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Gender dysphoria, especially in kids, is viewed as a mental health condition that should be treated. Affirming a child's confusion is seen as cruel, and allowing them to undergo genital mutilation and chemical castration is considered barbaric. The speaker believes that in the future, we will judge these practices similarly to how we judge Iran for doing the same. They mention meeting two young women who regretted their decisions to undergo surgeries and chemical intervention. The speaker argues that we should not allow kids to undergo these procedures, comparing it to not allowing them to get tattoos before the age of 18. They also discuss the spread of gender dysphoria and the importance of parents knowing if their child identifies differently from their biological sex.

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Welcome to Just Naked. In this show, adults get naked so we can learn from them. Today, we have transgender guests who will answer questions about their bodies. Being transgender means feeling different from the gender you were assigned at birth. Some transgender people choose to have surgery, while others don't. They may still feel uncomfortable with certain body parts. After surgery, some transgender individuals feel euphoric and finally at peace with their bodies. It's important to remember that gender is not just male or female, there is a wide spectrum in between.

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Dr. Money concluded the interview by discussing the concept of gender identity. He acknowledged that it can be difficult for individuals to talk about their gender identity, whether they identify as male or female, boy or girl, or man or woman. Many people have come to his office with similar feelings, unable to discuss this important aspect of their lives. Dr. Money assured the person being interviewed that he would be the one person in the world they could confide in.

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- "Puberty blockers are a group of medications or hormones that we use in the transgender population to stop puberty from progressing." - "We call them in endocrinology gonadotropin releasing hormone analogs or agonists." - "Their job is to really interfere with the signaling from the brain to either the ovaries or the testicles that produce the hormones." - "When somebody starts puberty, we can use them to stop the puberty from progressing, thereby allowing somebody to really explore their gender without the pressure of having secondary sex characteristics that are often permanent." - "And the really nice thing about puberty blockers is that they are reversible, so it's a really nice way for an adolescent to be able to explore their gender." - "We like to use them in birth assigned males who have already even gone through a full male puberty because they are able to then use a lower dose of estrogen."

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I offer support to find gender affirming care for youth, even if they need to go out of state. If parents are unsupportive, some kids choose to get emancipated at 16 to make their own medical decisions. Dealing with transphobic parents can be tough, especially if they are very right-leaning. It's important to find a chosen family of friends who accept you. I can send you a binder discreetly if needed.

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Speaker 0 asks Speaker 1 for some history regarding their gender dysphoria to help with writing a letter. Speaker 1 explains that when they were in school, they wrote an essay expressing their discomfort with their biological sex and how they felt. However, people dismissed their feelings because they appeared to be male.

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A lot of parents have questions about social transition at a young age. There are no exact guidelines. Again, everybody has their own gender journey and everything feels right or wrong depending on the family. However, many kids do decide to pursue a social transition. Usually that will start with changing their name or their pronouns. They might want to just try dressing a different way or using a different name at home to get used to it and for the family to get used to it. Some people might want to do it on a vacation where they don't really know anyone as a way to try it out. And then slowly over time they might move into using that more with loved ones at school or with friends. However, kids do benefit from social transition over time.

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Instead of saying someone is a transgender, it is more appropriate to say they are transgender. Instead of saying someone transgendered, it is better to say they transitioned. Instead of saying someone changed genders, it is more accurate to say they transitioned or affirmed their gender. Instead of saying someone was born a girl, it is more correct to say they were assigned female at birth. Instead of saying someone became a boy, it is more suitable to say they fully transitioned. Instead of saying someone was a girl, it is more accurate to say they presented as a woman. Instead of saying being trans means you're gay, it is important to understand that gender identity and sexual orientation are not the same. Lastly, it is important to mind your own business.

