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Sep 20, 2018 12 tweets 7 min read Twitter logo Read on Twitter
@anna_carlile 1/ Those are all topics that deserve research - indeed far more than most topics "leading researchers" like Zucker have wasted years on (eg "Are AMAB girls more attractive than male peers"), but there are several others too, that medics, especially, have neglected for too long…
@anna_carlile 2/ such as:-
a) What Tanner stage of "male puberty" needs to be avoided to prevent hands & feet exceeding normal women's sizes, in those so predisposed?
b) Is there an intervention could stop the "female" restriction of height in AFAB boys?
@anna_carlile 3/
c) Practiced ears can diagnose male Tanner 2 from voice changes. Does that reverse if agonists or hormones are started before Tanner 3, or should, in the very clear cases where "desistance" never occurs (eg 📽️), Tanner 2 be avoided too?
@anna_carlile 4/
d) Thousands in 🇵🇰🇮🇳🇧🇩🇹🇭🇳🇵🇲🇲, over centuries, had "nirvan" at 10yo+ 📽️, to prevent male puberty & remove the incompatible parts. While many are still alive we should document why they did that, & how they have fared medically
@anna_carlile 5/
e) 1000s, in many countries, use over-the-counter HRT (usually The Pill) at 12yo or so 📽️, at their own volition, to switch to "female" puberty. Before haters & medical authorities move to block that, is it not beneficial? Has there been ANY downside?
@anna_carlile 6/
f) In 🇹🇭, where Buddhist culture has long taught those "born in the wrong body" be treated kindly, all schools have several "feminine boy" pupils, many of whom are trans 📽️. What light do those statistics throw upon referral numbers at western GICs?
@anna_carlile 7/
g) Many trans people who emerge as their real gender as children wish to only be seen & known as that gender (ie as #StealthTrans, lacking a better term). What administrative barriers are placed in their way to that in the UK, are they due to ignorance, prejudice or policy?
@anna_carlile 8/
h) Many trans girls get #PubertyWithPeers, going straight to hormones before or at Tanner2 📽️, avoiding the need for agonists. That needs studying whilst protecting their privacy & that of their doctors who are afraid of haters & prejudiced peers
@anna_carlile 9/
i) Many trans girls wish to be same height as peers, their sisters or mothers (which has long been arranged in intersex girls needing exogenous hormones), whilst others wish to be as tall as possible. Can that choice be provided, if it is an informed decision?
@anna_carlile 10/ Apologies for 📽️s in French, but English language reporters have some blind-spots on trans children. The 13yo in (5) has been on The Pill for a month & is at the school in (6) in rural NE 🇹🇭, where 11 of 1300 pupils were happy to put up their hands on 📺 to wanting #SRS
@anna_carlile 11/ All school, & most university students, & government employees in 🇹🇭 are required to wear uniform & hair, & have names according to gender assigned at birth (not exactly a kind policy), but make-up is allowed. No #GenderRecognition is possible 📽️
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More from @_oatc_

