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Graham Linehan's avatar

I should have called it 'What's That About?'

Jo R.'s avatar

"What's that about?" I don't know, Aidan, maybe if you had some scientific curiousity or basic medical ethics you'd actually bother to find out. Maybe it's because autistic people often suffer sensory difficulties which are exarcerbated at puberty and they mistake it for gender dysphoria. Or maybe the tendency to see things as black/white and liking to categorise means they try and pigeonhole themselves in a box, and if they don't fit the sex stereotypes (which they often don't) then they think they're trans...or any of a number of other reasons.

I'm a member of a Facebook group of late-diagnosed autistic women. We have 100s of women. It's always been open to transwomen (yeh, I know) but there never have been any, because the demographic has trended older - most are in their 40s and above. We got our first one the other week, who is early 20s. Violently coloured hair: check. Head tilt: check. Anime name: check. Autististic plus other issues: check. "She/her" lesbian: check. It made my heart sink. Nobody is doing this young man any favours by pandering to his delusion.

It's so infuriating. In what other area of medicine would you be allowed to "treat" children with experimental drugs with no evidence base behind them? It's usually only allowed for drugs in trials for e.g. cancer where it's a last ditch chance to save a life. Why are you trying to fix a mental health problem with hormones and surgery?

As a developmental biologist, the whole "it's a reversible blocker" thing also just makes me want to scream. No it isn't, you don't know that, and you have no concept of developmental time windows. In the same way that thalidomide caused different severities of birth defects when taken at different stages of pregnancy (i.e. foetal development), a "puberty blocker" taken when puberty is supposed to happen is very different from taking it for precocious puberty, which happens when something has gone wrong. (And even then it's not without problems). It's also not selectively pausing the development of primary and secondary sex characteristics. GnRH agonists are going to affect a whole range of systems. Your body is not a series of plug and play units and your endocrine system is a SYSTEM where all your hormones are basically interacting and feeding back. Giving these drugs to teenagers gives me mental image of one those turtles that gets a plastic ring stuck on its shell: the body doesn't stop growing, it tries to grow around it, and becomes deformed. You're still growing in every other way, but with an entire system effectively disabled, so everything will end up out of kilter to a greater or lesser extent. It's bloody wicked.

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