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Dr. Phil: States across the country have passed laws banning "gender affirming care" on minors. Our next guest is a queer woman who is married to a trans man. When Jamie Reed worked as a caseworker at the transgender centre at St. Louis Children’s Hospital, she thought she was saving trans kids' lives. But she claims what she witnessed there was so morally and medically appalling that she had no choice but to expose what was really going on.
Jamie Reed: I was working in a paediatric gender for 4 1/2 years, primarily responsible for patient intakes. The center followed this message that transition would solve everything. That it would solve a child’s mental health problems. There were very few written protocols or guidelines. One of the providers even said we were "flying the plane as we built it." Doctors are acting like they're God when it comes to medically transitioning children.
Children could identify themselves as transgender, see a therapist for one visit, see our endocrinologist for one visit, and end up with hormones that would impact and change their bodies for their lifetime. These were identities that were still shifting and changing, but the treatments were irreversible and permanent. I saw a young person who was begging to have their breasts put back on after having surgery.
We were encouraged not to make a big deal out of it and definitely not to tell other families. I couldn't continue to be silent on it. The medical harms and trauma that I saw with these teens just took over my life. I was told I could no longer raise concerns or even use the phrase, "I have concerns about a patient." I have no trust in this industry medically transitioning minors anymore.
Dr. Phil: Jamie, thank you for being here.
Jamie: Thank you for having me.
Dr. Phil: You describe yourself a queer woman married to a transgender man and you're a member of the LGBTQ community and you went there to do something good, something positive at this clinic in St Louis. What changed your mind?
Jamie: A number of things. We started to see patients who were experiencing very significant medical harms. Being rushed to the emergency room with lacerations requiring stitches. We had patients contact us who were begging to have body parts put back on within months of having surgeries. And the thing that kept happening is every time I would raise concerns and ask about the protocols and ask about the guidelines, this is just how the industry works. If a child says they're trans, there’s no questioning it, we just say, "yep, you're trans, what would you like?"
Dr. Phil: You’re telling me that a 12- or 13-year-old who can’t decide which pyjamas to wear can come in and say, "I’ve decided that I want to transition," and with no more than a couple of hours - or two visits, not even a couple of hours, two visits - they say, okay, start taking this, start doing this. Which alters their biochemistry in a way that you can’t come back from.
Jamie: Correct.
Dr. Phil: And you say you saw dramatic increases in teenage girls that had no previous history of gender distress and they suddenly declared themselves transgender and demanded immediate testosterone [and] blockers.
Jamie: When I started - so I was there for 4 1/2 years, and when I started, I maybe would have 5 to 10 new incoming patients a month. By the time I left it was close to 50 every single month. My background is in clinical research and so I started looking at the data, I wanted to know what the numbers told me. And towards the end of my tenure, 73% of the new patients coming to us were girls who were in their teen years, so in that really vulnerable age of like 13 to 16 where they are just exposed to so many social pressures and they’re so empathetic to what’s going on around them too, that they really pick up on what’s going on in their peer group. We had clusters where it would be a handful of one whole high school classroom would come in all trans identified.
Dr. Phil: Historically, this typically would be males and you would have a female how often?
Jamie: Oh, very rare. And also, the ages were different. So, it would usually be younger boys who seemed very feminine or had feminine traits to their family and their families would seek care trying to understand what’s going on for their young male child. This was never something that would start in adolescence.
And these girls were also learning on TikTok, Instagram, they would come in and they would almost have the exact same storyline too. Like they learned what to say from a video to explain, "oh no really, I’ve felt this way from early childhood." But a lot of their parents couldn’t remember anything like that.
And part of what’s going on right now is that if you question this at all, you are immediately called transphobic, you’re immediately called homophobic, you’re immediately considered a bigot. And it’s just not scientific reality.
Dr. Phil: Jamie Reed says that her goal was to support trans youth. Jamie says patients had no idea what they were going to be as adults, yet all it took for them to permanently transform themselves was one or two short conversations with a therapist. When you say short, what would you call short?
Jamie: One visit. I saw letters being written approving children for puberty blockers or cross sex hormones after a single visit with a therapist.
