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is gender affirming care based on science?


Questions and answers for people who are questioning their gender identity.


1. The Missing Evidence
Many people who later detransition say they were never shown solid, long-term research proving that hormones, puberty blockers, or surgeries truly help gender dysphoria. Instead, they were rushed past deeper questions. “I was 16 when I first went to a doctor for my ‘gender identity’ and not once was I offered any sort of treatment that would help me understand why I felt the way I did… every doctor prior… was a mere formality.”Hedera_Thorn source [citation:bdc99680-cc4b-445d-adcb-4598cd509b15] They point out that most studies compare people who already wanted surgery with people still waiting for it, not with people who received counseling alone. Without controlled, years-long follow-ups, the claim that medical steps are “evidence-based” feels shaky to them.

2. Treating Desire, Not Distress
Detransitioners often felt clinicians treated their wish to transition as proof it was necessary, rather than exploring why the wish existed. “Isn’t gender dysphoria simply a state of mind that can be escaped?… Isn’t the medical field in this area dedicated to merely satisfying patient desires?”Adaptoid69 source [citation:7164256d-8009-4aec-80a7-024f4184d2a1] They describe appointments where underlying depression, anxiety, or past trauma went unexamined, while hormones or surgery were offered almost immediately. This approach, they say, confuses short-term relief with genuine healing.

3. The Suicide-Risk Narrative
A common message is that medical transition lowers suicide risk, yet detransitioners question the data. “Are there any actual studies that even suggest lowering of suicidality rate after starting hrt?… From what I observed hrt doesn’t actually make any of people’s mental issues go away.”Aggravating-Scheme92 source [citation:7549723e-94da-4033-9b5e-b5fc31c754a3] They note that distress often returns once the initial euphoria fades, and they worry the statistics are skewed because unhappy participants drop out of studies.

4. Healthy Bodies, Disrupted Systems
Some detransitioners frame medical transition as fundamentally different from standard care. “Hormone therapy disrupts the body’s existing natural, functioning hormone system. Surgery removes healthy functioning body parts… See how that’s the complete opposite of what medical care typically does?”EvidenceBasedTxFTW source [citation:b83b1bd4-5f3d-48d0-9dd9-08edcc72f4e3] They argue that true “first, do no harm” medicine tries to restore health, not disable working organs.

5. A Path of Non-Medical Exploration
Across the stories, a shared hope emerges: people can ease distress by understanding its roots—trauma, social pressure, or rigid gender expectations—without irreversible steps. Exploring therapy, building supportive friendships, and embracing gender non-conformity let individuals live authentically while keeping their bodies intact. The detransitioners’ experiences remind us that asking “why do I feel this way?” can open doors to healing that no prescription or scalpel can provide.

The truth is that gender non-conformity will set us all free!

More questions related to "is gender affirming care based on science?"


Top Picks

Some great starter questions to ask detrans people...

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What's an egg?

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Is gender a social construct?

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I didn't choose to be trans!

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What is a belief system?

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What is an identity trap?

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How can I get out of an identity trap?

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How can I help someone else get out of an identity trap?

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What is the difference between sex and gender?

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How is cancel culture harmful?

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Does transition ever end?

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Why do some women hate their breasts?

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How do online echo chambers cause psychosis?

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Why do detrans voices get silenced?

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Is gender ideology at odds with the goals of feminism?

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What are the main reasons that women adpot trans identity?

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What are the main reasons that men adopt trans identity?

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How do non-binary identities re-inforce sexist stereotypes and roles?

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Why do people identify vaguely as queer now?

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How does LGB differ from the T?

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Is there a link between autism and transgender identity?

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Is gender-affirming care based on science?

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Why is gender-affirming care currently considered the only solution to dysphoria?

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Is academic research on trans and gender topics biased?

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Is teaching gender ideology to kids progressive?

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Is gender ideology fuelling a culture war?

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Is the culture war preventing humanity from solving real problems?

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Why do some refer to gender ideology as a mind virus?

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Why are the rates of people who identify as trans increasing?

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Is the trans suicide rate possibly mis-represented?

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Why do some trans people say 'death before detransition'?

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Why is gender dysphoria no longer treated as a mental health issue?

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Why are there so many ladyboys in Thailand?

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Why is Iran a global hub for transgender surgeries?

Society & Culture

How gender beleif systems affects us all

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What are the transition rates for men vs women?

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Why is the trans suicide rate so high?

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Is being trans a mental illness?

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Is the trans suicide rate mis-represented?

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What does it mean to be gender critical?

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Do suicides based on regret get blamed on social acceptance?

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How does the trans community use mantras?

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Does the trans community encourage suicide?

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Does society believe that gender is a social construct?

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Does gender ideology affect society?

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What's the difference between being a tomboy and transgender?

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Are there male brains and female brains?

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Where did the term gender come from?

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Why are autistic people overrepresented in the trans community?

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How is gender ideology at odds with homosexual identities?

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How is gender ideology at odds with heterosexual identities?

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Did gender activists hijack the gay rights movement?

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How is gender ideology at odds with the goals of feminism?

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Is it beneficial to teach the idea that you can change sex to children?

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Do children ever grow up to regret transitioning at such a young age?

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What are the effects the transgender movement has on our wider society?

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Is gender ideology fuelling a culture war?

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Does transgender ideology contradict itself?

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Why are so many people identifying as trans or non-binary now? Is it a trend?

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Is it common for friends of trans people to become trans too?

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What is the bathroom debate about?

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What are trans rights vs women's rights conflicts?

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What is the sports participation controversy?

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What is the medicalization of gender non-conforming children?

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What is the history of trans activism?

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What do detrans people think about drag queen story hours?

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What is the difference between gender and sex?

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Why are there so many ladyboys in Thailand?

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Why is Iran a global hub for transgender surgeries?