Clinical Advisory Network on Sex and Gender

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Clinical Advisory Network on Sex and Gender

Clinical Advisory Network on Sex and Gender

@CanSG_org

We are a group of UK and Ireland based clinicians calling for greater understanding of the effects of sex and gender in healthcare #FirstDoNoHarm

Katılım Şubat 2022
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Mia Hughes
Mia Hughes@_CryMiaRiver·
We discussed the puberty blocker trial (which at the time was stalled) in this week's Beyond Gender episode with Dr. Louise Irvine of @CanSG_org. youtu.be/BpLQzKxfm54?si…
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Excellent post - wise words: "Psychiatry has a history of making well-intentioned interventions that later proved to be mistaken and, in some cases, damaging. That history should make us cautious. If puberty blockers alter the course of development, why are we proceeding with a new trial before we know what happened to the children who received them previously?"
marcus evans@marcuse99903226

@rcpch_president helped put clinical governance back at the centre of clinical practice through her report. I am afraid the puberty blocker trial is a huge mistake. It risks taking us straight back to the problems that led to the closure of GIDS. I was repeatedly told to trust the research team. Yet the original study protocol proposed following children for only two years. That reveals a fundamental misunderstanding of the problem. This is not like treating an infection and seeing whether the symptoms improve. Gender distress is a developmental issue that unfolds as a child moves through the physiological, psychological and social changes involved in growing up. If you intervene in that process, you inevitably affect the way the story unfolds. The consequences of such interventions are unlikely to be fully understood within a two-year follow-up period. Some of the most important questions only emerge later, as the individual reaches adulthood and reflects on relationships, fertility, family life, identity, and the opportunities that were opened or foreclosed along the way. @SueEvansProtect and I have received countless letters from parents worried that their neurodiverse child has become caught up in a belief that transition will solve underlying difficulties. Many describe what @Hilary_Cass called diagnostic overshadowing, where every problem becomes understood through the lens of gender identity while other important factors are neglected. The result is often a painful split between vulnerable children, worried parents and professionals committed to an affirmation approach. Families can find themselves pulled apart at precisely the moment they most need help to think together. Other families may support transition without fully understanding the potential harms, trade-offs and losses involved. @WesselyS why are we not waiting for the long-term outcomes of the children already treated at GIDS before exposing another generation to the same intervention? Psychiatry has a history of making well-intentioned interventions that later proved to be mistaken and, in some cases, damaging. That history should make us cautious. If puberty blockers alter the course of development, why are we proceeding with a new trial before we know what happened to the children who received them previously? @ClaireCoutinho @Transgendertrd @CanSG_org @segm_ebm @SexMattersUK @RosieDuffield1