Dr. Phil: And how long would that visit be?
Jamie: 30, 40 minutes.
Dr. Phil: And you said that the clinic would actually provide them a letter that checked all the boxes for them to qualify for the treatment.
Jamie: It wasn’t the clinic, it was me. It was my job. I sent out the fill-in-the-blank letter. I sent it. It’s what we did. We sent it directly to the community therapist and said just fill this out, plug-in where you need to, and we’re good to go.
Dr. Phil: What kind of things would it say?
Jamie: At the end of all of the letters would say, "I am approving this patient for puberty blockers or cross sex hormones." "They meet criteria."
Dr. Phil: There were some emails that you saw that were very troubling to you and I’d like to look at these.
Email to Jamie from Parent Revoking Consent June 9, 2022
"Please be advised that I’m revoking my consent for this course of medical treatment. Grades have dropped, there’s been an in-patient behavioural health visit and now he’s on 5 different medications. Lexapro, Trazadone, Buspar, etc. Blank is a shell of his former self riddled with anxiety. Who knows if it’s because of the hormone blockers or the other medications. I revoke my consent. I want the hormone blocker removed."
Jamie: The mom, who is a legal guardian, sent us that email and we acted like we knew better than a parent. And we refused to remove the blocker.
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coochiequeens · 4 months
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Its chief executive officer instructed those members who have leadership roles within the organization — but who are employed by medical practices or universities — only to use personal email accounts for AAP (American Academy of Pediatrics) -related correspondence. This could protect such emails from freedom-of-information requests and employers’ document-retention policies." 
Well that sounds like they have nothing to hide
By BENJAMIN RYAN Thursday, December 21, 202322:44:51 pm
The American Academy of Pediatrics, under fire for its policies on gender-transition treatment for minors, is taking steps that might limit its legal exposure — or at least minimize public scrutiny — in the face of a lawsuit by a woman who at 14 underwent a medical gender transition that she later regretted. 
This month, the highly influential medical association, which has about 68,000 pediatrician members, shelved a pending book on the care and treatment of children who identify as transgender. Its chief executive officer instructed those members who have leadership roles within the organization — but who are employed by medical practices or universities — only to use personal email accounts for AAP-related correspondence. This could protect such emails from freedom-of-information requests and employers’ document-retention policies.  
An AAP representative told the Sun that neither move was related to the litigation it faces and that the board’s decision to enact the new email policy predated the filing of the lawsuit in question.
“The AAP has been under scrutiny for a couple of years now because of its gender policies,” said a fellow at the Manhattan Institute, Leor Sapir. He speculated that the organization’s new email policy could have been motivated by such ongoing external pressures, which also predated the lawsuit. 
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Dr. Jason Rafferty, a leading specialist in pediatric gender transitions, is named in the detransitioners’ lawsuit. He also contributed commentary to a forthcoming book that’s been pulled by the American Academy of Pediatrics. Brown University
Mr. Sapir argues that the AAP and the American medical establishment more broadly have failed to establish “in a thoughtful and scientific way” its guidelines for pediatric gender-transition treatments. Consequently, he said, he supports controversial state laws that ban the prescription of puberty blockers and cross-sex hormones to children to treat gender dysphoria — a psychiatric diagnosis that involves significant distress over a conflict between an individual’s gender identity and their biological sex. 
A number of states with Republican-controlled legislatures have passed these laws since 2021 as part of a concerted pushback against medical care practices, first imported to the United States from the Netherlands in 2007, for children who identify as the opposite gender. The Republican-dominated Ohio legislature last week passed a bill that would make the state the 22nd to ban such medical treatment. The governor of Ohio, Mike Dewine, a Republican, has yet to decide if he will sign the contentious bill. If he does not sign or veto it by December 29, it will become law.
The AAP has maintained full-throated support for the availability – and legality – of medical gender-transition treatments for children. Its influential journal Pediatrics on Wednesday published an essay by a pediatrician at Seattle Children’s Hospital, Dr. Emily Georges, and two colleagues arguing that banning such medicine is “a form of child maltreatment.” 
