I am an advocate and a mother to a confused,indoctrinated,gifted autistic daughter. I will neither forget nor forgive anyone who has harmed my child in any way.
Concerns about the safety and efficacy of mastectomy and genital surgery apply just as much to referrals from gender clinics in England as they do in Wales, yet referrals in England continue while those in Wales have been paused. A brief explainer followed by some big questions for NHSE:
Very little information is available about what exactly has prompted the pause in surgery referrals from the Welsh Gender Service. One issue cited is an unexpectedly high referral rate, but that begs the question what rate of referrals would be appropriate for these procedures?
The only systematic review of 'masculinising' mastectomy to report on psychological outcomes found exclusively low to very low certainty evidence. In other words: there can be no confidence that this surgery is an effective way to treat gender-related distress.
The evidence base for genital surgery is similarly uncertain, but in this case the risk of physical complications is known to be very high.
Over 25% of referrals to adult gender clinics are aged 17-19, and the Cass Review showed that these patients are likely to have high rates of psychiatric and neurodevelopmental issues as well as adverse life experiences.
In summary: highly consequential surgeries with significant risks + no robust evidence + an exceptionally vulnerable patient demographic.
@BayswaterSG parents want NHSE and DHSC to answer the following questions:
Why do NHS gender clinics continue to refer many hundreds of patients each year for profoundly consequential surgeries that lack a secure evidence base?
Why was surgery ruled out of scope for the NHS-commissioned review of adult gender services by Dr David Levy?
When will NHSE conduct a full review of these procedures to inform clinical decision-making and ensure patient safety?
The lack of evidence to support the 'transgender identity' aspect of the government's conversion practices bill would be risible if the consequences were not so appalling.
Let's take what is virtually the opening paragraph of the updated Equality Impact Assessment, which claim "There is growing evidence on the harm associated with conversion practices, including long lasting damage to those who go through it".
A footnote is given with 3 references, which an innocent reader might imagine would back up that claim.
Two of the references relate to work commissioned by the Government Equalities Office in 2021 to research conversion therapy (which was the term used before the broader concept of 'conversion practices' was adopted). How confident are these researchers that their work offered reliable evidence? In their own words: "Whether or not these experiences constitute ‘conversion therapy’ may depend on the definition, but they were perceived to be so by the interviewees."
As for specific examples of 'conversion' on people with a gender identity, the researchers chose to cite cases in therapy such as "looking for ‘causes’ by discussing childhood trauma and family relationships". Yet government officials have repeatedly stated that exploratory therapy of this kind does NOT qualify as 'conversion'.
In summary, the 2021 research admits that what is reported as 'conversion' might not qualify as such, and fails to offer any examples of even subjective claims of so-called gender identity conversion that would warrant criminal sanctions.
What about the 3rd reference cited in the EqIA? This is a report by the American Psychological Association, which states: "we limited our review to sexual orientation and did not address gender identity".
In conclusion: 3 citations, no evidence that could remotely be relied on for the accompanying claim as it relates to (trans)gender identity. And this is the basis for introducing a new criminal offence punishable with up to 5 years in prison.
Safeguarding trans-identified children and adolescents — a comprehensive guide for schools to help them provide appropriate support that complies with the latest NHS and legal advice. Parents will also find invaluable advice for discussions with schools.
https://t.co/HqsLmbufoj
Bayswater Support Group is deeply disappointed that the High Court has refused permission for our judicial review of the PATHWAYS trial approvals. A statement from the group.
🚨Puberty Blockers Trial Update🚨
I’m deeply saddened to announce that the High Court has refused permission for us to proceed to a full Judicial Review hearing in our pursuit to block the deeply unethical and highly dangerous puberty blockers trial.
This judgment does not negate the serious and avoidable harm that will be caused if this trial is allowed to proceed.
Vulnerable children should never be used as guinea pigs in medical experimentation that may lead them down a path towards irreversible physiological and emotional damage, including infertility.
This trial is the antithesis of child safeguarding and I will now be consulting with my lawyers regarding the possibility of an appeal.
🚨A reminder, the day before we are in the High Court for our judicial review to halt the puberty blockers trial, that child participants as young as 11 years old will be given up to £500 of Love2Shop vouchers to take part.
This is State-sponsored child abuse.
Sickening. Anyone who has ever brought up a child or is close to children knows that 4yo kids trust whatever adults say. This is parental abuse in plain sight…
Taking testosterone as a female messed with my entire body. Its not just the outward appearance that changes, with the facial hair and etc. The steroids damaged my liver, pancreas, thyroid, and kidneys.
My doctors should have warned me. These are known side effects.
The most important focus for our group is offering peer-to-peer support for parents of trans-identified children.
Parenting a child in distress is challenging, stressful, isolating and upsetting. Support from other parents, who understand your situation is invaluable.
