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Tuesday, April 24, 2007

Delaying puberty

I occasionally dip in and out of the New Scientist podcasts, which are generally very good. This week features a interesting interview on new research into treating transsexuals, particularly by delaying puberty in teenagers suffering from GID.

I'm not going to get deep into the ethics of it all, but it generally does sound like a positive step, if the right checks and balances are carried out.

The medical practitioners working with young people with GID have very difficult decisions to make, but the overriding concern should be to do the least amount of harm to an individual. If early (and, if necessary, reversible) steps can prevent a person from long-term psychological and physical damage, then that's got to be a good thing.

You can download the MP3 directly here, the interview itself starts 7 minutes in. Apparently the interview also features as an article in this week's magazine.
Helen G  Thanks for the 'heads up' on this, I'll see if I can find the print version tomorrow.

My default mode is to be a little sceptical about the motives of the researchers - is this research entirely for the benefit of 'people like me' (I was diagnosed as being gender dysphoric last year) - or is it simply the basis of a postgrad's academic thesis? Is this 'treatment' in pursuit of a 'cure' - can the condition be 'cured'? - or is the aim simply to help alleviate some of the more distressing aspects of the condition? Should we seek to celebrate our diversity or is this research trying to make us all identikit 'normal' people? What is their view on the 'gender binary' (is there really only 'male' and 'female' and nothing in between)? As you suggest, there are some big ethical questions that need consideration.

And, as an aside, over 6 months into my transition, I'm decidedly uncomfortable with the acronym GID - I know precisely what my gender identity is, and I certainly don't consider myself to be 'suffering' from a 'disorder', as implied by the label...

Ooh, I am a moody cow tonight... 
Anonymous  Helen

As I move around a lot I have to change doctors on a quite regular basis and they insist on putting down that I am post op trans as a problem.

There is NO problem I am fit, health and very happy.

Their medical database is a pick and choose your ailments type and has no option for a post op with no problems.

I do not need to be "cured" - yes I may need HRT for the rest of my life but there is nothing wrong with me!!


Paula 
Alli' Cat'  @Helen G:
I haven't listened to the pod-cast, but I have watched several, recent, documentaries on 'GID' (or whatever this weeks label is). It would appear that open-minded / sympathetic / enlightened medical practitioners are prescribing drugs to delay the onset of puberty in patients diagnosed as GID. As far as I am aware, the sole reasons for doing this are (a) to buy time for the patient to consider their options and reach an age where they are legally able to make the necessary decisions and (b) if the patient decides to transition, it is generally accepted that a 'better' outcome is achieved if treatment starts before the onset of puberty; therefore... 
Jayne  I did listen to the pod cast and was quite interested in what they had to say, but found the comment about GID patients being partly biological and partly psychological a little ill-informed. As a TS woman I can honesty say that I was born this way, the psychological damage comes from trying to be what I was not. Ohh grumble moan Whinge. 
Emma G  The complexity of the ethical issues involved in this makes my head hurt. Alot of current research now focuses on genetic and biochemical causes for many things. Even after such a connection is established definitively, the ethical questions about whether or not we intervene/interfere (assuming we can) remains. Most people would appauld intervention in demonstrable physical defects (ie Downs Syndrome)., but are suspicious (rightly) of such an approach in areas of personality/identity/expression. Buying more time does appear to be a more ethical approach than imposed intervention (Surgical gender assigment at birth due to ambiguous genitalia for instance). Law & Medical Science often do not always procede from the same ethical basis. And both seem too preoccupied with standards of normalcy that do not accept variation itself as normal. Maybe one day. 
Jayne  I have just become another boring norm, that fits into out two sex society. As of today I am legally fully female, thanks to my GRC. 
Helen G  Jayne: Remember the cliched proverb "May you live in interesting times"! That's where my life is at the moment, and believe me, the thought of being a 'boring norm' (norma?) sounds like a pretty okay state to me...

This is great news! I'm so happy for you! Yay you! ^_^

Hxxx 
Alli' Cat'  @Jayne: Happy re-birthday :-) 
Anonymous  A lot debate and at times bitter division within Irish 'T' circles at the moment over the appropriateness of the term Gender Identity -Disorder- . As a person who identifies with the Transgender community...I'm not sure if is really a disorder....is a not just a naturally occuring variance? I think there is often an obsessional need to be able to label everyone
Allison who forgot her password! 

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