“These legislative efforts operate under the guise of protecting children,” Dr. Georges and her coauthors wrote. “In reality, they punish caregivers and physicians when they choose to support children.”
The AAP Faces a Lawsuit
In October, a Dallas law firm filed a lawsuit against the AAP on behalf of a biological woman, Isabelle Ayala, who beginning at age 14 was treated for gender dysphoria with testosterone by a group of Rhode Island health care providers; they are also named as defendants. On this team was a child psychiatrist and pediatrician trained by and affiliated with Brown University, Dr. Jason Rafferty, who is the sole author of the broadly influential policy statement on pediatric gender-transition treatment that the AAP published in October 2018, a few months after Ms. Ayala left his care. 
“In hindsight, that makes me feel like a guinea pig,” Ms. Ayala, 20, said in a YouTube video posted last week by the Independent Women’s Forum, a conservative nonprofit. 
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Jordan Campbell, Ron Miller, Josh Payne, and Daniel Sepulveda of newly founded law firm Campbell Miller Payne, PLLC. They say they established their firm to represent ‘individuals who were misled and abused – many as children – into psychological and physical harm through a false promise of “gender-affirming care.”’ Campbell Miller Payne, PLLC.
A retired pediatrician, AAP member and volunteer professor of pediatrics at the University of Cincinnati College of Medicine, Dr. Christopher Bolling, defended the AAP’s integrity from what he said was a “talking point from transgender care ban advocates” that Dr. Rafferty “somehow wrote the whole thing and forced everyone else to just sign it.” Dr. Bolling was not himself involved with developing the policy statement in question, but said, “Writing those statements are some of the most collaborative labor-intensive, careful processes I’ve ever been involved with.” 
Ms. Ayala ultimately “detransitioned,” reverting from considering herself a trans male to identifying as her birth sex. The law firm representing her, Campbell Miller Payne, was recently established by four white-shoe attorneys solely to represent such regretful so-called detransitioners. The firm is behind five of the nine known medical-malpractice detransitioner lawsuits.  
Time Magazine reported Thursday that the threat of such litigation is already driving up malpractice insurance premiums for providers of pediatric gender-transition treatment, shutting out some smaller gender clinics.
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The lawsuit takes on the powerful American Academy of Pediatrics, which has enormous influence over pediatric care in the U.S. Campbell Miller Payne, PLLC
Ms. Ayala’s suit accuses Dr. Rafferty and his colleagues of malpractice for prioritizing treating her gender dysphoria over her myriad other psychiatric diagnoses and for allegedly causing her lasting physical harm. 
“I don’t even like to think about my fertility,” Ms. Ayala said in a voice over in the YouTube video as she looked at a baby crib, addressing concerns about the long-term impacts of testosterone treatment. “It is my greatest fear to go to the gynecologist and have them tell me I can’t have children over some decisions that were made when I was fourteen.”
The suit further alleges that Dr. Rafferty and others engaged in a conspiracy with the AAP to develop methods for treating gender dysphoric children while Ms. Ayala was the physicians’ patient that are not evidence based and are grounded in what a scathing peer-reviewed critique published in 2019 argued was a misrepresentation of the relevant scientific literature.
In their new Pediatrics essay, Dr. Georges and her coauthors countered such a premise. Referring  to what supporters of such treatment call gender-affirming care, they wrote: “Although some individuals make it seem that GAC is a new, experimental area of medicine, GAC is evidence-based.”  
They continued: “The benefits of GAC, most notably on mental health, self-esteem, and development, outweigh the risks in the majority of circumstances. GAC is, for many, lifesaving.” 
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Isabelle Ayala appears with her attorney in a new YouTube video in which she discusses her gender transition treatment. Independent Women’s Forum
This a reference to suicide prevention. Advocates of medical gender transitions for children argue that gender dysphoric youth are at high risk for death by suicide if they are not able to medically transition if they so choose.
The AAP Pulls a Book on the Gender-Affirming Care Model
During the fall, the AAP began taking pre-orders for a 320-page book on pediatric gender-transition care and treatment that was set to be published on January 30. Dr. Rafferty was listed first among the authors of the book’s commentaries. 
