Common trans debates: only the facts
<p>Last year, I examined <a href="https://medium.com/@lexi.m.henny/how-common-is-detransition-a-review-of-all-the-evidence-95518e6affe1" rel="noopener">dozens of papers</a> on the topic of detransition, finding mean and pooled rates of <strong>3-4%</strong>. Surgical regret rates are lower (but not <<1% as some have argued). A misleading narrative has been woven using studies that (a) relied on a definition of gender identity disorder (GID) that did not require a desire to be the opposite gender, (b) included undiagnosed patients in the subject pool, and even (c) occurred at centers that practiced forms of conversion therapy. Many of these studies are also 30-60 years old.</p>
<p>This rate is associated with large uncertainty on both sides. Detransition studies typically have short follow-up periods of no more than 5 years, meaning that long-term detransition frequency may be underestimated. On the other hand, many trans people detransition due to external pressure or discrimination – meaning that the frequency of “true” (identity-based) detransition may be overestimated¹.</p>
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