Detransitioned teens explain why they regret changing genders

“I was failed by the system. I literally lost organs.”

When Chloe was 12 years old, she decided she was transgender. At 13, she came out to her parents. That same year, she was put on puberty blockers and prescribed testosterone. At 15, she underwent a double mastectomy. Less than a year later, she realized she’d made a mistake — all by the time she was 16 years old.

Experts worry that many young people seeking to transition are doing so without a proper mental-health evaluation. Among them is Dr. Erica Anderson, a clinical psychologist specializing in gender, sexuality and identity. A transgender woman herself, Anderson has helped hundreds of young people navigate the transition journey over the past 30 years. Anderson supports the methodical, milestone-filled process lasting anywhere from a few months to several years to undergo transition. Today, however, she’s worried that some young people are being medicalized without the proper restraint or oversight.

According to an online survey of detransitioners conducted by Dr. Lisa Littman last year, 40% said their gender dysphoria was caused by a mental-health condition and 62% felt medical professionals did not investigate whether trauma was a factor in their transition decisions.

“My dysphoria collided with my general depression issues and body image issues,” Helena recalled. “I just came to the conclusion that I was born in the wrong body and that all my problems in life would be solved if I transitioned.”

“More attention needs to be paid to psychotherapy,” Chloe said. “We’re immediately jumping into irreversible medical treatments when we could be focusing on empowering these children to not hate their bodies.”

Until 2019, Marcus Evans was the Clinical Director of Adult and Adolescent Services at the Tavistock and Portman NHS Trust, a publicly funded mental-health center in the UK where many youth seek treatment for gender dysphoria. But he resigned three years ago over what he viewed as the unnecessary medicalization of dysphoric adolescents.

“I saw children being fast-tracked onto medical solutions for psychological problems, and when kids get on the medical conveyor belt, they don’t get off,” Evans said. “But the politicization of the issue was shutting down proper clinical rigor. That meant quite vulnerable kids were in danger of being put on a medical path for treatment that they may well regret.”

Indeed, transitions are getting younger and hastier. Puberty blockers are commonly administered at the first sign of development to children as young as 9, according to the World Professional Association for Transgender Health. Testosterone and estrogen injections are frequently prescribed at age 13 or 14, despite the Endocrine Society’s recommendation of 16. And serious surgeries like mastectomies are sometimes performed on children as young as 13.

For those who ultimately end up regretting their transition, the consequences of hormone therapy and surgery can be devastating. For Helena, testosterone caused emotional instability that culminated with two hospitalizations for self-harm.

While in the hospital she came to the realization that her transition was a mistake. “I saw a montage of photos of me, and when I saw how much my face changed and how unhappy I looked, I realized this was all f****d up and I shouldn’t have done it. It was a really dark time.”

Chloe said testosterone altered her bone structure, permanently sharpening her jawline and broadening her shoulders. She said she also struggles with increased body and facial hair. She has a large scar across her chest from her mastectomy, which disturbed her about surgery. “The recovery was a very graphic process, and it was definitely something I wasn’t prepared for,” she said. “I couldn’t even bear to look at myself sometimes. It would make me nauseous.”

Gravest of all concerns is her fertility. Although she’d like to have children one day, Chloe doesn’t know whether the viability of her eggs was compromised by years of testosterone injections. She’s working with doctors to find out, and her medical future is uncertain. “I’m still in the dark about the overall picture of my health right now,” she said.

Source: Detransitioned teens explain why they regret changing genders