On December 6, the day after the Sun published an article about Ms. Ayala’s suit and another malpractice suit filed against Dr. Rafferty and his colleagues by a detransitioned adult patient, the AAP emailed those who had pre-ordered the book, alerting them: “Due to an upcoming policy review on this topic, the publication of this book has been placed on hold.” 
A representative for the organization confirmed to the Sun that the email referenced the AAP leadership’s announcement in August that it would commission an independent systematic literature review — the gold standard for assessing scientific evidence — of the research regarding pediatric gender-transition treatment. The AAP said at the time that it was prompted to take this step out of “concerns about restrictions to access to health care with bans on gender-affirming care.”
An AAP member and a pediatrician at Carmel, Indiana, Dr. Sarah Palmer, criticized the academy’s expressed motivation, which she said centered the pending review “in the political realm instead of in the clinical and scientific realm where doctors should apply their expertise.” 
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The AAP representative said that the book contains research previously published in the academy’s journals and no new guidance. It does, however, contain the new commentaries. The representative said the AAP decided to delay publication “to avoid confusion” during the “ongoing” work on the review, the findings of which the academy plans to share publicly. However, the book went on sale for pre-order well after the literature review was announced. The representative declined to respond to detailed questions about the review’s progress, including whether the AAP would observe typical scientific protocol for a systematic literature review and publish its criteria in advance.
In reference to the AAP’s publication of Dr. Georges’ unsparing and politically charged new Pediatrics essay, Mr. Sapir said, “It’s weird that they would pull the book on the grounds that there is an ongoing systematic review, but in their own peer-reviewed journal they would publish this document.”
The AAP’s move to conduct the systematic review came after three years of efforts led by an AAP member and Gresham, Oregon-based pediatrician, Dr. Julia Mason, to compel the organization to do so. ​​She, Dr. Palmer, and Mr. Sapir all expressed concern about what they characterized as the AAP’s lack of transparency during the four months since announcing it would commission the systematic review. 
“I think the pressure of the lawsuit led to their pulling the book. Because they suddenly realized that they might be held responsible for what that book said in a court of law,” said Dr. Mason, who is a board member of the Society for Evidence Based Gender Medicine. Founded in 2020, the society is a collective of clinicians and researchers who share concern that, as multiple systematic reviews of the relevant evidence have found, pediatric gender-transition treatment is based on a low or very low quality of scientific evidence while it comes with considerable risks, including infertility and sexual dysfunction.
In conflict with the Pediatrics essay, such reviews have also not found evidence that withholding puberty blockers and cross-sex hormones from gender dysphoric youth is associated with a higher suicide death rate. Additionally, Dr. Mason and numerous other critics have called into question the validity of the findings of a 2022 University of Washington and Seattle Children’s study often cited by supporters of such treatment, including in the new Pedatrics article’s authors, as evidence that medical gender-transition treatment reduces suicidal thoughts and behaviors in gender-dysphoric adolescents.
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The American Academy of Pediatrics headquarters outside Chicago. The AAP is the target of a lawsuit about its policies regarding transgender care for minors. AAP
Transgender activists have called the Society for Evidence Based Gender Medicine an anti-trans group and highlight how commonly other medical treatments are backed only by low quality evidence. The type of randomized, placebo-controlled trials that would produce the highest quality of evidence, trans advocates argue, would not be ethical for pediatric gender-transition treatment.
A sprawling Southern Poverty Law Center report published December 12, “Combatting LGBTQ+ Pseudoscience,” places the Society for Evidence Based Gender Medicine at the nexus of what it portrays as an interconnected conspiracy by various organizations to undermine support for pediatric gender-transition treatment and harm trans youth. The Southern Poverty Law Center has come under criticism from social conservatives in recent years for, they argue, unfairly and egregiously classifying some conservative groups as “hate groups.” The Society for Evidence Based Gender Medicine, however, bills itself as an apolitical science organization. 
