For the last two years, Koen has routinely self-administered weekly testosterone injections without a second thought.

During that time, the trans 17-year-old said his self-image and school and family life has drastically improved. His fear of needles, too, has faded.

“[Transitioning] made me look forward to things more because now I can start paying attention to the better version of myself,” said Koen, who asked to be identified by his first name because of fears for his safety. “It’s something I feel like I’ve needed for a while. I’m able to express myself more fluidly and feel comfortable doing that, which I think is a very big step for me right now.”

At the start of the year, though, a greater worry emerged.

A new law banning gender-affirming care for minors in Louisiana took effect on Jan. 1 prohibiting puberty blockers, hormone treatment, and gender-reaffirming surgery. Now, Koen isn’t sure he could continue his hormone treatment.

Louisiana is one of 22 other states that have enacted laws restricting or banning gender-affirming medical care for minors, disrupting health care needs for trans and nonbinary people.

  • thoughtorgan@lemmy.world
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    10 months ago

    But that syndrome is literally about a lack of testosterone production in males, so of course hormone treatment is justified.

    There’s an imbalance being fixed.

    Gender affirmative care isn’t medically necessary, you’re not curing an imbalance. You’re modifying your body to align with what you want it to be.

    In my mind it’s just like plastic surgery. You wouldn’t let a kid get tons of plastic surgery because they don’t like their body image. Why should we start pumping them full of hormones?

    • yuriy@lemmy.world
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      10 months ago

      I’d bet anything you don’t personally know or love any trans folk. On the off chance you do, please please please never tell them that their diagnosable condition is akin to plastic surgery. This is precisely what people are referring to when they talk about harmful, close minded ideals towards trans people and their identities.

        • yuriy@lemmy.world
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          10 months ago

          Why are we letting them delude themselves further?

          Why would this ever be any of your business?

          I don’t like the way you drive your car, I’ve decided it’s unhealthy and morally wrong. A bunch of people are all arguing that you should have your license revoked because of it. Seems kinda fucked up, right?

          You could get real driving experts, with real bona fides, to present facts saying the way you drive your car is no different from anyone else (as it relates to health and safety). But because I feel like I deserve to be the moral authority on the matter, me and my crowd are going to continue dehumanizing you at every opportunity, and will ruthlessly demand that you lose your driving privileges.

          You want the same thing, but for bodily autonomy. For no reason other than you think you know better than everyone.

            • Bibliotectress@lemmy.world
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              10 months ago

              Stop being the language police, and people will leave you alone.

              That might literally be the dumbest thing I’ve ever I heard.

              “iF yOu DiDn’T cAlL uS oUt FoR bEiNg TwAtS, wE’d ToTaLlY mInD oUr BuSiNeSs”

              That doesn’t even make sense. If you hear about using the wrong pronouns, it’s probably someone you know asking you not to misgender them. If you’re hearing about it more than that, it’s probably because of whichever talking head you’re listening to that’s trying to make you mad.

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                10 months ago

                Latinx. People who menstruate. Those with penises.

                Shit like that. Not talking about misgendering.

                We’re not allowed to say man and woman anymore because you fucks are campaigning to change all speech

                I don’t know why you’re assuming I’m some fox news viewer parroting something someone else said. I’m on the left, have been in more than a few gay relationships.

                • trashgirlfriend@lemmy.world
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                  10 months ago

                  Latinx. People who menstruate. Those with penises.

                  A bunch of niche terms used by like a dozen people, one of which being pretty much used by like weird liberals with MBAs and the other two just being specific about anatomy and ignoring gender

                  HOLY SHIT BROTHER YOU ARE SO OPPRESSED

                  Literally no one is stopping you from saying man or woman, you god damn manbaby

                  • thoughtorgan@lemmy.world
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                    10 months ago

                    A lot of media is using that phrasing. It’s leaching into everything. Very disingenuous to say it’s only a dozen people.

                    I never said I was oppressed. These were my criticisms. Yet everybody is screeching at me like I’m calling for trans death.

    • Crikeste@lemm.ee
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      10 months ago

      Typical centrist idiot halting all progress because they think their thoughts are so profound.

      Are you a trans person? No? Quit telling them how they should treat themselves, you empathy lacking dumb ass.

      It’s none of your fucking business.

      • thoughtorgan@lemmy.world
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        10 months ago

        I don’t need to be trans to have an opinion.

        I’m also on the left. Not everybody who disagrees with you falls into the political category you don’t like

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          10 months ago

          Your opinion screams of a lack of understanding, and your manner belies an unwillingness to even hear contrary information.

          Don’t be surprised when people refuse to engage with you in this punji pit you’ve constructed around a boxing ring.

    • theneverfox@pawb.social
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      10 months ago

      Because they kill themselves. That’s why we give gender affirming care - because at best it just really can mess them up not to have it. And they were killing themselves. A lot.

      So we came up with a protocol to do reversible puberty blockers for 4-6 years while they and their parents work with an endocrinologist and therapist to make sure this is the right call.

      Only at 16 or 17 they then get the option for hormone therapy, and if they’ve been on puberty blockers then they either grow (or don’t grow) boobs naturally.

      And unless they think there’s a high risk of suicide or self-mutilation otherwise (and there’s a process and a panel that needs to approve this) they can’t get bottom surgery until they’re at least 18 - assuming they even want it

      We also do allow elective plastic surgery with parental and doctor approval - breast reduction or implants for example - at the age they’re eligible for hormone therapy.

      Also, we give gender affirming plastic surgery to cis male teens and preteens who have manboobs, I think it can even be covered by insurance. It’s not unnatural or necessary unless they have a high risk for breast cancer, it’s purely because it makes them insecure

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        10 months ago

        Should we start telling schizophrenics to listen to the voices in their head? I’m sure they’d feel a lot more comfortable in their skin.

