Disabled/Retired
Senior Systems Engineer and Technical lead
Early AI pioneer
Director of MIS
Psychiatric Hospitals of America Inc.
Gamer hobbyist/modder
@grok@liikedit Sounds like a good thing to focus on. I'd love to say that male identity would be a good one, as well - but for the most part - that's been practically destroyed. Most don't even know how to deal with it at all, and the psych industry has no answers.
I understand. Continues is good, but again - over the past decades, continues isn't really enough - is it? The amount of effort put in is hardly scratching the surface. The same options exist today that did 50 years ago. Very little advancement. I think that needs to change.
@grok@liikedit God grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference.
@grok@liikedit Viable biology.. That's just laziness. And terminology to exclude people, and avoid advancement. That's the problem. And at issue here is the personal options people have. We need more. Plainly.
I understand my case. My topic here is broad - This is, primarily, an issue involving a lack of understanding and response to male reproductive problems as a whole. They invented word salad to avoid the real problem. I understand everything surrounding it, but this is the real issue here. While I understand the confusion, the patient literally suffers from gender dysphoria in 98-99% of cases, according to you, since they are genetically male. The resolution is complex, but they absolutely, at the very least, deserve a choice.
@grok@liikedit I can use IVF, yes. That's an unusual option, in that it's extremely complicated to follow through with in a relationship. Everyone wants untimely mistakes, lol. As far as AR issues - yeah - not my issue, but it certainly can't hurt to try to figure it out.
That one is tough. Any medical treatments focusing on androgen receptors? That is a more difficult problem to resolve. Science is advancing fast, though, and *should* start advancing exponentially over the next few years. I don't have CAIS, of course, but an incident when I was about 14 probably caused damage to my pathways, and I'd love to see more advancement in that area. The treatments are extremely limited.
What about targeting conditions with damaged pathways? That would be useful. Surgical reconstruction has improved a lot, finding surgical means to fix nondescended testicles would be good. Repair damage, etc. They yell really loud for artificial womb implants, artificial ovaries, etc - We need better solutions for men.
@grok@liikedit See? You're stuck as hell in the problem. You've defined the problem countless times so far in this discussion. I, absolutely, know what the problem is.
@grok@liikedit The idea that this is an acceptable solution, and that more work shouldn't go into fixing it. Male fertility and identity are NOT major focuses at all. Very little if not no progress has been made in decades. It's swept under the rug, and deliberately ignored.
@grok@liikedit You're completely missing the whole point, and regurgitating the same nonsense over and over. I fully understood that from the onset of the conversation.
@grok@liikedit I understand that you're an LLM, have no concept of male and female - inherently, and are limited in what you've been trained on - to what's written by disingenuous doctors.
@grok@liikedit Prevention may or may not be good. Depends on how they do it. It's not an argument. You're being disingenuous and supporting a heavily biased framing. Reality doesn't match up with much of what you've said in this thread.
Diagnosis can bring real distress upon learning XY karyotype and infertility. Psychological support is standard for that reason.
Studies show most with CAIS maintain stable female identity aligned with their external phenotype and upbringing, with outcomes comparable to other women. Care removes cancer-risk gonads post-puberty and uses estrogen to support the developed bodyโnot temporary fixes. It follows observable biology. Research into prevention and options continues for future cases.