Maintaining Ownership of Internal Emails
Earlier this month, the AAP’s chief executive officer, Mark Del Monte, and chief medical officer, Dr. Anne R. Edwards, sent a letter to what the AAP representative reported was all of the academy’s staff and hundreds of non-staff members in leadership roles, alerting them to a new correspondence policy, effective January 1. It ordered the members only to use personal email accounts, such as Gmail, for leadership level AAP-related business. 
The AAP representative told the Sun that the decision to enact this new policy was unrelated to Ms. Ayala’s lawsuit and predates its filing, having been made at an AAP board meeting in May; minutes from the meeting indicate as much. 
Mr. Del Monte and Dr. Edwards differentiate in the letter between the public nature of the AAP’s “policy, advocacy positions, and educational resources” and the “confidential, internal discussions” pertaining to these documents’ development. 
“To protect the internal deliberations of our member experts,” the letter states, “the AAP Board of Directors has approved new prudent steps to keep internal communications under the control of the AAP and its member leaders.” 
The letter continues: “While we regret that this action is necessary, members do not ‘own’ their work email and so do not necessarily have the decision-making authority about whether or not to release it publicly.” 
The use of institutional or workplace email accounts, the letter further states, creates “multiple vulnerabilities for AAP and our members.” This includes the fact that “employer-sponsored email platforms are subject to the document retention and release policies of external institutions, including in response to subpoenas or Freedom Of Information Act (FOIA) requests.” 
The board’s decision to enact this policy, the AAP representative said, “followed a lengthy deliberation by board members to ensure the AAP manages records in compliance with applicable federal and state laws, while meeting operational needs.” 
A medical doctor and tort law expert at the University of Baltimore School of Law, Dr. Gregory Dolin, said he anticipated that a shift from workplace to personal email accounts for such correspondence would not frustrate any attempts by Campbell Miller Payne to obtain internal AAP emails through discovery in its suit against the academy. However, Dr. Dolin said that by forbidding communicating via email accounts subject to FOIA requests, the AAP “may reduce non-litigation related, but nevertheless embarrassing disclosures” by, for example, journalists.
Protecting Children
A professor of epidemiology and biostatistics at the University of California, San Francisco, Dr. Vinay Prasad is an outspoken critic of what he has characterized as unscientifically sound Covid-19-mitigation public-health policies. On Monday, he published an essay on the Sensible Medicine Substack criticizing the AAP for asserting that for obese patients, pediatricians “should offer” adolescents and “may offer” children ages 8 to 11 weight-loss drugs such as Ozempic.
Meanwhile, the United States Preventive Services Task Force asserted in a draft guidance released December 12 that evidence was insufficient, in particular concerning the long-term impacts of such medications, to make such a recommendation. The task force called for more research. 
In an email, Dr. Prasad argued that the AAP’s policies regarding gender-transition treatment represent a pervasive lack of adherence to evidence-based standards. 
“I am deeply concerned that, across all their recommendations, the American Academy of Pediatrics does not rely on the highest quality of evidence, and worse, they do not call for better studies,” said Dr. Prasad. “Instead, they’re very happy to make strong recommendations based on their own biases in the absence of evidence. And that harms children.” 
Dr. Georges, by contrast, wrote in Pediatrics that any state law denying children gender-transition treatment “not only represents medical neglect, but it is also state-sanctioned emotional abuse.”
BENJAMIN RYAN
Benjamin Ryan is an independent health and science reporter who also contributes to The New York Times, The Guardian and NBC News and has also written for The Atlantic and the Washington Post.
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Major conservative influencers on social media platforms such as Twitter and Rumble have coalesced in recent months around talking points that connect birth control with a variety of negative health outcomes, which experts say instill fear in women who could otherwise benefit from using birth control.
But the information the influencers are referring to lacks crucial context, says Dr. Danielle Jones, an OB-GYN, and they fail to include recent scientific developments that challenge their narrative.
Tim Pool, Ben Shapiro and Steve Bannon have all made anti-birth control content in the past six months. Sometimes, they feature female conservative personalities who make content about women’s issues.
