Dear friends, this is my final research paper for university, and it is a topic I am terrified to comment on. However I am far more terrified of the consequences to my soul and my conscience if I do not. If we do not have these conversations now, in the public square, be assured that we will be having them in the courts. Be advised that calling me a “transphobe” or “anti-trans” as result of reading this paper will not be tolerated. Read my paper. Read my sources. Watch the interviews, the documentaries, and the lectures. I have done the work, and agonizing and painstaking work it is, and I refuse to engage with anyone who does not do the work that I have done to get my arms around this. For those who do support this work, please consider supporting it. Thank you for your time and attention.
“How Was I Supposed To Know?”
How Social Media Is Driving the Gender-Affirming Trend
Content Warning: Graphic and disturbing discussions of medical trauma, primary and secondary sex organs, and human suffering
Transgender Tik Tok influencer Dylan Mulvaney is constantly in the news lately— visiting the White House to advocate for “gender affirming care” for minors, sponsoring products like Tampax and Bud Light, and celebrating the transition to girlhood. Dylan Mulvaney has become the face of the transgender Tik Tok influencer movement.
So-called “gender affirming care” is one of the most politically and ideologically fraught topics of debate in Canada and the United States. These two countries’ medical associations are currently embroiled in an international debate with their opposite numbers in France, Sweden, Norway, Finland, and Germany, which associations have severely restricted “gender affirming care” in the past two years. Here in the US, three states have been declared “sanctuary states,”
that is, states where minors can obtain “gender-affirming care” without parental permission and with no legal recourse for legal guardians. Thirteen states have banned gender-affirming care for minors, and at the time of this writing, several other states are holding hearings.
But why is the debate so intense? Certainly we may count upon the experts to know what is best practice in the realm of gender-affirming care? The American Medical Association, the American Academy of Pediatrics, and the American Psychological Association all endorse “gender-affirming care”. This gives the public the impression that the medical experts are all of one mind, have published peer-reviewed studies, and have arrived through evidence-based scientific practices at the conclusion that the current model for gender-affirming care is the correct one. But each of these associations have stated clearly on their websites that not one of these statements is true. Long-term peer-reviewed studies to support their conclusions do not exist, as each association clearly states in their statements. The studies that do exist were developed and practiced in countries that have declared a moratorium on those procedures of gender affirming care for all but the most carefully restricted diagnoses.
In light of these findings, it is an unethical use of social media to “sell” gender-affirming care for minors as a “miracle cure” that will magically “fix” the many comorbidities youth struggling with gender dysphoria are experiencing. Social media is exerting undue influence on our most vulnerable young people to make life-altering decisions long before their brain development enables them to make those decisions.
Many of these vulnerable young people who present with gender dysphoria at gender clinics are also experiencing autism, eating disorders, self-destructive behaviors, complex post traumatic stress disorder (Haynes). Statistics from several countries report that nearly half of the youth presenting in gender affirming clinics of several countries are same-sex attracted and wish to transition in
order to appear “straight” in a homophobic culture. Instead of examining and treating the co-morbidities, the physicians, endocrinologists, and therapists are pressuring parents and young people into taking puberty blockers and hormones that have not been approved by the FDA, surgeries that are classified in Finland as “experimental.” These procedures have been shown by the Dutch studies to negatively affect the fertility, the physical health, and the already fragile mental states of patients, and it is an appalling example of American exceptionalism that our medical associations are refusing to take into consideration the recommendations and findings of their European peers.
This paper will consider the role that social media plays in social contagion. The paper will present evidence that the current recommendations of all the major health organizations of the United States and Canada are not the result of evidence-based and scientifically sound peer-reviewed data, but instead intense political pressure from activists. The paper will touch on the ethics, or lack thereof, of social media influencers’ roles in promoting so-called “gender affirming care for minors” in spite of the well-documented lack of benefits and demonstrable harms these medications and procedures have upon developing minds and bodies. Finally, the paper will suggest the role social media influencers can have in providing accurate information about the risks and negative outcomes of gender-affirming care whilst providing healthier ways of seeking help for mental health disorders.
It will be noted that this paper is solely concentrating on gender-affirming care for minors, that is, young people below the age of legal consent. This is because legislation in twelve states has banned gender-affirming care for minors only and not for informed consenting adults, and it is beyond the scope of this paper to explore the ethics of adult transition.