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When a child experiences gender dysphoria, there is a disconnect between their feelings and the gender assigned at birth. This issue is serious, as transgender adolescents have a significantly higher suicide rate—almost eight times that of their cisgender peers. The AAFP's focus on drugs, hormones, and surgical interventions, rather than a more conservative approach like psychotherapy, is concerning. This approach is seen as unethical and inappropriate, highlighting the need for a broader perspective on treatment options.

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There is not one surgery that every transgender person wants. Many transgender people have no interest in having surgery. For other people, they undergo medical transition involving use of gender affirming hormone treatments. And for others, they may have one or more surgeries. They may have top surgery, which is surgery on the chest or breasts. They may have bottom surgery, surgery on the genitals. They may have facial feminization. Trans women may have a tracheal shave to reduce their Adam's apple. No two trans people have the same needs to resolve their gender dysphoria. So you can never make an assumption that any trans person wants any particular surgery or any surgery at all.

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I wanted to find relief from my pain and figure out what was wrong with me. I turned to the Internet for help. Recently, there has been a surge in media and social media representations of transgenderism, even in mainstream advertising. This content is being consumed by young teenagers, who can easily be influenced. When trans-identified kids go to gender clinics, they are promised comprehensive mental health assessments, but that's not always the case. These clinics now believe that trans kids know who they are, and questioning them is taboo. I was easily manipulated and nobody was there to support me. I tried to alleviate my gender dysphoria, but it only made my body image issues worse. Now, what do we do?

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Most trans kids know they're trans between ages two and seven, with the speaker's daughter knowing around two and a half. The speaker emphasizes that children know things that adults don't, and these are the things to which adults should listen. The speaker states their child is not mentally ill. To begin gender affirming care, the speaker had to consult with numerous healthcare professionals.

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I went to physical therapy at 7 in the morning and got misgendered by someone I had already told my pronouns to. I reminded them that my pronouns are they/them, and they acknowledged it. However, I had to repeatedly explain to my physical therapist that I didn't want to do an exercise that made me uncomfortable due to gender dysphoria.

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A child will often know that they are transgender from the moment that they have any ability to express themselves, and parents will often tell us this. We have parents who tell us that their kids, they knew from the minute they were born practically, and actions like refusing to get a haircut or standing to urinate, trying on siblings' clothing, playing with the quote opposite gender toys, things like that. There is more and more a group of adolescents that we are seeing that really are coming to the realization that they might be trans or gender diverse a little bit later on in their life. So what we're seeing from them is that they always sort of knew something was maybe off and didn't have the understanding to know that they might be trans or have a different gender identity than the one they had been assigned. So that is a growing population that we are seeing and that's being recognized as being trans and able to be treated.

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Admiral Rachel Levine, a pediatrician and the assistant secretary for the Department of Health and Human Services, addresses concerns about children transitioning before 18. She emphasizes the challenges of adolescence, particularly for those experiencing gender dysphoria. If a child feels female but is undergoing male puberty, it can be distressing. Critics argue that children are too young to make such decisions. Levine clarifies that for prepubertal children, no medical procedures are performed; instead, they are supported through therapy to explore their feelings.

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Binding is essentially when someone who's assigned female wears something on their chest to make it appear flatter. And a lot of my patients who identify as transgender male or non binary or male leaning like to do that. The top three tips I have for safe binding are to first make sure you're measuring correctly. And sometimes it might take the assistance of like a parent or a trusted friend to do it right. Second, making sure that you're buying not only the correct size for your chest measurements, but for your shoulder measurements too. Cause a lot of people make mistakes there. And then the third tip is definitely not wearing it for more than ten hours a day.

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Detransition is often portrayed negatively, but research shows that it is not necessarily traumatic with proper support. The Trans Youth Project, a longitudinal study on trans youth, found that retransitioning is not experienced as traumatic when there is a supportive environment. If individuals are allowed to explore their gender identity without judgment, they are generally fine. Most of this exploration happens before any medical interventions are made. Retransition and detransition are about letting people see themselves and supporting them in their journey. If gender nonconformity wasn't stigmatized, detransition would be more accepted. These important considerations about detransition are not widely shared.

