by Lloyd Billingsley, FrontPage Mag:
Admiral Rachel Levine, in effect Joe Biden’s Cabinet Minister for Trans Affairs, proclaimed last October that “accredited medical professional groups agree that gender-affirming care is medically necessary, safe, and effective for trans and non-binary youth.” Last March, Levine ramped up the claim.
“President Biden supports you. I as the Assistant Secretary for Health will support you and I talk about this topic, everywhere I go, to get the word out,” said Levine, a Harvard grad and medical doctor. “I am positive and optimistic and hopeful that the wheel will turn after that and that this issue won’t be as politically and socially such a minefield.”
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“Gender affirming care” commonly includes cross-sex hormones, puberty blockers, and gender reassignment surgeries.” Those contemplating these procedures should know what they entail.
Dr. Maddie Deutsch, Associate Professor of Clinical Family & Community Medicine at the University of California – San Francisco (UCSF), and Medical Director for UCSF Transgender Care, reviews the “choices, risks, and unknowns associated with feminizing hormone therapy.” Taking higher doses of hormones, “will not necessarily bring about faster changes, but it could endanger your health.”
As Dr. Deutsch explains, “your skin will become a bit drier and thinner. Your pores will become smaller and there will be less oil production. You may become more prone to bruising or cuts and in the first few weeks you’ll notice that the odors of your sweat and urine will change.”
In these conditions, “you can also expect your muscle mass and strength to decrease” and “your testicles will shrink to less than half their original size, and most experts agree that the amount of scrotal skin available for future genital surgery won’t be affected.”
According to Dr. Deutsch of UCSF, “many of the effects of hormone therapy are reversible, if you stop taking them. The degree to which they can be reversed depends on how long you have been taking them. Some breast growth, and possibly reduced or absent fertility are not reversible.” (emphasis added)
Puberty blockers, according to the Mayo Clinic, are hormone (GnRH) analogues that “can be used to delay the changes of puberty in transgender and gender-diverse youth who have started puberty.” Delaying puberty “might improve mental well-being, ease depression and anxiety, improve social interactions with others,” and so forth. On the other hand, puberty blockers alone “might not be enough to ease gender dysphoria.”
Possible side effects of GnRH analogue treatment include: “swelling at the site of shot, weight gain, hot flashes, headaches,” and “mood changes.” GnRH analogues might have long-term effects on “growth spurts, bone growth, bone density” and “fertility, depending on when the medicine is started.”
As the Mayo Clinic warns, “some of the changes triggered by gender-affirming hormone therapy cannot be reversed. Others may require surgery to reverse.” (emphasis added) And “gender confirmation surgery” (GCS) is necessary to complete reassignment from the original design.
For the male-to-female (MTF) patient, surgical procedures may include: mammoplasty, orchiectomy, penectomy, vaginoplasty, clitoroplasty, vulvoplasty, labiaplasty, urethroplasty, and prostatectomy. Facial reconstruction, voice surgery and liposuction may also be required.
For the female-to-male (FTM) patient, surgical procedures may include, subcutaneous mastectomy, nipple grafts, chest reconstruction, salpingo-oophorectomy, metoidioplasty, phalloplasty, vaginectomy, vulvectomy, scrotoplasty, and implantation of erectile and/or testicular prostheses. Some of these procedures have variations.
A total vaginectomy “involves complete removal of all the tissue of the vagina and is considered risky.” It does not remove the uterus or ovaries, which are removed by salpingo-ooporectomy and hysterectomy. A muscosal vaginectomy removes some of the lining of the vagina and then closes up the entrance. The inside of the vagina then collapses in on itself. The effects of vaginectomy “are permanent and cannot be reversed.”
A penectomy, “completely destroys the penis,” leaving no skin for a vaginoplasty. For new genitals, the patient needs labiaplasty, clitoroplasty, and vaginoplasty by other means. According to Oregon Health and Science University, the risks to vaginoplasty include vaginal stenosis, narrowing of the vaginal canal, and “a second surgery is often required to fix it.”
