Hi, you mentioned weeding out people who might have transition regret. Well, unfortunately that this a thing, albeit rare and understanding is still new. This rare is something that should be minimised. And there is a reason that HRT is controlled otherwise let people get them otc like cough medicine. If that happened there would be a lot of issues. Surgery is even more serious, you don't just get it if you want.
I mentioned transition regret in the context of “some cis people increase waiting time to access services in the mistaken belief that it decreases transition regret”- it’s true that did mention that. There is no evidence that this is accurate- indeed, trans folks are better educated about our care (we often have to train our providers) and have researched it well before we present for care, and our rates of regret are much lower than for those who undergo other irreversible types of care (like plastic surgery). You’re right that transition regret is a real and rare thing- this blog has not shied away from the discussion of de-transitioning/untransition or transition regret here in the past. It’s important that we recognize that it’s both rare (less than 0.5% to 3% depending on which studies you look at) and that it’s most generally caused by social stigma. If i transition but then I learn that my family has rejected me; I’m unable to find a job; I have nowhere to live and i can only sometimes afford HRT- it’s likely that I may choose to live a life that doesn’t reflect who i really am in order to put a roof over my head and food in my stomach. It’s also why more than 60% of those who choose to untransition go back later and re-transition to live as their true selves.Some of the studies that report high rates (2-3%) of regret accept “disappointment” over surgical outcomes as regret- even when the respondents report they WOULD have the surgery again. (for example, if the result isn’t as cosmetically attractive as they had liked, it’s not as functional as they had hoped, it’s reported as “regret” even if the patient says they would do it all over again). When you speak of understanding about regret being new- it’s not. We’ve been studying it essentially as long as we’ve been doing transition surgeries. While the language changes over time, one of the underlying themes is that social support/ability to live and be accepted in the true gender is key to decreasing regret. increasing timeline to transition doesn’t change that.
(some of these links may be behind a paywall, i have access through my school. let me know if you have trouble accessing them- i downloaded most of them)
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