percent of the same DNA from conception and are exposed to the same prenatal hormones. So if genes and/or prenatal hormones contributed significantly to transgenderism, we should expect both twins to identify as transgender close to 100 percent of the time.

Skin color, for example, is determined by genes alone. Therefore, identical twins have the same skin color 100 percent of the time.

But in the largest study of twin transgender adults, published by Dr. Milton Diamond in 2013, only 28 percent of the identical twins both identified as transgender. Seventy-two percent of the time, they differed. (Diamond’s study reported 20 percent identifying as transgender, but his actual data demonstrate a 28 percent figure, as I note here in footnote 19.)

That 28 percent of identical twins both identified as transgender suggests a minimal biological predisposition, which means transgenderism will not manifest itself without outside nonbiological factors also impacting the individual during his lifetime.

The fact that the identical twins differed 72 percent of the time is highly significant because it means that at least 72 percent of what contributes to transgenderism in one twin consists of nonshared experiences after birth—that is, factors not rooted in biology.

Studies like this one prove that the belief in “innate gender identity”—the idea that “feminized” or “masculinized” brains can be trapped in the wrong body from before birth—is a myth that has no basis in science.

2. Gender identity is malleable, especially in young children.

Even the American Psychological Association’s Handbook of Sexuality and Psychology admits that prior to the widespread promotion of transition affirmation, 75 to 95 percent of pre-pubertal children who were distressed by their biological sex eventually outgrew that distress. The vast majority came to accept their biological sex by late adolescence after passing naturally through puberty.

But with transition affirmation now increasing in Western society, the number of children claiming distress over their gender—and their persistence over time—has dramatically increased. For example, the Gender Identity Development Service in the United Kingdom alone has seen a 2,000 percent increase in referrals since 2009.

3. Puberty blockers for gender dysphoria have not been proven safe.

Puberty blockers have been studied and found safe for the treatment of a medical disorder in children called precocious puberty (caused by the abnormal and unhealthy early secretion of a child’s pubertal hormones).

However, as a groundbreaking paper in The New Atlantis points out, we cannot infer from these studies whether or not these blockers are safe in physiologically normal children with gender dysphoria.

The authors note that there is some evidence for decreased bone mineralization, meaning an increased risk of bone fractures as young adults, potential increased risk of obesity and testicular cancer in boys, and an unknown impact upon psychological and cognitive development.

With regard to the latter, while we currently don’t have any extensive, long-term studies of children placed on blockers for gender dysphoria, studies conducted on adults from the past decade give cause for concern.

For example, in 2006 and 2007, the journal Psychoneuroendocrinology reported brain abnormalities in the area of memory and executive functioning among adult women who received blockers for gynecologic reasons. Similarly, many studies of men treated for prostate cancer with blockers also suggest the possibility of significant cognitive decline.

4. There are no cases in the scientific literature of gender-dysphoric children discontinuing blockers.

Most, if not all, children on puberty blockers go on to take cross-sex hormones (estrogen for biological boys, testosterone for biological girls). The only study to date to have followed pre-pubertal children who were socially affirmed and placed on blockers at a young age found that 100 percent of them claimed a transgender identity and chose cross-sex hormones.

This suggests that the medical protocol itself may lead children to identify as transgender.

There is an obvious self-fulfilling effect in helping children impersonate the opposite sex both biologically and socially. This is far from benign, since taking puberty blockers at age 12 or younger, followed by cross-sex hormones, sterilizes a child.

5. Cross-sex hormones are associated with dangerous health risks.

From studies of adults we know that the risks of cross-sex hormones include, but are not limited to, cardiac disease, high blood pressure, blood clots, strokes, diabetes, and cancers.

6. Neuroscience shows that adolescents lack the adult capacity needed for risk assessment.

Scientific data show that people under the age of 21 have less capacity to assess risks. There is a serious ethical problem in allowing irreversible, life-changing procedures to be performed on minors who are too young themselves to give valid consent.

7. There is no proof that affirmation prevents suicide in children.

Advocates of the transition-affirming protocol allege that suicide is the direct and inevitable consequence of withholding social affirmation and biological alterations from a gender-dysphoric child. In other words, those who do not endorse the transition-affirming protocol are essentially condemning gender-dysphoric children to suicide.

Yet as noted earlier, prior to the widespread promotion of transition affirmation, 75 to 95 percent of gender-dysphoric youth ended up happy with their biological sex after simply passing through puberty.

