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Published on: January 10, 2025
Iatrogenic Harm in Gender Medicine.
1Institute of Medical Science, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Increasing detransitioners suggest flaws in gender-affirmation care. More research and open discussions are needed to ensure regret and detransition are rare outcomes, supporting detransitioners as survivors.
Area of Science:
- Medical ethics
- Gender studies
- Psychology
Background:
- Detransition and transition regret are increasingly discussed.
- The current gender-affirmation model of care may have limitations.
- Young detransitioners are publicly sharing their experiences.
Purpose of the Study:
- To highlight the need for open discussion and research on gender transition regret and detransition.
- To advocate for a revised approach to gender-affirming care that minimizes regret.
- To call for recognition and support for detransitioners.
Main Methods:
- This is a commentary, not an empirical study.
- It involves critical analysis of the current gender-affirmation model.
- It synthesizes existing concerns and calls for future action.
Main Results:
- The increasing number of detransitioners indicates potential issues within the gender-affirmation model.
- Current approaches may not adequately address all patient needs, leading to regret.
- Detransitioners are described as survivors of iatrogenic harm.
Conclusions:
- The medical community must foster open dialogue and collaborative research regarding gender transition.
- Clinical practices should evolve to ensure that regret and detransition become exceedingly rare.
- Detransitioners require personalized medical care and support systems, recognizing their experiences as harm.
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