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Another thoughtful commentary.

My understanding is that the BMA is a union and that the professional body for doctors in the UK has endorsed Cass.

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Thank you!

And actually, there are some (poorly sampled) long term outcomes for the Dutch protocol patients (which are not the ones who make up the majority of the patients now, those had lifelong extreme gender dysphoria and were psychologically stable)...

For those handpicked patients that were followed up so far, Abbruzzese et al (2023) report....

"Nearly a quarter of the participants have felt that their bodies were still

too masculine, and over half have experienced shame for the “operated

vagina” and fearful their partner will find out their post-surgical

status—despite registering low “gender dysphoria” UGDS scores

(Steensma et al., 2022).”

“...the reported relationship difficulties reported by Asseler, with over 60%

of individuals in their early to mid-30’s still single, also deserve serious

consideration. The apparent sexual difficulties reported by male-to-female

transitioners by van der Meulen (around 70% have problems with libido,

have pain during sex, or have problems with achieving orgasm),

combined with reproductive challenges, may be contributing to this

outcome."

"the rate of cross-sex identification was not as stable as originally

expected, with a sizable percentage reporting one or more instances of

identity changes after treatment completion, especially among the

individuals on the autistic spectrum (Steensma et al., 2022)"

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Very well done. I think a word is missing in this sentence:

"Despite its title, the paper offers little in the way of evidence but relies on sheer volume of minor quibbles, irrelevancies, logical fallacies and outright ____________ to overwhelm its readers. "

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That should be corrected to read "outright falsehoods"

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I guessed that might have been it. :-)

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It is corrected on the website. I guess the correction does not affect the e-mail versions.

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