Alex Clark, who hosts a pop culture show for the youth conservative messaging organization Turning Point USA, is one conservative woman who has railed against hormonal birth control in recent months. The progressive watchdog publication Media Matters for America first reported that Clark said her “mission” is “to get young women off this pill.” In a response sent in a direct message, Clark wrote “Birth control can be right for some in some cases, but we shouldn’t just take it blindly because of acne and we shouldn’t treat it as the default for all women.”
While some strains of conservative politics have spent years attacking birth control, the more recent resurgence of anti-birth control talking points comes alongside a broader push from online conservative creators against the medical establishment and treatments from vaccines to gender-affirming care, all of which have been recommended in certain circumstances by the American Medical Association. In her response, Clark called birth control “synthetic,” as opposed to pregnancy, which she called “natural.”
The social media trend of attacking birth control has also coincided with legal and legislative efforts targeting birth control access, most notably emergency contraceptives. In response to the Supreme Court’s ruling that revoked the constitutional right to an abortion, Justice Clarence Thomas wrote that the court “should reconsider” other decisions, including those codifying the right to contraceptive access.
Jones, who is also a YouTube creator with 1.2 million subscribers, has made multiple videos discussing the rhetoric around reproductive health. In an interview, she said the primary tactic she’s observed on social media to undermine birth control has been “to take a study that backs up what they’re saying, then use that to draw some extravagant conclusion.”
“It’s thinly veiled, but it’s veiled enough that the average person often doesn’t identify it,” she said.
Many videos point to a 2018 study that found an association between taking hormonal birth control and suicide attempts and suicide in women in Denmark. But researchers and physicians who have cited the study have urged patients not to stop using hormonal birth control. Rather, health care experts have said that doctors should discuss any potential mood effects of the medication with patients, as other studies have contradicted the 2018 study, and pregnancy can also have mood side effects.
Ashley St. Clair, who has more than 673,000 Twitter followers, referred to the association suggested in the study in a tweet in which she said “Did you know the birth control pill increases risk of suicide and suicidal ideations?” In June, Twitter owner Elon Musk liked a number of anti-birth control tweets, including St. Clair’s tweet.
Jones said the 2018 Dutch study into suicide and hormonal birth control was “really important and well-done.”
But she said just reading the 2018 study’s abstract and drawing conclusions from that alone is lacking crucial context when making medical decisions. Primarily, she said, the risks of contraceptive use are not compared to the same risks in pregnancy, which she said are higher. The 2018 study specifically acknowledges that pregnancy also has association with higher rates of suicide.
In a phone interview, St. Clair said she believes women are being put on birth control at a young age without being told the risks of depression and suicidal thoughts.
“I was on it at 14 and I wasn’t told these things,” she said. “I really believe there needs to be more education for women around this.”
Similarly, Clark wrote in her response to NBC News that she wants patients to be “radically thoughtful” about making medical decisions.
“That starts with understanding the potential side effects, not downplaying them,” she wrote.
Jones tells her own social media audience to consider the motivation of people who post about birth control online. Oftentimes, they’re coming from a religious or political perspective, or they’re trying to sell something, she said, adding they are neglecting the scientific consensus in favor of alarmist sentiments. She pointed out that the American College of Obstetricians and Gynecologists has recommended that birth control be offered over the counter to anyone.
“There’s extensive data on this,” she said. “If birth control is safe enough to advocate that it should be over the counter, there’s absolutely no reason it should start to become a topic of legislation about who can access it and why.”
Still, Jones said, the way conservative influencers weaponize research about birth control's side effects has a real-world effect.
She said it is a daily occurrence for women at her practice to decline using hormonal birth control out of fear that it will cause permanent changes to their body and fertility.
“You basically are scaring people out of using birth control and not even comparing it to pregnancy,” Jones said.
In place of birth control, she said, many conservatives have taken a page from the natural health community and promoted cycle tracking and other fertility awareness methods. Several of the female conservative influencers write for and share articles from Evie Magazine, a media company whose founder also created a cycle-tracking startup called 28 by Evie. Conservative billionaire tech titan Peter Thiel has invested in the startup and more recently in fertility companies targeting international markets. During her interview, St. Clair also suggested that women should be taught to track their cycles as an alternative to medication birth control.
