R&I – FS
In exclusive interviews, two prominent providers sound off on puberty blockers, ‘affirmative’ care, the inhibition of sexual pleasure, and the suppression of dissent in their field.
For nearly a decade, the vanguard of the transgender-rights movement — doctors, activists, celebrities and transgender influencers — has defined the boundaries of the new orthodoxy surrounding transgender medical care: What’s true, what’s false, which questions can and cannot be asked.
Bowers is not only among the most respected gender surgeons in the world but easily one of the most prolific: she has built or repaired more than 2,000 vaginas, the procedure known as vaginoplasty. She rose to celebrity status appearing on the hit reality-television show “I Am Jazz,” which catalogues and choreographs the life of Jazz Jennings, arguably the country’s most famous transgender teen.
At first, Jazz’s surgery seemed to have gone fine, but soon after she said experienced “crazy pain.” She was rushed back to the hospital, where Dr. Jess Ting was waiting. “As I was getting her on the bed, I heard something go pop,” Ting said in an episode of “I Am Jazz.” Jazz’s new vagina — or neovagina, as surgeons say — had split apart.
Another problem created by puberty blockade — experts prefer “blockade” to “blockage” — was lack of tissue, which Dutch researchers noted back in 2008. At that time, Cohen-Kettenis and other researchers noted that, in natal males, early blockade might lead to “non-normal pubertal phallic growth,” meaning that “the genital tissue available for vaginoplasty might be less than optimal.”
Many American gender surgeons augment the tissue for constructing neovaginas with borrowed stomach lining and even a swatch of bowel. Bowers draws the line at the colon. “I never use the colon,” she said. “It’s the last resort. You can get colon cancer. If it’s used sexually, you can get this chronic colitis that has to be treated over time. And it’s just in the discharge and the nasty appearance and it doesn’t smell like vagina.”
The problem for kids whose puberty has been blocked early isn’t just a lack of tissue but of sexual development. Puberty not only stimulates growth of sex organs. It also endows them with erotic potential. “If you’ve never had an orgasm pre-surgery, and then your puberty’s blocked, it’s very difficult to achieve that afterwards,” Bowers said. “I consider that a big problem, actually. It’s kind of an overlooked problem that in our ‘informed consent’ of children undergoing puberty blockers, we’ve in some respects overlooked that a little bit.”
In the year after her operation, Jazz would require three more surgeries, and then defer Harvard College for a year to deal with her depression. In 2021, she opened up about a binge-eating disorder that caused her to gain nearly 100 pounds in under two years.
Gellieman
Article URL : https://bariweiss.substack.com/p/top-trans-doctors-blow-the-whistle