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"No matter what, bathrooms can definitely be tricky for not just transgender kids and teenagers, but non binary folks, or even cisgender folks who are gender non conforming." "Some of the, I think, helpful tips and tricks are find a close family member or friend who you feel comfortable with, who they're like your bathroom buddy." "It might seem silly at first, but it's really helpful and brings about a sense of security to have someone who you know has your back." "Sometimes using the bathrooms, if we can find a single user bathroom or a gender all inclusive one, often those are even just labeled family bathrooms, but they're there for people to use and they're there for transgender and gender diverse folks to use." "If those are there, think those are great options as well."

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Michigan Medicine strives to be a safe, welcoming place for transgender individuals and to provide excellent health care regardless of gender. The goal of this video is to improve the comfort and competency of frontline staff in caring for transgender individuals. We will start by talking about gender identity, challenges the transgender community has faced in the health care system, and Michigan's policies regarding gender non-discrimination. The second half of this training is job specific. To discuss gender identity, it is important to understand the difference between sex and gender. Sex refers to one's reproductive organs, native hormones, and chromosomes, while gender identity refers to one's internal sense of gender, a person's basic sense of being a man or boy, a woman or girl, or another gender. Gender identity can be expressed by how individuals present themselves socially, including clothing, physical characteristics, speech, and mannerisms. All people, whether they are transgender or cisgender, meaning not transgender, have a gender identity and expression. Transgender is a term for individuals whose gender identity differs from the gender identity typically associated with their sex assigned at birth. There are many identities that fall under the umbrella of transgender. Transgender men, trans men, or trans masculine refer to people who are assigned female sex at birth but identify as men or masculine. Transgender women, trans women, or trans feminine refer to people who were assigned male sex at birth but identify as women or feminine. Other individuals may identify as genderqueer, agender, genderfluid, two spirited, bigender, or another identity that does not fit neatly into the categories of men or women. All major American medical societies, including the American Medical Association and American Psychological Association, endorse gender affirming care as the standard of care for transgender individuals. This means caring for people in a way that supports their gender transition and gender identity. Transgender people may undergo any one of a number of gender affirming medical interventions, including hormonal therapies like estrogen, testosterone, or hormone blockers, and surgical treatment to change body contours or genitalia. However, it is important to note that one does not have to undergo any medical or surgical treatment to be transgender. Some people are easily read as the gender they affirm while others are visibly gender non conforming or androgynous appearing.

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"Sometimes it may be just a phase of development where they're exploring their gender identity and they're kind of getting a sense of who they are, but a lot of children do end up identifying as that gender into young adulthood and adulthood." "The only real way we know for sure that they're going to continue in that gender identity is just to allow them to develop over time." "And so that's what we recommend to parents is to give them the space." "Even if parents are concerned that it's a phase, we never want to tell the child that they shouldn't be expressing their gender identity or that they should be, ashamed for the way that they're expressing their identity because that can be quite harmful." "We just want to give the child a chance to develop and explore on their own."

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I often see youth who have already undergone medical interventions due to a backlog in mental health support. Children may not fully understand the impact of these interventions, making it challenging to discuss. It can be especially difficult for young adolescents starting puberty suppression. We aim to make kids happy in the moment, but it's crucial to consider the long-term effects on their development. This is a growing challenge in our field that requires further exploration.

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If you're transgender or nonbinary and feel uncomfortable with your puberty experiences, you're not alone. Puberty blockers can temporarily halt the changes caused by hormones like testosterone and estrogen, giving you more time to figure out your gender identity. It's okay to not have all the answers right now, as understanding yourself takes time. Talking to a trusted adult, nurse, or doctor can be helpful. To learn more, visit plannedparenthood.org/teens.

