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Revision as of 16:19, 29 January 2019

Detransition is the desistance and reversal of a gender transition. Like transition, it is a process that can involve changing one's gender expression, social identity, legal IDs, and sexual characteristics. Detransition is rare.

Frequency and causes

Three studies from Europe, published in 2014 and 2017, found that sex-reassignment surgery improves the quality of life for most patients who undergo it, and those who do not see improvement are a minority. A 2018 study of detransition rates, surveying 46 WPATH-registered surgeons from the United States and Europe, found that approximately 0.3% of people who underwent a transition-related surgery later requested detransition-related care. About a third reported a change in gender identity, while the rest reported being motivated by either surgical complications or social rejection.

Some other individuals who have detransitioned have cited discomfort with the sex characteristics developed during transition, concern regarding the lack of data on long-term effects of hormone replacement therapy, or surgical complications.

In September 2017, the Australian 60 Minutes television program featured a 12-year-old boy who had underwent hormone replacement therapy for two years before deciding to stop; both he and his mother stated they did not regret the event.

Clinician experiences

In September 2017, Bath Spa University declined permission for James Caspian, a counsellor who specialises in transgender therapy, to undertake research relating to people who had decided to reverse their gender reassignment operations. Caspian alleged that the reason for the refusal was that it was "a potentially politically incorrect piece of research carries a risk to the university".

Urologist and gender-reassignment surgeon Miroslav Djordjevic reported in October 2017 an increase in demand for reversal surgeries, most commonly in those assigned male and who were over the age of 30. Djordjevic reported a patient expressing "crippling depression" and suicidality. He asserted the existence of a "taboo" in talking about issues relating to detransitioners' needs, for it being perceived as "politically incorrect".

Public and professional opinions

Detransitioners, researchers, and medical providers advocate that there is a lack of legal, medical, and psychological assistance for those seeking detransition care and support, often citing an atmosphere of censorship in academic and professional realms.

See also

• Feminist views on transgender and transsexual people
• Gender fluidity
• List of transgender-related topics
• List of LGBT-related organizations
• Transitioning (transgender)
• Transgender health care
• Transgender publications

References

1. "Detransitioning: Going From Male To Female To Male Again". Vocativ. 15 June 2015. Retrieved 1 September 2017.
2. ^ Hertzog, Katie (28 June 2017). "The Detransitioners: They Were Transgender, Until They Weren't". The Stranger. Retrieved 13 November 2017.
3. ^ Graham, Julie. "Detransition, Retransition: What Providers Need to Know" (PDF). fenwayhealth.org. Fenway Health. Retrieved 29 January 2019.
4. ^ Danker, Sara, MD; Narayan, Sasha K., BA; Bluebond-Langner, Rachel, MD; Schechter, Loren S., MD, FACS; Berli, Jens U., MD (August 2018). "A Survey Study of Surgeons' Experience with Regret and/or Reversal of Gender-Confirmation Surgeries". Plastic and Reconstructive Surgery – Global Open. 6: 189 – via Wolters Kluwer.{{cite journal}}: CS1 maint: multiple names: authors list (link)
5. van de Grift, Tim C.; Elaut, Els; Cerwenka, Susanne C.; Cohen-Kettenis, Peggy T.; Kreukels, Baudewijntje P. C. (12 June 2017). "Surgical Satisfaction, Quality of Life, and Their Association After Gender-Affirming Surgery: A Follow-up Study". Journal of Sex & Marital Therapy. 44 (2): 138–148. doi:10.1080/0092623X.2017.1326190. PMID 28471328.
6. Hess, Jochen; Neto, Roberto Rossi; Panic, Leo; Rübben, Herbert; Senf, Wolfgang (21 November 2014). "Satisfaction With Male-to-Female Gender Reassignment Surgery". Deutsches Aerzteblatt Online. 111 (47): 795–801. doi:10.3238/arztebl.2014.0795. PMC 4261554. PMID 25487762.
7. Papadopulos, Nikolaos A.; Lellé, Jean-Daniel; Zavlin, Dmitry; Herschbach, Peter; Henrich, Gerhard; Kovacs, Laszlo; Ehrenberger, Benjamin; Kluger, Anna-Katharina; Machens, Hans-Guenther; Schaff, Juergen (May 2017). "Quality of Life and Patient Satisfaction Following Male-to-Female Sex Reassignment Surgery". The Journal of Sexual Medicine. 14 (5): 721–730. doi:10.1016/j.jsxm.2017.01.022. PMID 28366591.
8. McFadden, Joan (16 September 2017). "'Transition caused more problems than it solved'". The Guardian. Retrieved 1 November 2017.
9. "Experience: I regret transitioning". The Guardian. 4 February 2017. Retrieved 1 November 2017.
10. Bowen, Innes (1 August 2007). "Are sex change operations justified?". BBC. Retrieved 22 December 2017.
11. Schipp, Debbie (8 September 2017). "Patrick's pain: 'I didn't know who the person staring back at me was'". News Ltd. Retrieved 1 November 2017.
12. ^ "Bath Spa University 'blocks transgender research'". BBC. 25 September 2017. Retrieved 1 November 2017.
13. ^ Weale, Sally (26 September 2017). "University 'turned down politically incorrect transgender research'". The Guardian. Retrieved 1 November 2017.
14. ^ Borreli, Lizette (3 October 2017). "Transgender surgery: regret rates highest in male-to-female reassignment operations". Newsweek. Retrieved 28 January 2019.
15. ^ Shute, Joe (2 October 2017). "The new taboo: More people regret sex change and want to 'detransition', surgeon says". National Post. Postmedia. Retrieved 28 January 2019.
16. Walt Heyer (16 November 2017). "While Three Transgenders Celebrate Election Victories, Detransitioners Tell A Different Story". The Federalist. Retrieved 8 December 2017.

Further reading

• The Detransitioners: They Were Transgender, Until They Weren't

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