Sep 20, 2018
@MavenOfMayhem @makesweirdart 1/ May I, as a woman who was forced by the highly abusive psychiatrists of the UK NHS in the 1940/50/60s (their "treatment", if one tried to transition, was being locked in asylums & tortured with electro-convulsive shocks to wipe the mind), to "ride it out" until 21, add that…
@MavenOfMayhem @makesweirdart 2/…the trauma, & many body changes are irrecoverable or need costly & very painful treatment to ease. The pain & regret from being denied help available elsewhere, from the totally lost childhood & teens, the tensions & stress in the family, which can easily destroy the…
@MavenOfMayhem @makesweirdart 3/… family, destroy others lives too, perhaps prevent siblings ever being conceived, the distraction from, even destruction of educational opportunities, & the restricted life choices & economic deprivation, even dangers that follow from that, are all unnecessary, & abuse too.
Read 5 tweets
Sep 15, 2018
@jazzrat2000 @princess_stef69 1/ Almost all research on trans children until very recently was intended to justify pretty baseless beliefs or protocols, & anthing counter those was deliberately not reported. Sometimes, as in the case of Benjamin, who treated adolescents in the 50/60s, out of fear of haters.
@jazzrat2000 @princess_stef69 2/ Glaring, & continuing examples are those who for centuries fled hateful families & joined trans communities in 🇮🇳🇵🇰🇧🇩🇱🇰. So many of them obtained, in those pre-agonists, pre-hormones days, surgery in time to stop the wrong puberty📽️
that…
@jazzrat2000 @princess_stef69 3/…🇮🇳 police define one trans diversity as typically having had surgery at 10. Only one doctor ever published anything, & he suppressed the paper. Now they📽️ use over-the-counter hormones at first, which one might think would interest researchers, but still no one publshes…
Read 6 tweets
Aug 16, 2018
@TeamGender @FierceMum @MavenOfMayhem 1/ Obviously the research is still used as a reason to delay affirming children as their real gender, so it is highly relevant. Children weren't treated as purely binary back then either; but to provide agonists/hormones, or not is a binary decision.
@TeamGender @FierceMum @MavenOfMayhem 2/ That no one needs needs to be dysphoric to be trans is an example of why "trans" is not relevant, & should not be used in deciding which children need agonist/HRT internevention at Tanner2. A kid not fearful of/hating the wrong puberty doesn't want that intervention.
@TeamGender @FierceMum @MavenOfMayhem 3/ A valuable fact that emerges from some "desistance" research is that the single GIDC criteria common in those who presented pre-puberty & continued thru to hormones, & #SRS was stronger dysphoria, which was often those who presented earliest, just as Prof C-K said in 1995.
Read 10 tweets
Jul 28, 2018
@uhh_kate @PollyLlwyn 1/ It wasn't quite like that. It was a series on the woman, who wasn't following the NHS pathway. The crew got her in to see the founder of CX GIC (who was my psych 1971-73), in order to make him look bad on national TV, knowing he rejected some classes of patients, including…
@uhh_kate @PollyLlwyn 2/…those who like her who were involved in drag. He died shortly after.

He worked absolutely tirelessly for decades establishing a network of professionals who enabled a huge number (there being decades of backlog), often for free on the NHS, get where they needed to be, …
@uhh_kate @PollyLlwyn 3/…including me - he certainly saved my life - in a situation where most had been, & some still were locked away in asylums & subjected to brain-wiping ECT.

In the process he was conservative about who he accepted as patients, or recommended for surgery. He was fighting…
Read 11 tweets
Jul 3, 2018
@upandoutcomic 1/ Thanks for asking this, because the answers illustrate wonderfully how there are so many #trans #diversities, often experienced with such intensity.
@upandoutcomic 2/ My answer is like the stereotype few believe. Which is hard. And I remember it well too, which again few believe.

I was 2, & being pressed to "be a boy" for the 1st time, & not liking that. My dad & his mom were criticising me, & my mom for me not being "like a boy". It was…
@upandoutcomic 3/…1950, so no TV. There were no boys around - no neighbours, all my cousins girls. There was a family wedding, & they'd cut my hair for the first time, literally using a pudding basin, the night before. They'd put me in little tailored shorts, with an uncomfortable waistband,…
Read 9 tweets
Jun 11, 2018
May I lay before you trans women in 2nd cent AD Syria, in a validated Greek text? Theory has it their traditions dated back to at least 660BCE, & have been reflected until very recently right across to SE Asia, but were erased by xtianity to the west.
For that SE Asia connection, the Kathoey of 🇻🇳🇰🇭🇹🇭 were Buddhist temple dancers, & the Kothi, Aravani, & Hijra of 🇮🇳🇵🇰🇧🇩 may have been too, before Hinduism, & Islam. Here's an 🇮🇳 Aravani dancer who had surgery at 10yo
Are the Aravani trans women? Most say they are women, even though some Hijra identify as #3rdGender. See what you think… Here is another, younger, married, 🇮🇳Aravani dancer
#TransHistory #TransWorldwide #TransCulture
Read 8 tweets

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