this post was submitted on 02 Mar 2026
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[–] andros_rex@lemmy.world 1 points 2 days ago (1 children)

Sexual reassignment surgery and top surgery are types of treatment. Another type is puberty blockers, which I asked about and you responded with talking points instead of information.

Surgery is irrelevant when talking about the treatment of 99.999% of transgender teens. Making the conversation about surgery is falling for right wing talking points.

The “end game” is presumably that one goes on HRT to experience the correct puberty. Most trans men just take testosterone, trans women often take an anti-androgen (spiro) with their estrogen.

As far as removing breast buds, I’m not sure if that would be needed or not. Regardless, removing breast buds would be possible with perioareolar top surgery, which is much less invasive than full double mastectomy (I wasn’t lucky enough to go on blockers, but I was small enough to get a peri - it was an outpatient procedure which took me like 3 days to sleep off. Double mastectomies are usually much more involved.)

[–] NewSocialWhoDis@lemmy.zip 1 points 2 days ago (1 children)

Surgery is irrelevant when talking about the >treatment of 99.999% of transgender teens. Making >the conversation about surgery is falling for right >wing talking points.

That's fine. It's an extreme example to illustrate the perspective: most parents will err on the side of "Do no harm." You are misidentifying the perspective you're fighting. I am more likely to live in a liberal bubble than a conservative one. It's just where my mind (and the average parent's mind?) automatically goes. One method of philosophical reasoning is to start with the extremes and then narrow down to the center/ more likely scenarios that are shades of the extreme... I think that's common?

The “end game” is presumably that one goes on >HRT to experience the correct puberty. Most trans >men just take testosterone, trans women often take >an anti-androgen (spiro) with their estrogen.

How do they prevent their bodies from producing sexual hormones they don't want? Removal of the testes/ ovaries? Ablating the adrenal gland ? (pretty sure that's not a thing ... It would have other serious ramifications).

[–] andros_rex@lemmy.world 1 points 2 days ago

One method of philosophical reasoning is to start with the extremes and then narrow down to the center/ more likely scenarios that are shades of the extreme…

My state is about to follow Kansas and revoke the “M” on my drivers license, which I’ve had for 10 years. This will put me in physical danger and harm my ability to find employment. No one needs you to play devils advocate here.

How do they prevent their bodies from producing sexual hormones they don’t want?

Spiro for trans women, not really a problem for trans men. There’s estrogen floating around in my body right now, but the testosterone overwhelms it.

Removal of the testes/ ovaries? Sometimes. Hysterectomy for trans men and orchi for trans women are common in adulthood.