The Role of Social Media
In a recent Twitter exchange, detransitioner and Twitter user Laura “Funk God” Becker confronted author Judy Blume on her ideological response to pushback from trans rights activists. Laura, who at the time that this paper is being prepared is testifying in court against gender-affirming practices, explained that social media was one of the many factors involved in her decision to transition, and that she is experiencing “medical trauma” as a result (Twitter, April 17, 2023). In an interview with Ian Alexander, a young transgender actor who played Grey Tal in Star Trek: Discovery, they indicated that social media was instrumental in influencing them to transition (Masters).
These are only two examples, but there are countless others, and the role that social media plays in influencing youth to transition is well documented. A study by Drs. Michael J. Bailey and Suzanna Diaz examined a survey of 1655 parent reports to further investigate the Rapid Onset Gender Dysphoria (ROGD) hypothesis (Bailey and Diaz 2023) first put forward by Dr. Lisa Littman in 2018 (Littman). The study supports the hypothesis that social contagion is behind the sharp increase in youth identifying as transgender. Abigail Shrier, journalist, based her own journalistic research upon those two studies for her book Irreversible Damage.
Gender Affirming Care: What Is It?
It is easy to get lost in slogans, in euphemisms, and not know precisely what gender affirming care does and does not entail. Chloe Cole, the first transgender “detransitioner” young person in the United States to launch a malpractice lawsuit against her gender-affirming care team, has explained that her doctors gave her very little information about the possible effects testosterone and surgery could have on her body. With tears in her eyes, she explained some of those long-term effects, and asked, “How was I supposed to know?” (Peterson).
No one should ever be uninformed as to the ramifications of medical procedures. So here is an overview of gender affirming medicine.
Every Intro to Psych student is familiar with the story of John Money, pioneer in gender medicine and surgeon who performed “gender-affirming” surgery on David Reimer after a botched circumcision left him without external male genitalia. The story of the Reimer family ends in tragedy and suicide. It was a failed experiment. The full extent of John Money’s pedophilia and corruption is still not widely known, although it is well documented.
But what may not be so well known is that the protocols and treatments physicians, surgeons, and endocrinologists follow for the treatment for transgenderism in the United States and Canada originated in Sweden, Finland, and Norway— card-carrying progressive countries. The studies are called “the Dutch studies” and the protocols originally developed are called “the Dutch protocol.” The Dutch protocol was developed in Sweden in the 1980’s and involves the
prescription of so-called “puberty blockers,” followed by a life-long course of cross-sex hormones— testosterone or estrogen, followed by what was then called “sex reassignment surgery.” Shortly after these treatments began to be studied in the Netherlands, the UK’s Tavistock Clinic undertook a similar course of treatments, working from the Dutch Studies.
The drug known euphemistically as “puberty blockers” is Lupron, originally formulated for the purposes of chemically castrating sex offenders. It is also used in the treatment of prostate cancer. The drug has been touted as “safe and completely reversible;” however, evidence collected in the Dutch studies shows that it is neither safe nor reversible. More on that in the complications section.
The surgeries euphemistically known as “gender affirming surgery” were also developed in the gender clinics of Sweden and Finland. The process for biological males involves surgically slicing open the penis, inverting it, and creating a “neo-vagina,” that is, an open wound in the pelvic area that must be dilated every day for the rest of the patient’s life to prevent it from closing. This is reported to be excruciatingly painful. The effects of the drug Lupron can complicate this procedure. Because the penis does not develop, there is not enough penile tissue to construct a neo-vagina. Therefore pieces of the patient's stomach lining or intestines are used.
Phallioplasty, construction of a “neo penis” for biological females, entails stripping the musculature and flesh of the patient’s forearm or thigh to create a non-functioning organ that is then attached to the pelvic area. A urethra is then fashioned in the neo-penis. There is a very high rate of complication and infection for this surgery and for the surgery that places a penile pump within the constructed phallus to give it some semblance of function.
Phalloplasties are relatively rare for minors, but chest binding and double mastectomies are not. And they both carry very high risks for complications and regret, as detransitioner Watson attests:
After the surgery, however, she discovered she had no sensation at all in her chest area, something that continues to this day. ‘I realized after about five months my depression and self-hatred was still present, and that the surgery didn’t ‘cure’ me like I thought,’ she says. ‘The complete lack of sensation in my chest is unpleasant, and I realized in 2018 I regretted not only the surgery – I regretted transition as a whole because I still hated my body’ (Thomas 2023).
Chloe Cole reports even more serious complications. In her interview with clinical psychologist Dr. Peterson, she revealed that two years after her own double mastectomy, carried out age fifteen, she still has to bandage every day because the wounds are open and weeping. And her doctors will do nothing to help her.
