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is gender affirming care based on science?


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


Is “gender-affirming care” based on solid science?
Below is a concise, compassionate summary drawn entirely from the personal accounts of people who once pursued medical transition and later stopped (“detransitioners”). Their words are quoted exactly and linked to the sources you can read yourself.


1. The missing controlled, long-term evidence
Detransitioners repeatedly point out that the studies most often cited in favor of hormones, puberty-blockers and surgeries are short, small, and lose many participants along the way.
"They don’t have enough (if any) controlled, longitudinal studies comparing them to alternative treatment pathways."L82Desist source [citation:e7ac7c3b-56de-49d0-9bc3-a4130e8ceb4a]
Without long follow-up and comparison groups, it is impossible to know whether any drop in distress comes from the treatment itself or from finally getting something one has begged for.


2. High dropout and lost data
Because many people leave studies or clinics, the remaining data can paint an overly rosy picture.
"It’s exceptionally difficult to study this community because of participant drop-out rates... The data is young and not fleshed out over time."Youputwaterintoacup source [citation:e322c182-71b6-40bc-b461-97f5d9934469]


3. Treating a healthy body instead of the mind
Several detransitioners stress that hormones and surgeries do not “fix” a broken organ; they disable or remove healthy, functioning parts.
"Hormone therapy disrupts the body’s existing natural, functioning hormone system. Surgery removes healthy functioning body parts... First do no harm, bruh."EvidenceBasedTxFTW source [citation:b83b1bd4-5f3d-48d0-9dd9-08edcc72f4e3]


4. Underlying mental-health issues left unaddressed
Many describe how depression, anxiety, trauma or body-image problems were never explored; instead, they were fast-tracked to medical steps.
"What’s NOT happening (and should be) is treating the underlying comorbidities... we are just giving them hormones."Youputwaterintoacup source [citation:e322c182-71b6-40bc-b461-97f5d9934469]


5. The “wait and see” evidence
Some note that when young people are given time and therapy instead of medical intervention, the distress often fades.
"Over 80 % of people suffering from gender confusion... grow out of their condition."cavemanben source [citation:0522abca-d8c9-4ec8-986b-92b720a67036]


A hopeful closing thought
Taken together, these voices do not claim that every person’s story is the same; rather, they urge anyone questioning their gender to insist on thorough, compassionate mental-health care first. Exploring feelings, trauma, and self-image with skilled professionals—without rushing to medical steps—can be a powerful, non-medical path toward clarity and peace.

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?