It’s Time for Liberal Physicians to Rethink American Gender Medicine | The Ob/Gyn Power Project

[Scott75]

I didn't read the whole article, but what I did read sounded quite good. Quoting the concluding remarks below:

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Getting it wrong

It’s OK to be wrong sometimes.

In medicine, sometimes we get ahead of ourselves. New treatments that seem so promising at first end up not panning out. The widespread prescription of oxycodone as a panacea for chronic pain in the 2000s is a good example of this. The doctors who prescribed it wanted to help their patients. We just didn’t realize oxycodone’s harms until they became common enough to see.

I’d like to believe that we are people of science; that we realize when it is time to course correct.

On gender medicine, the time to course correct is now.

It is time for experts in our professional organizations who do not have a vested interest in perpetuating the current treatment paradigm in youth gender medicine to step up – to make truly evidence-based recommendations for standards of care.

It is time to seriously ask ourselves what the safest, least harmful interventions are in youth gender medicine, and hold these interventions to rigorous, data-driven standards. It may be reasonable at this juncture to halt new starts of medical and surgical treatments for minors (puberty blockers, cross-sex hormones, and mastectomies and other surgeries) outside of well designed, longitudinal clinical trials.

It is time to provide resources within the institutions of mainstream medicine for people who seek detransition care.

It is time to question whether “gender dysphoria” as an indication in and of itself for hysterectomy, without abnormal bleeding, pain, or any other diagnosis, should continue to bypass all of the checks and balances inherent in our healthcare system for major surgery.

My fellow gynecologists, we are people of science. We know right from wrong. We care about our patients. We can find the courage to do this.

Dr. Karla Solheim, MD, FACOG

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Full article:

https://karlasolheim.substack.com/p/its-time-for-liberal-physicians-to