A common claim is that “gender—affirming surgery is not performed upon minors in the United States.” However, a recent analysis in Reuters contradicts this assumption:
The Komodo analysis of insurance claims found 56 genital surgeries among patients ages 13 to 17 with a prior gender dysphoria diagnosis from 2019 to 2021. Among teens, “top surgery” to remove breasts is more common. In the three years ending in 2021, at least 776 mastectomies were performed in the United States on patients ages 13 to 17 with a gender dysphoria diagnosis, according to Komodo’s data analysis of insurance claims. This tally does not include procedures that were paid for out of pocket” (Respaut and Terhune 2022).
Gender-Affirming Care: The Risks and Documented Harm
During the Dutch study, many concerns arose regarding the effect Lupron had upon developing bodies. Bone scans of patients indicated major loss of bone density as the drug inhibited growth. Loss of IQ points were also noted. An October 2019 study in Australia confirmed that the bone loss resulting from the use of puberty blockers could result in osteoporosis (Grant et al).
The American FDA recently released a study which indicated that Lupron causes brain swelling and damage to the eyesight. For this reason, Lupron is not approved by the FDA for gender-affirming care for minors (AAP News).
The effects of testosterone upon the fully developed bodies of female athletes is also well-documented. But the effects upon developing children’s bodies are not, and they are irreversible. What we do know is that while testosterone can cause a temporary rush of euphoria and increased muscle mass, libido, and energy, it also causes permanent damage to the female reproductive system including atrophy and thinning of the vaginal tissues, the fusing of cervix and uterus, the contraction of the uterus, and sterility. Testosterone also causes constant and debilitating joint and muscle pain and complications with the urinary tract, making elimination slow and agonizing. Finally, testosterone use to treat gender dysphoria is not approved by the FDA.
The effects of estrogen replacement therapy for menopausal women is well documented. The effects of estrogen upon developing children’s bodies is not, and they, too, are irreversible. Estrogen does not seem to produce the euphoria that testosterone does. Estrogen replacement therapy also carries a very high risk of cancer and cardiovascular disease. Like T, E is also not approved by the FDA for use in the treatment of gender dysphoria.
In a recently released Dutch study, the procedure by which surgeons in Sweden used a piece of an 18-year-old patient’s colon to create that neo-vagina was documented. The patient developed necrosis from e-Coli found within the colon, and in spite of desperate attempts by the surgeons to debride and administer antibiotics, that young person died in agony (Negenborn et al).
Death is not the only complication that results from this procedure. America’s transgender reality television star, Jazz Jennings, underwent this surgery. Jazz’s neo-vagina split apart and required multiple surgeries to correct. Jazz’s surgeon, Dr. Marcie Bowers, is on record saying that Jazz will likely never experience an orgasm. This is true, Dr. Bowers asserts, of nearly every patient who has undergone “gender affirming bottom surgery” (Hymowitz).
YouTube detransitioner and Twitter user Richard “Ritchie” Herron gave me express permission to share his story in this paper. He describes complications from his surgery, performed at the Tavistock Clinic in the UK in a particularly graphic way. He says that when the penis is removed during “gender affirming surgery,” the internal “stump” of the penis remains in the pelvis, and that stump responds to sexually stimulating dreams and fantasies. But without external genitalia, and with a complete lack of sensation of any kind in the pelvic area, and because of damage to the prostate, there is no way to relieve that sexual impulse or to experience sexual satisfaction. He goes on to explain that the process of eliminating is very slow and painful and that he experiences constant incontinence. Ritchie goes on to explain that his experience is very very common amongst patients who have had the surgery and that many patients, like his friend and fellow YouTuber ShapeShifter, have experienced even more severe complications and pain. Shapeshifter, a M to F detransitioner who now uses he/him pronouns, explains that his neo-vagina has closed and atrophied so severely that it is impossible for him to have intercourse.
The Moratorium on Gender Affirming Care
In May of 2021, the National Health Service of Sweden and the Minister of Health declared a moratorium on gender-affirming care for minors with the exception of patients who met a very
strict criteria. Their counterparts and peers in Finland and Norway followed suit (Sapir). The decision was made as the result of the documentary series “Mission: Investigate,” which documents interviews with the researchers, physicians, endocrinologists, therapists, parents, and detransitioners involved in developing the current model of gender affirming care. Until this year, the documentary was not available in English, but a voice-over documentary has been made and placed on YouTube, entitled “Sweden’s U-Turn on Trans Kids.”