In addition, contrary to the claim of activists, there is no evidence that harassment and discrimination, let alone lack of affirmation, are the primary cause of suicide among any minority group. In fact, at least one study from 2008 found perceived discrimination by LGBT-identified individuals not to be causative.

Over 90 percent of people who commit suicide have a diagnosed mental disorder, and there is no evidence that gender-dysphoric children who commit suicide are any different. Many gender dysphoric children simply need therapy to get to the root of their depression, which very well may be the same problem triggering the gender dysphoria.

8. Transition-affirming protocol has not solved the problem of transgender suicide.

Adults who undergo sex reassignment—even in Sweden, which is among the most LGBT-affirming countries—have a suicide rate nearly 20 times greater than that of the general population. Clearly, sex reassignment is not the solution to gender dysphoria.

Bottom Line: Transition-Affirming Protocol Is Child Abuse

The crux of the matter is that while the transition-affirming movement purports to help children, it is inflicting a grave injustice on them and their nondysphoric peers.

These professionals are using the myth that people are born transgender to justify engaging in massive, uncontrolled, and unconsented experimentation on children who have a psychological condition that would otherwise resolve after puberty in the vast majority of cases.

Today’s institutions that promote transition affirmation are pushing children to impersonate the opposite sex, sending many of them down the path of puberty blockers, sterilization, the removal of healthy body parts, and untold psychological damage.

These harms constitute nothing less than institutionalized child abuse. Sound ethics demand an immediate end to the use of pubertal suppression, cross-sex hormones, and sex reassignment surgeries in children and adolescents, as well as an end to promoting gender ideology via school curricula and legislative policies.

It is time for our nation’s leaders and the silent majority of health professionals to learn exactly what is happening to our children, and unite to take action.

Tips for raising a transgender child

52676600_606372733167830_2444819067056422912_oI took a break from monitoring the expansion of the sadomasochistc gender cult in Iowa City, but I picked up an issue of the trans rag, The Real Mainstream, that is published here and distributed in kiosks and the library and this story reached out and slugged me in the jaw. Fuck this shit. This is eugenic child abuse. Why won’t people wake up and see what these monsters are selling to the public?

 

“When I grow up, I want to be a girl.”

Genevieve Carter (not her real name) is, in many ways, a typical nine-year-oldthird-grader. She loves gymnastics and math, and is the embodiment of childhood enthusiasm. Her thick brown hair falls below her shoulders, and her bright smile frequently lights up her face.

She is also transgender.

“She used to say she wanted to be a builder,” her mom, Louisa, says. “Then she started saying she wanted to be a girl when she grew up.”

This was three years ago, while Genevieve was in Kindergarten. That summer, Genevieve’s parents started letting her choose whether to dress as a boy or a girl. She always picked to be a girl, and has been known as one ever since.

“Children as young as 2-4 likely have a concept of their gender identity.” Says Dr. Katie Imborek, medical director of the University of Iowa Health Care Offsite Primary Care and co-director of the UI Health Care LGBTQ Clinic. “It is not uncommon to see children this young displaying gender non-conforming behaviors. However, they may be somewhat older before they have dysphoria related to the way that they wish to express or practice their gender.”

“I never felt perfect.” Genevieve said. “I always felt that something was wrong, that something was missing.”

After attending kindergarten as a boy, Genevieve started first grade as a girl. Louisa met with the school over the summer and later with the teachers to make sure they understood and to answer any questions they might have.

“Public schools cannot discriminate against your child for being transgender.” Says Max Mowitz, Program Coordinator at One Iowa. “In Iowa, they are protected under the Civil Rights Act.”

If your family lives in a very non-affirming town, Mowitz says, ask the child what he/she/they wants. Most would rather be out, even knowing the backlash they might face.

The first thing to do when your child has told you he/she/they might be transgender is to start going to therapy/counseling. Not because it is a mental health issue, but so the child can talk about it with a professional. Make sure the mental health professional is LGBTQ affirming. Family therapy is a good first step to deciding how to support your transgender child.

Louisa explains that it is important for the parents to see a therapist as well. “Many parents feel a sense of loss. It is a valid feeling, but you need to make sure not to show it to your child, but to deal with it with a therapist instead.”

She also says parents may need to work on coming to terms with the fact that their child is looking and sounding different. “Make sure not to misgender them.” She adds.

“Discuss it with your pediatrician or family medicine provider.” Says Imborek. “You want a referral to a pediatric endocrinologist who can discuss options of puberty blocking medications, usually around the age of 9-14.”