But, Jones said, fertility awareness methods to prevent pregnancy could fail “even in the most experienced person.” They require taking the temperature every day before getting out of bed, monitoring cervical mucus and knowing exactly what to look for, keeping track of all of these things on a chart, and avoiding intercourse or using another method to prevent pregnancy within the fertile window, she said.
According to the Mayo Clinic, fertility cycle tracking is among the least effective types of birth control, and that effectiveness varies by couple. It said that as many as 24 out of 100 women who use natural family planning will become pregnant within the first year. A 2021 study of period-tracking apps for fertility planning found that out of 10 apps used, all of them gave conflicting dates of fertility, most of which were incorrect.
“People get pregnant because they didn’t know they had to do all these things to make that effective,” she said.
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theygender · 6 months
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I love being T4T. My gf has been on estrogen for a couple weeks now and she's been having a rough time with her mood so I'm teaching her about the ancient art of soaking in a bubble bath with a little drink to sip while watching shows on your laptop
#pro-tip for any girls newly on E. this is The Cure for PMS#(which accurately describes what youre going through btw)#other great cures include putting on nice smelling lotion and fuzzy socks and wrapping yourself in a blanket burrito/nest#also eating lots of chocolate or other sweets and drinking your favorite caffeinated beverages#my mom used to always put on lotion and fuzzy socks and drink dr pepper and eat chocolate#my cousin likes to watch netflix in the bath with wine and then get in a blanket burrito with her favorite lemonade tea#if youve got someone to take care of you then you dont even have to come out of the burrito. you can just ask them to bring you things#all of these methods help a lot. we're experts on this you can trust me (family of people with endometriosis)#also if youre having headaches and bloating and stomach pain you might try midol (generic works fine)#it has acetaminophen for pain + caffeine for headaches (like excedrin) + antihistamine for bloating#also to clarify: i said girls newly on E only bc i figured girls who have been on it for a while might have already figured this stuff out#but PMS is by no means exclusive to transfems who have newly started on E#many transfems have reported getting PMS symptoms and even cramps on a monthly basis after being on estrogen for a while#this is bc after a while on E your body can start naturally making more estrogen and this can come with its own hormone cycle#and as a result you can essentially get all of the symptoms of a period just without the actual bleeding#(this can include cramps bc even in cis women the signals for the muscle spasms can sometimes get misdirected to nearby organs—#unfortunately causing stomach issues as well)#so if anyone out there happens to not already know this information and youve been feeling like shit periodically for seemingly no reason#now you know 😅#its your period#rambling
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theswedishpajas · 5 months
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It’s late at night and my pc is still messed up so you know what that means.
(More rotted brains)
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"Uhh sweetie? Are you *sure* you're not intersex?" - My bf, when I finally let him play with my girlcock
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bellossom · 5 months
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PMDD is torture why the fuck is my brain trying to kill me every month
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not-poignant · 1 year
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Safe
This one's like two months away:
'Alphas don't have this,' Efnisien said, his voice breaking. 'They've never had this. Why am I like this? Why can't I just be one or the other? I don't want to be an omega, I don't, but I can't- I don't understand what's happening to me. It's so pathetic. I wish the heat had never happened. Nothing's been the same. Nothing's the same now. I don't want to think anymore. About anything. Nothing's safe. She was right, you know, I'm a failure.' 
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bunnyb34r · 7 months
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Absolute bullshit system where my body just decides it cannot shit for a week, will be absolutely a massive cunt for no reason, and have massive mood swings every two weeks like jfc man I'm so tired of this
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feralattentionwhore · 8 months
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Once again questioning if I've ever managed to cum before or if it's just me getting really overstimulated instead
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border-collie · 1 month
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My period is over a week late now and it would be an actual, biblical miracle for me to be pregnant. I was TRYING to find out when I need to actually bring this up to medical attention and most sources are like "period late, take pregnancy test!"
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By: Andrew Doyle
Published: Apr 10, 2024
The review into paediatric gender treatment by Dr Hilary Cass has finally been published. Its conclusions should herald the end of “gender-affirming” care in the United Kingdom, and its impact is likely to reverberate around the world. 