That sense of isolation and distress is compounded for our parents by poor public understanding of the complex and multifactorial nature of trans identity. Friends and family may not appreciate the need for caution around social transition. Many parents are dealing with schools who fail to appreciate the safeguarding risks linked to a cross-sex identity.
But perhaps the greatest source of anxiety for @BayswaterSG parents comes from an awareness that our healthcare institutions have failed these children and young adults.
A parent of a child with asthma, diabetes or a congenital heart defect can trust the health service to treat their child in line with the best available evidence.
That has not been the case in gender medicine, where unevidenced treatments have been rolled out to thousands of children and young adults. Normal clinical diligence around new and unproven treatments was abandoned, and a shift to a more cautious approach has been slow in paediatric services and non-existent in adult services.
None of our parents could ever have imagined that they might have to protect their child from the health service that is supposed to look after them.
So we offer a space to connect to other parents who understand these difficulties.
We are a parent-led volunteer group advocating for safe and effective healthcare for our trans-identified children.
@AmnestyUK, on the other hand, is responsible for publishing misinformation about paediatric gender medicine that undermines the ability to protect this vulnerable patient demographic.
Amnesty UK claim that puberty blockers alleviate gender dysphoria, when there is no robust evidence to support that statement.
Amnesty UK claim that puberty blockers "allow more time to make important decisions", when in fact there are grounds to suspect that these drugs might have a "locking in" effect on the child's identity development. Indeed, Dr Cass described this possibility as a "critically important" unanswered question in relation to puberty suppression.
Amnesty UK describe puberty blockers as "a reversible intervention", but in reality the long-term impacts on cognition, bone health and psychosocial development are unknown.
Amnesty UK talk about "bodily autonomy" and seem to have forgotten that children need to be protected from decisions that they lack the developmental maturity to comprehend, including risking their future sexual function and fertility. Healthcare does not operate on a customer-knows-best policy, and particularly not when the patients are minors.
Despite having no grounding in child development, paediatric gender medicine or mental health, Amnesty UK campaign for legal self-ID for minors of any age, using the example of a 12 year old who believes that "some of my body parts are wrong to how I feel" and with no lower age limit on legal sex change.
Parents in our group believe that everyone should have safe and effective healthcare, and that patients with a trans identity should be no exception. We will continue holding to account the professionals responsible for our children's welfare, but our task is undoubtedly made harder by repeated misrepresentation of what we do.
Sources for Amnesty statements:
https://t.co/cMBgjDioHN
https://t.co/YnsBkJbmYX
Your occasional reminder that the squeaky voice is caused by testosterone enlarging her vocal cords so they are suddenly too big for her slender neck. There are forums for transmen where throat pain is discussed extensively.
No-one tells these girls what they're in for.
Below is evidence @GOVUK@scotgov that there is need for a dedicated service for Detransitioners. Cross sex hormones cause irreversible genitourinary and gastrointestinal symptoms and most GPs will probably not consider physiotherapy as the appropriate treatment in a 25 year old.
We have first hand experience of inappropriate referrals to urology.
Long-term testosterone use in females may induce early menopause, leading to pelvic dysfunction, increased mortality risk and many other challenges
https://t.co/ljwRHxZ6EY
🚨Breaking🚨
Last night, in what is significant overreach for a backbench Peer, Hilary Cass sent a document to every single MP and Peer, justifying and defending the puberty blockers trial.
I have posted below the full document for people to read. Here is my initial response:
She comes across as completely biased and her reasoning is flawed.
She states that there is no evidence base to determine safety of puberty blockers but concludes with the categorical statement: “I am not worried about the safety of the children and young people in the trial”.
She explains away risks to infertility and sexual functioning.
She uses warped logic around impact to bone density (claiming that children without puberty blockers will be less socially active and this may cause bone issues regardless).
She downplays the utility of the linkage study.
She speaks glowingly about the “benefit of stopping unwanted puberty”.
She believes the State should give children puberty blockers, otherwise they will get them through the black market.
She is an ideologue masquerading as an independent clinician.
@JamesEsses During my parent consultation with H Cass, I poured my heart out about my only child, who has serious autoimmune diseases and is autistic. I trusted her, and I feel that trust was betrayed. My child is now legally an adult, and I feel powerless to protect her despite my concerns.
Whistleblowers in the NHS and at gender clinics have been trying to raise the alarm for a decade. There is no excuse for continuing to pretend that extremely vulnerable children haven't been irreparably harmed.
🚨Important Update🚨
On July 27th and 28th, we will be at the Royal Courts of Justice seeking an emergency injunction to halt recruitment of children for the UK government’s monstrous puberty blockers trial.
We will do what we can to stop a single child ingesting this poison.
This is horrific. Autistic boy who needs a care worker to go everywhere with him,failed capacity tests and the @NHS STILL removed his genitals. People should be in prison.