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Beauty blockers have been used by doctors for children experiencing precocious puberty. The conversation then shifts to transgender children, with one speaker arguing that gender affirming care is life-saving and reduces suicide rates. The other speaker questions the lack of studies on suicide rates among transgender children and challenges the necessity of medical interventions such as hormone therapy and surgeries. The conversation becomes heated as they discuss the cutting off of body parts and the speaker's belief that there is no such thing as a transgender child. The debate centers around the message being sent to children and the potential harm or benefit of gender affirming care.

The Megyn Kelly Show

Dr. Lisa Littman on Rapid Onset Gender Dysphoria, the Teen Trans Trend, and Intellectual Rigor
Guests: Dr. Lisa Littman
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In this episode of The Megyn Kelly Show, Dr. Lisa Littman discusses her research on the surge of transgender identification among teenagers, particularly girls, which she terms "rapid onset gender dysphoria." Dr. Littman, a physician and researcher at Brown University, observed a statistically unusual increase in teenagers, especially girls, identifying as transgender and sought to study the phenomenon. Her findings suggest that social and peer influences may play a significant role in these identifications, leading to concerns about a potential social contagion effect. Dr. Littman faced significant backlash from trans activists and some members of the medical community, who accused her of bigotry and conducting shoddy science. Despite this, she received support from many parents who felt their children were being rushed into transitions without adequate evaluation. Her research indicated that many of the teenagers identifying as transgender had pre-existing mental health issues, raising questions about the underlying causes of their gender dysphoria. She emphasizes the importance of thorough evaluations before transitioning, noting that many detransitioners reported feeling pressured by healthcare providers to pursue medical interventions. Dr. Littman highlights the need for a balanced discussion about gender dysphoria, advocating for the inclusion of diverse experiences and cautioning against the oversimplification of the issue. The conversation also touches on the role of social media in shaping perceptions of gender identity among youth, with many parents reporting that their children were influenced by online communities. Dr. Littman calls for a more nuanced understanding of gender dysphoria that considers various factors, including mental health and social dynamics, rather than solely affirming a child's self-identification. She concludes by stressing the need for open dialogue and research to ensure that young people receive appropriate care and support.

The Megyn Kelly Show

More Biden Docs, Crowder vs. Daily Wire, and Gender Identity and Kids, w/ Dave Smith & Dr. Debra Soh
Guests: Dave Smith, Dr. Debra Soh
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Megyn Kelly welcomes comedian Dave Smith and Dr. Debra Soh to discuss various pressing topics, including the recent controversies surrounding President Biden's classified documents and the implications of gender identity discussions. Smith highlights the ongoing investigations into Biden's handling of classified documents, noting public dissatisfaction and potential political ramifications. He draws parallels between Biden's situation and Trump's, criticizing the perceived double standards in legal accountability for political figures. Smith emphasizes the excessive classification of documents in government, suggesting it undermines democratic transparency. The conversation shifts to the cultural climate surrounding gender identity, particularly the challenges parents face when their children express gender dysphoria. Dr. Soh addresses a caller's concerns about her 23-year-old daughter questioning her gender identity. She explains that once children reach adulthood, parents have limited influence, and emphasizes the importance of therapy to rebuild trust and communication. Dr. Soh discusses the phenomenon of rapid onset gender dysphoria, particularly among young women, and stresses the need for supportive environments that encourage open dialogue. Dr. Soh also critiques the current state of therapy, where clinicians may feel pressured to affirm a child's gender identity without exploring underlying issues. She advises parents to seek experienced therapists who are less likely to conform to prevailing ideologies. The discussion then turns to a recent incident involving a transgender woman in a YMCA locker room, where Dr. Soh argues that such situations can endanger women and girls. She asserts that genuine transgender individuals would not typically expose themselves inappropriately, suggesting that those who do may have ulterior motives. The episode concludes with Dr. Soh reiterating the importance of vigilance regarding the safety of children in gender discussions and public spaces, advocating for a balanced approach that respects both individual identities and the rights of others.
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