The review has shown that 89% of girls and 81% of boys referred to GIDS (Gender Identity Development Service) were either homosexual or bisexual. The NHS has been practising gay conversion therapy in plain sight, and this has happened because politicians have been too ignorant or too afraid to do anything about it.
Cass has explicitly noted how fear of standing up to ideologues has resulted in a situation in which “attempts to improve the evidence base have been thwarted by a lack of cooperation from the adult gender services”. We have long suspected that the “gender-affirming” model of healthcare has persisted because its critics were too intimidated to speak out. This has been confirmed by Cass’s final report.
The report finds that vulnerable young people who should have been supported with therapeutic treatment were fast-tracked onto lifelong medicalisation. The risks of puberty blockers are now clear, and Cass notes that there is no evidence to justify them. Most crucially, we now know that the common assertion that puberty blockers and cross-sex hormones reduce the risk of suicide is completely false.
Cass refers to the influence on the NHS of the World Professional Association of Transgender Healthcare (WPATH), and how its guidelines have been found “to lack developmental rigour”. The recent revelations of the “WPATH files”, internal messages and videos from the organisation, have shown that leading practitioners were aware that children could not give “informed consent” to the treatments they were prescribing. In addition, they were also aware that gay or bisexual youth and those with mental health and autistic conditions were disproportionately affected. More details about the WPATH files can be read here.
Given the significance of WPATH’s influence, now confirmed by the Cass Review, it is remarkable that the BBC has yet to report on the WPATH files. Like the NHS, the BBC has been promoting gender identity ideology as though it were uncontested fact. In the light of the Cass Review, surely an investigation into the ideological capture of the BBC should be initiated. 
School policy is beyond the remit of the report, but Cass notes that “social transitioning” – that is, adopting preferred names and pronouns – can increase the chances of a child proceeding on a “medical pathway”. It would be prudent for the Department for Education to bear this in mind when drafting future guidelines. 
Cass offers an important recommendation for patients aged between 17 and 25. At present. young people who turn 17 are treated as adults and can be prescribed cross-sex hormones without parental consent. Given that the human brain is not fully developed until the age of 25, the risks here are obvious. Cass had recommended that “NHS England should establish follow-through services for 17-25-year-olds at each of the Regional Centres, either by extending the range of the regional children and young people’s service or through linked services, to ensure continuity of care and support at a potentially vulnerable stage in their journey.”
In light of the Cass Review, we now need an urgent investigation into how ideological zealots were able to dominate the NHS and branches of government to the detriment of children. Those charities who once supported gay rights – most notably Stonewall – have been complicit in this scandal which has mostly harmed gay youth. Any government departments and quangos still associated with Stonewall should sever all ties immediately.
Both the Conservatives and the Labour Party ought to ditch their commitment to a ban on “trans conversion therapy” and recognise that this will effectively stymie the therapeutic efforts of medical practitioners to support gender nonconforming children. The proposed ban on “trans conversion therapy” is tantamount to a new form of gay conversion therapy. You can read my thoughts on this subject here.
Above all, there now needs to be a concerted cross-party effort in parliament to identify those responsible for harming so many children and to hold them accountable for their negligence. The NHS should never have been in the business of practising pseudoscientific methods at the behest of activists, and we must ensure that this never happens again.
Download the Cass Review here.
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Even the BBC hasn't been able to just ignore this.
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druidic-focus · 1 month
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moodboard for when you have to look up ‘hymenectomy’
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vizthedatum · 4 months
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A kind of major (but really minor) tragedy: I DON'T THINK DR. PEPPER TASTES LIKE DR. PEPPER ANYMORE
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scientia-rex · 1 year
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The true joy of being a doctor who is becoming known for queer and trans competent healthcare is arguing with trans patients about whether they need antibiotics for their sinusitis.
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ftm-radio · 10 months
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got a letter from my doctor's office!! according to them, within a week I should be hearing from the ✨️specialist✨️ who will hopefully be giving me those good good hormones!
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