Genevieve has an appointment every year to discuss how things are going for her. Her family is on the lookout for signs of puberty so she can get the hormone blocking shots.

Some adults worry a child might believe they are transgender, then change their mind after taking the puberty blocking medications. There is a small number of children to whom this does happen, but the hormone shots are not permanent changes.

The puberty-blocking medications prevent the child from the traumatic experience of going through puberty as the gender with which they do not identify. Experts agree that kids who grow up in the gender with which they identify have fewer mental health challenges than those who grow up as the wrong gender.

In the early stages of your child expressing their gender identity, parents may struggle with allowing them to express themselves. If your son starts painting his nails, you may worry they may be bullied because of it and want them to stop. “It is difficult to risk your child getting bullied.” Mowitz told me. “But it is more difficult for your child not to do it.”

“I got teased in Kindergarten for having girly stuff.” Genevieve explained. “I had a My Little Pony lunchbox and backpack. But I told a teacher and the girl was told to stop.”

“Your child will experience bullying from internalized homophobia and transphobia.” Mowitz explained. “The best thing you can do for them is to be supportive and affirming of who they are.”

As a parent, you may be LGBTQ-affirming in a general sense, yet still struggle with a transgender child. “You need to understand your own stance and then be their ally.” Mowitz says. “Speak up if you hear transphobic comments, and hold family and friends accountable.”

Genevieve’s only worries right now, as a nine-year-old transgender girl, are that she can’t “make a baby,” and that when she gets to dating age, people might “freak.”

But Genevieve also says she knows she has a good support system, and they will help her through it.

“I feel better than I did [when I was a boy]. Some days I actually feel perfect; I don’t feel like anything is missing.”

 

safe_image

“JAZZ” after his castration surgery to cxreate a fake vagina

 

MY RESPONSE:

Of course they will never allow my comment to be viewed, but this is the comment that I left: ” In a short time, this androcratic sado-religious practice will be revealed for what it is, eugenic sterilization and mutilation of gender non-conforming children. For the sake of profits for the medical cartel. Expect massive lawsuits. This insane practice does absolutely NOTHING to break down the sexual power hierarchy that creates the hallucination we call gender, in fact, it forces gender conformity through mutilation of healthy children’s sexual organs, along with experimental poisoning with drugs that have never been tested for safety in kids. These kids are the guinea pigs. Shame on all of you for promoting this horror.”

IT IS A GENITAL MUTILATION CULT!!! WAKE UP.

No child should ever have this done to them. What the hell is wrong with people?

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Letter to the Editor: “Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline”

Letter to the Editor: “Endocrine Treatment of
Gender-Dysphoric/Gender-Incongruent Persons:
An Endocrine Society Clinical Practice Guideline”

Michael K. Laidlaw,1 Quentin L. Van Meter,2 Paul W. Hruz,3 Andre Van Mol,4
and William J. Malone5
1
Michael K. Laidlaw, MD, Inc., Rocklin, California 95677; 2
Van Meter Pediatric Endocrinology, P.C., Atlanta,
Georgia 30318; 3
Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri
63110; 4
Van Mol Family Practice, Redding, California 96003; and 5
William J. Malone, MD, Twin Falls, Idaho
83301
ORCiD numbers: 0000-0001-6849-7285 (M. K. Laidlaw); 0000-0003-2831-6480 (Q. L. Van Meter);
0000-0002-1478-3355 (P. W. Hruz); 0000-0001-8678-0025 (A. Van Mol);
0000-0002-5150-292X (W. J. Malone).