Last year the Tavistock clinic, the only gender medicine clinic in the UK, was scheduled to close in August 2023 amidst scandals and over a thousand lawsuits. The most notable of these was the watershed Keira Bell case, in which the ability of minors to make irreversible medical decisions was debated. The UK is now rethinking its position on gender-affirming care. Hannah Barnes has documented the history of the closing of the Tavistock Clinic in her 2023 book, Time to Think.
This leaves the United States and Canada as the only two Western countries still taking the “damn the torpedoes” approach to gender-affirming care as based upon the Dutch protocol. And those Dutch studies have been critically evaluated and found wanting by American researchers E. Abbruzzese, Stephen B. Levine & Julia W. Mason in their 2023 paper for Journal of Sex and Marital Therapy, “The Myth of “Reliable Research” in Pediatric Gender Medicine: A critical evaluation of the Dutch Studies—and research that has followed.”
Experts in the United States and Canada who were instrumental in implementing gender—affirming care are now expressing regret. Sara Stockton, family therapist and researcher, who co-authored the assessments by which mental health professionals measure youth readiness to transition, recently came out on Matt Walsh’s documentary What Is A Woman
saying that she regretted being a part of this process and believed it to be a mistake. Dr. Susan Bradley, a Canadian psychiatrist and pioneer in child gender dysphoria treatment, recently came out against the popular model of affirming children’s transgender identities and putting them on puberty blockers — a practice she was once involved in — in an interview with the Daily Caller News Foundation (Duggen).
Why, then, are medical professionals not speaking out against these practices which are known and documented to cause harm? Many states and provinces have adopted the “affirmation model” which makes it impossible for doctors, therapists, endocrinologists, and surgeons who have ethical concerns about the gender-affirming care they are expected to provide to speak out. Many whistleblowers in the European countries where these procedures originated left their positions and surrendered their licenses in order to speak out.
Because this is a highly politicized topic, it may be helpful to consider the documentary Affirmation Generation: The Lies of Transgender Medicine which documents interviews with physicians, endocrinologists, therapists, and detransitioners to provide a clear picture of the damage done by the affirmation only model. Every single person involved in the project is on the political left.
Also on the political Left here in the United States, the very first gender medicine clinic whistleblower has come forward. Jamie Reed, case manager and whistleblower at the Washington University Transgender Center, left her position to expose the unethical and sloppy practices of that clinic in her article entitled, “I Thought I Was Saving Trans Kids. Now I’m Blowing the Whistle” (Reed 2023).
Reed’s revelations are strikingly similar to those disclosed by whistleblowers in the UK, Sweden, Finland, and Norway.
Suicide Risk: “Would You Rather Have A Trans Son or a Dead Daughter?”
In Canada, sex researcher Dr. Debra Soh left academia after finding that she could not keep silent about the stories she was being told by detransitioners. She discovered that academia would not permit her to speak openly. She took her decades of experience as a researcher and became a journalist and the author of The End of Gender. Her recent “take no prisoners” appearance on Dr. Phil made her position very clear: “Legitimate experts cannot speak about the science, legitimate studies cannot be done, science that is correct is being suppressed and denied and being called ‘hateful.’ If you are a scientist, you cannot produce any research that goes against activist narratives or they will destroy you. So experts are terrified to speak openly.”
But Dr. Soh isn’t terrified into silence. She goes on to say that “parents are being emotionally blackmailed with the narrative that unless their child is allowed to transition, socially and medically, that child is at a higher risk of suicide, which is not true.”
Research shows that the exact opposite is true. Lifelong research done by Canadian psychologist Dr. Ken Zucker found that upwards of 80% of patients presenting with gender dysphoria outgrew the condition by the age of 18. They did not kill themselves; they grew comfortable with themselves. And a Swedish study found that the suicide risk was dramatically increased for patients who had undergone medical transition:
Persons with transsexualism, after sex
reassignment, have considerably higher risks
for.
mortality, suicidal behaviour, and psychiatric
morbidity than the general population. Our
findings suggest that sex reassignment, although
alleviating gender dysphoria, may not suffice as
treatment for transsexualism, and should inspire
improved psychiatric and somatic care after sex
reassignment for this patient group (Dhejne and.
Lichtenstein, et al).