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Alex Byrne, Professor of Philosophy at MIT will give a talk on gender diagnoses and language at the Rethinking Youth Gender Medicine conference London 5/6 July. "Gender Identity Disorder of Childhood" first appeared in the third edition of the Diagnostic and Statistical Manual of Mental Disorders in 1980. Alex will trace the strange evolution of this diagnosis to “Gender Dysphoria” (DSM-5) and “Gender Incongruence” (International Classification of Diseases, 11th revision). In the ICD, gender incongruence is supposed to be non-pathological and yet is a “condition related to sexual health.” In the DSM, gender incongruence is not itself a diagnosis; the diagnosis of gender dysphoria applies only when incongruence causes distress. As Alex will explain, neither the DSM nor ICD diagnoses make much sense. Language has served to muddle and confuse rather than elucidate the problems that these diagnostic labels are supposed to identify. They reflect the fundamental conceptual incoherence of gender medicine. Conference and livestream tickets here: buytickets.at/clinicaladviso…
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DetransPathwayUK
DetransPathwayUK@DPUK26·
We are shocked and saddened to see that the Government intends to push forward with the puberty blocker trial. We vehemently disagree with this, and believe that experimenting on children goes against the very principles that our society should stand for. We stand ready to confront this head-on and protect our young generation. gov.uk/government/new…
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Genspect
Genspect@genspect·
500 women a year under the age of 25 getting medically unnecessary bilateral mastectomies on the NHS — in the absence of a diagnosis and without any scientific justification — is a scandal. 1,000 vaginoplasties, hormones dished out to adults after just two appointments, and even phalloplasties are now being offered. This is not ethical medicine, for anyone, of any age. This week’s guest on Beyond Gender, Dr. Louise Irvine of @canSG_org, calls for everyone to “start questioning and challenging this.”
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Genspect
Genspect@genspect·
Our interview with Dr Louise Irvine from @CanSG_org highlights how not ONE of the NHS clinicians from the regional clinics are attending the CanSG conference in July. Listen here to learn how the NHS remains loyal to trans ideology, despite lawsuits youtu.be/BpLQzKxfm54?is…
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Hannah Barnes
Hannah Barnes@hannahsbee·
NEW: While the whole world is focused is on who will be our next Prime Minister, it’s quietly confirmed that the NHS-backed Pathways puberty blocker trial has bee reapproved, with some small changes. A minimum age of entry of 11 for girls and 12 for boys… gov.uk/government/new…
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For Women Scotland
For Women Scotland@ForWomenScot·
We are delighted to have won such a comprehensive victory. All the arguments from the Scottish Ministers were comprehensively rejected by the court, not least their claim that housing trans-identified male prisoners in the male estate would breach their Convention rights.
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Puberty blockers are often described as giving young people “time to think”. But puberty is not just about bodies, it is a major phase of brain development, emotional maturation and decision-making. So when we medically pause puberty, do we really know what the long term impacts will be? This talk by Professor Sallie Baxendale asks a difficult but urgent question: What level of uncertainty should be acceptable when intervening in adolescent brain development? To hear Prof Baxendale at the Rethinking Youth Gender Medicine conference on 5/6 July buy tickets for conference or livestream here. buytickets.at/clinicaladviso…
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SEEN in Publishing
SEEN in Publishing@SEENPublishing·
This is what the award-winning children's author Anne Fine OBE FRSL said after reading the report:
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Cervixen of the Clitorians
Equality is not sameness. Many confuse the feminist demand for equality with the idea that feminists must believe men and women are the same as, or interchangeable with one another. But equality has never meant sameness or interchangeability. Two things can be equal in value without being identical in form. 2 + 2 = 4. So does 1 + 3. So does 3.99 + 0.01. So does 7 - 3. So does the square root of 16. And on and on with near infinite variation in the number of combinations that can be used to generate "4". They arrive at the same value through different structures. Equal value does not mean identical equation. Men and women are equal because they are equally human. They have the same moral worth, the same claim to dignity, and the same right to freedom, safety, opportunity, privacy, political representation, bodily integrity, and legal protection as any other human being. But like all humans are not the same in every respect just because they are human, men and women are not the same in every respect. Human female and human male bodies are organized differently. Those differences are not proof of superiority or inferiority. They are not defects. They are not destiny. Sex is not a pathology, a disease or a medical condition. But it is also not imaginary or irrelevant. Sex is an innate, inherent, immutable human condition and difference. There is no default sex in humans. There is no alternative sex. There is only sex, and there are two. The feminist project, properly understood, is not to deny the reality of sex. It is to reject the hierarchy of power and control socially constructed as a layer of meaning or stereotypes attached to sex, treated as evidence that women are not of equal human value to men, and commonly referred to as 'gender.' Women are not oppressed because people noticed that women and men are physically different. Women are oppressed because those differences are treated as evidence that women are not of equal worth to men, and therefore inferior: less capable, more fragile, less intelligent, more emotional, less suited for public life, more suited for a support role, less entitled to property, more like property, less entitled to political power, more suited to prostitution and/or motherhood, and less entitled to self-determination or the same choices men are entitled to make. The problem is not noticing women are a different sex, the problem is treating women as inferior on the basis of their sex. A similar moral error appears in race discrimjnation. The problem is not merely that people noticed visible differences such as skin colour. The problem was that those differences were turned into a hierarchy of human worth based on skin colour. Skin colour, like sex, was treated as evidence that some people were less intelligent, less civilized, less capable, less authoritative, and therefore less entitled to freedom, property, voting, leadership, safety, and self-determination. That is the distinction: noticing or recognizing difference is not the same thing as mistreating or dehumanzing people because of that difference. Those are the histroical and present day errors feminism and civil rights movements exist to correct. The answer to “women are different from men” is not “no, they aren’t.” The answer is: “so what?” Difference is not inferiority. Difference is not subhumanity. Difference is not a license to dominate, exclude, exploit, patronize, or erase.
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Dr Stella O'Malley will talk about services for detransitioners at the Rethinking Youth Gender Medicine conference 5/6 July. People who seek to stop their medical transition are among the least understood groups in healthcare. The fallout can be very intense when transition does not bring the relief people hoped for. To date there is no specific support for this cohort in the NHS.  Drawing on years of clinical work and support groups, Stella will explore the realities of detransition and the urgent need for compassionate, person-centred care and support services. Stella will be joined by detransitioner Michael Kerr. Come to the conference or join the livestream. Tickets here: buytickets.at/clinicaladviso…
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SEGM
SEGM@segm_ebm·
The QIA report adds important detail: 75 of 78 cases had inadequate or absent holistic biopsychosocial assessment; 22 involved prescribing without face-to-face assessment; records showed no regular six-monthly review, very limited endocrinology input, and inadequate baseline testing or monitoring. /4 surreysussex.icb.nhs.uk/download/26061…
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SEGM
SEGM@segm_ebm·
The conclusions are alarming. WellBN prescribed hormonal treatments to minors while lacking clinicians “professionally competent to initiate or assume responsibility” for these treatments. Specialists were not consulted and essential physical tests “were often not carried out.”/3
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LabourLGB
LabourLGB@LabourLGB·
We are posting to all who have signed EDM240. We would welcome the oppportunity to sit down with each MP and say just why the EHRC guidance is necessary; a chance to see it as a positive step for lesbians, gays and women. We are LabourLGB!
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Elaine Miller | Venus Envy
Elaine Miller | Venus Envy@GussieGrips·
Look at these stats - surely they demonstrate an urgent need for pelvic health services for this population? @TPFSuk @CanSG_org @biologyinmed @ScotPAG @ThePOGP @thecsp
Ruth Parry 💙@CACEnotes

A review of 57 studies found over 60% of women taking cross sex hormones report painful sex and genital discomfort sciencedirect.com/science/articl… And a online survey completed by women on cross sex hormones in Brazil found high rates of urinary & anorectal symptoms - link in next post

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