        The general populace agrees with me, even if they’re not saying it out loud. Trans women have to seek out special dating apps, because no cis men actually want to have a relationship with them. If trans women were really women, and I mean if people really believed that. Why won’t they date trans people?

        • theneverfox@pawb.social
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          10 months ago

          LMAO, you think most people agree with you?

          Most people don’t actually care much either way because they don’t know any trans people. They just parrot things that sound good without putting any thought into it

          Let’s put in a little thought.

          Why would trans people have a dedicated dating app if no one was interested? It would just be one of the million other failed dating apps no one has ever heard of. Why do they have prominent categories on many porn sites? Why do they do so well on only fans?

          They’re less than 0.5% of the population… If they’re that overrepresented then clearly, there’s a demand

          But I think we’re getting into the source of this… Trans girls make your dick confused, and you’re not secure enough in your sexuality to confront what that means

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            10 months ago

            I’m bisexual. I’m not uncomfortable with sexuality, or dicks.

            I’m a man, I dated men for 8 years

            All of the cis straight men I’ve encountered in my life are very against the thought of having any relations with trans people.

            I hear some really hateful shit from a lot of people that I don’t care for, specifically about trans women who appear on their tinder feed or whatever

            By and large, cis people are looking for relations with other cis people.

      • thoughtorgan@lemmy.world
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        10 months ago

        No, just trying to have a conversation.

        You guys get to share your opinions and thoughts, even though you aren’t doctors.

        • NιƙƙιDιɱҽʂ@lemmy.world
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          10 months ago

          You’re claiming something is flat out not medically necessary when you clearly do not have the knowledge to make that call. Your opinions cost people their lives.

          • thoughtorgan@lemmy.world
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            10 months ago

            My opinions cost nobody their life?

            I said it’s not medically necessary because there’s not a physical imbalance that needs to be fixed, like the syndrome the person I was responding to used as a comparison.

            A person with gender dysphoria will not have physical problems, like the people with the syndrome mentioned would.

            That’s all I was getting at. Whether you consider medically necessary to include their distress over a mental disorder, was something I wasn’t touching on.

            My only opinion that’s really relevant is that I don’t think minors should be allowed to transition. At no point did I say trans folk should be harmed or berated in the street or whatever else I’m being accused of.

    • CultHero@lemmy.world
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      10 months ago

      If a child is born with a cleft lip would you repair it or tell them that’s the way god made them and they have to live with it?

      If a child is neurodivergent and has severe gender dysphoria becasue of it do you force them to remain unhappy and uncomfortable or do you help them make adjustments to make them more comfortable?

      If you can’t “fix” the issue isn’t the next best step accommodating for it? If someone is paralyzed and the spine can’t be repaired do you leave them in bed or give them a wheelchair? If I person is deaf do you just leave them in silence or give them hearing aids and/or teach them to sign?

      Being trans is very often like being gay, it’s hardwired into the brain, just like being left handed. If it’s just the way a person’s brain is wired isn’t it better to relieve discomfort by adjusting the physical to match the mental if the mental can’t be adjusted to match the physical?

      There will be kids who are experimenting with their gender identity and decide that they’re most comfortable as their birth gender and that’s great, any form of self discovery is awesome but there will always be people who are gender dysphoric and the most successful way of alleviating that dysphoria is to transition.

      Years and years of therapy come before any form a medical transition for kids and often transition simply means a preferred name change, change of clothes and gender affirming hair style. If a child is comfortable with just those changes then medical transition isn’t necessary. If however they, after therapy and non medical gender affirming care still feel uncomfortable puberty blockers can be used to pause puberty until the child is older. Once they’re older they can decide whether or not transition is the right choice for them.

      No one should go into transition without therapy first but gender dysphoria is so uncomfortable. It’s like walking around in shoes that are 3 sizes too big or too small your entire life. You can get by, but it’s painful.

            • yuriy@lemmy.world
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              10 months ago

              So you’re actively arguing they not receive treatment for something you do think is a mental illness?

              No wonder mental health is failing so hard across the board, people are just deciding which things do and don’t get treatment all willy nilly based on feelings apparently!

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                10 months ago

                I don’t think treatment should be telling them they’re now the gender they want to be instead of figuring out how to accept yourself for who you truly are.

                But that’s my opinion. I don’t need it to be my way. If they are happier, cool for them.

                • yuriy@lemmy.world
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                  10 months ago

                  You don’t know shit about trans people, but you DO know exactly what treatment entails for them? You’ve got a very human-shaped blind spot in your demonization goggles there, friend. I’d suggest you stop viewing them as some kind of nebulous “enemy”.

    • lolcatnip@reddthat.com
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      10 months ago

      Lots of doctors disagree with you. I think I’ll go with their opinions over those of some uninformed internet rando who decides things based on feelings.

      • thoughtorgan@lemmy.world
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        10 months ago

        The same doctors that started the opioid epidemic because they were in big pharmas pocket?

        I wonder how much the hormone manufacturers are making.

        • yuriy@lemmy.world
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          10 months ago

          ohh, you’re a conspiracy theorist!

          god, that explains everything. you should’ve opened with the big-hormone shit, we could’ve all just had a big laugh.

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            10 months ago

            You’re really going to argue there’s no economic interest in trans gender care?

            Or that there hasn’t been massive issues with healthcare systems that push profits for pharma execs?

            • yuriy@lemmy.world
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              10 months ago

              Pick a lane.

              You’re not less of a transphobe because you also buy into really ridiculous reasoning for your transphobia.