The Role of Social Media in Silencing Dissenting Voices
Yet social media is being used by activists to silence and discredit voices like Reed’s and promote voices like Dylan Mulvaney’s. In the current social media climate, all it takes is one accusation of “transphobia!” or “Anti-trans!” or “Transpobe!” to discredit any parent or medical professional who expresses concern over the ethics of current practices. A growing number of “detransitioners,” that is, youth who underwent gender-affirming care and desisted, try to use
social media to share their experiences, only to be shouted down as “transphobic.” This word is to our century what “witchcraft” was to past centuries, a phenomenon thoroughly investigated in Megan Phelps-Roper’s podcast series, “The Witch Trials of J. K. Rowling.”
Social media is being used in even more pernicious ways. While a “transphobic” Tweet would have earned a Twitter ban before Elon Musk took over the platform, homophobia has run rampant. Multiple studies in the UK, Sweden, Norway, Finland, and a look at the available data on gender clinic intake in the United States and Canada, show that upwards of 40% of young people presenting with gender confusion are same-sex attracted, either gay or lesbian. In the current social media climate, it is more acceptable and “trendy” to be trans than it is to be gay or lesbian. The work of Dr. Ken Zucker in Canada further corroborates this data. Same-sex attracted persons are being labeled as “transphobic” because of their sexual preferences. No wonder young people, who feel a strong need to fit in, would rather transition to the opposite gender than come out as gay or lesbian. Journalist and researcher Helen Joyce describes the phenomenon of “transing away the gay” in her book Trans: When Ideology Meets Reality.
The Role of Social Media in Educating and Supporting Families
Buck Angel, AKA “Tranpa,” is one of the very first F to M transsexual people to successfully and happily transition. His journey was a long, risky, and painful one, but he lives a very full and rich life today as an adult whose gender dysphoria was helped by transition. He was an adult entertainer for many years but is now a YouTube commentator, writer, and public speaker. Buck Angel uses his considerable platform to provide education and resources for adults with gender
dysphoria who are looking into transition. But he also opens up his platform for detransitioners, in order to give them a megaphone to share their stories and experiences. He has also been using his platform for providing support for parents of trans kids.
Buck is devoting his life to speaking out against the transitioning of children. Buck is over sixty, one of the oldest members of the Transsexual community, remembers Stonewall, and expresses
that transition saved his life. When he says that transitioning isn’t for children, his voice should be heard over Dylan Mulvaney’s.
Blaire White, a M to F transsexual person who happily and successfully transitioned and is now a successful YouTube political and social commentator, also uses her considerable platform to challenge the ideologies that are endangering children. Like Buck, transitioning saved Blaire’s life. After putting a tremendous amount of work into her transition, she is now able to live a full, rich, fun, and productive life as a trans woman. But she also knows that transitioning is not something to undertake lightly, and it has costs that must be counted and risks that must be considered. Blaire has given an entire generation of American conservatives a new love and appreciation for trans people through her bright humor, her wisdom, and her loving heart. But she also uses her platform to expose and call out sexual predators. Her stance on transitioning for children is unequivocally that it is not a decision a child can make. In a recent podcast with Alan Roberts, she called child transition “the devil” (sic).
Conclusion
Social media has driven many dangerous trends over the years. Remember the Tide Pod Challenge? But the trans mania is one of the most dangerous ones yet. Perhaps the adults in the room should ask the hard questions, the questions that could cost us: why are the United States and Canada medical associations ignoring the studies, outcomes, and consequences of gender-affirming care from Sweden, Norway, Finland, and the UK? Why are our countries' medical associations so dead set on sterilizing gay, autistic, mentally distressed children in the
name of poorly conducted non-evidence-based medical research? Is social media being used to drive an ideology that is, in essence, eugenics?
Activists who chant “Trans rights are human rights” and “protect trans kids” are paradoxically lobbying for basic human rights to be taken by means of drugs and surgeries from minors who cannot consent to such treatment: the human rights to give informed consent to medical treatment, to reproduce, to experience sexual pleasure and satisfaction with the partner of their choice, to live free of agonizing physical and emotional pain, even to evacuate one’s bladder without discomfort. Activists are threatening the livelihoods and even the lives of professionals and concerned parents who are trying to bring an end to the most serious medical scandal since the frontal lobotomy experiments.
If we as a nation do not take some time to think, to honestly assess the data, to listen to the many voices of detransitioners and grieving parents and dissenting medical professionals, we could be heading for the Nuremberg Trials 2.0. And in our age of information, there will be no refuge in the Nuremberg Defense that “We didn’t know what was happening— we were just following orders.”
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