transgenderChildhood gender dysphoria (GD) is not an endocrine
condition, but it becomes one through iatrogenic
puberty blockade (PB) and high-dose cross-sex (HDCS)
hormones. The consequences of this gender-affirmative
therapy (GAT) are not trivial and include potential sterility,
sexual dysfunction, thromboembolic and cardiovascular
disease, and malignancy (1, 2).
There are no laboratory, imaging, or other objective tests to
diagnose a “true transgender” child. Children with GD will
outgrow this condition in 61% to 98% of cases by adulthood
(3). There is currently no way to predict who will desist and
who will remain dysphoric. The degree to which GAT has
contributed to the rapidly increasing prevalence of GD in
children is unknown. The recent phenomenon of teenage girls
suddenly developing GD (rapid onset GD) without prior
history through social contagion is particularly concerning (4).
GnRH agonists are used in precocious puberty to delay
the abnormally early onset of puberty to a physiologically
normal age. The goal of PB in the healthy child, however,
is to induce hypogonadotropic hypogonadism to “buy
time” to confirm gender incongruence. In a study of PB in
adolescents aged 11 to 17 years, 100% desired to continue
GAT. They simply “bought” themselves lower bone density
and the need for lifelong medical therapy (5).
Studies show that ,5% of adolescents receiving GAT
even attempt fertility preservation (6). Those started on PB at
Tanner stage II, as recommended by current guidelines, will
be blocked prior to sperm maturation and ovum release.
They will have no prospect of biological offspring while
on HDCS hormones and continuing on to gonadectomy.
The Endocrine Society’s guidelines recommend elevating females’ testosterone levels from a normal of 10 to
50 ng/dL to 300 to 1000 ng/dL, values typically found
with androgen-secreting tumors. The ovaries of women
given testosterone correspond to those found in PCOS,
which itself is associated with increased ovarian cancer
risk and metabolic abnormalities (1). Venous thromboembolism risk is elevated fivefold in males taking estrogen (2).
The health consequences of GAT are highly detrimental, the stated quality of evidence in the guidelines
is low, and diagnostic certainty is poor. Furthermore,
limited long-term outcome data fail to demonstrate longterm success in suicide prevention (7). How can a child,
adolescent, or even parent provide genuine consent to
such a treatment? How can the physician ethically administer GAT knowing that a significant number of
patients will be irreversibly harmed?
Hypothesis-driven randomized controlled clinical
trials are needed to establish and validate the safety and
efficacy of alternate treatment approaches for this vulnerable patient population. Existing care models based on psychological therapy have been shown to alleviate GD in
children, thus avoiding the radical changes and health
risks of GAT (8). This is an obvious and preferred therapy,
as it does the least harm with the most benefit.
In our opinion, physicians need to start examining
GAT through the objective eye of the scientist-clinician
rather than the ideological lens of the social activist. Far
more children with gender dysphoria will ultimately be
helped by this approach.

ISSN Print 0021-972X ISSN Online 1945-7197
Printed in USA
Copyright © 2019 Endocrine Society
Received 5 September 2018. Accepted 20 November 2018.
First Published Online 23 November 2018
686 https://academic.oup.com/jcem J Clin Endocrinol Metab, March 2019, 104(3):686–687 doi: 10.1210/jc.2018-01925
Downloaded from https://academic.oup.com/jcem/article-abstract/104/3/686/5198654 by Washington University, Law School Library user on 23 January 2019
Acknowledgments
Disclosure Summary: Q.L.V.M. is a speaker for Abbvie and is
involved in clinical research with Abbvie on Depot Lupron. The
remaining authors have nothing to disclose.
References
1. Hembree WC, Cohen-Kettenis PT, Gooren L, Hannema SE, Meyer
WJ, Murad MH, Rosenthal SM, Safer JD, Tangpricha V, T’Sjoen
GG. Endocrine treatment of gender-dysphoric/gender-incongruent
persons: an Endocrine Society clinical practice guideline. J Clin
Endocrinol Metab. 2017;102(11):3869–3903.
2. Irwig MS. Cardiovascular health in transgender people. Rev Endocr
Metab Disord. 2018;19(3):243–251.
3. Ristori J, Steensma TD. Gender dysphoria in childhood. Int
Rev Psychiatry. 2016;28(1):13–20.
4. Littman L. Rapid-onset gender dysphoria in adolescents and young
adults: a study of parental reports. PLoS One. 2018;13(8):
e0202330.
5. de Vries ALC, Steensma TD, Doreleijers TAH, Cohen-Kettenis PT.
Puberty suppression in adolescents with gender identity disorder: a
prospective follow-up study. J Sex Med. 2011;8(8):2276–2283.
6. Nahata L, Tishelman AC, Caltabellotta NM, Quinn GP. Low
fertility preservation utilization among transgender youth.
J Adolesc Health. 2017;61(1):40–44.
7. Dhejne C, Lichtenstein P, Boman M, Johansson AL, Langstr ¨ ˚ om
N, Land´en M. Long-term follow-up of transsexual persons
undergoing sex reassignment surgery: cohort study in Sweden.
PLoS One. 2011;6(2):e16885.
8. Zucker KJ, Wood H, Singh D, Bradley SJA. A developmental,
biopsychosocial model for the treatment of children with gender
identity disorder. J Homosex. 2012;59(3):369–397.

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