Having banned puberty blockers, UK paediatric gender transition is largely a thing of the past. But what about the wider state of gender medicine? NHS statistics show it is still on the march.
1. I'd like a TL:DR explanation of "diagnostic overshadowing”. I guess you mean that there are many cases where gender dysphoria is NOT the main diagnosis and actually these surgeries are being done to people whose primary diagnosis is that they have "mental health issues". I hope I have got that right.
2. I knew about how data on gender is flawed because people's gender identity is recorded, not their sex - in prisons and the NHS and elsewhere. That's bad enough. But I had not realised that "there has been a severe censoring of information by NHS England as unlike with other surgical procedures age and other patient characteristics are no longer published after 2015." I wonder why that change was made and if FoI requests would reveal the data. Certainly, ages of patients would seem to be important data.
3. Is there any relevant NHS data on de-transitioners, including surgeries to attempt to undo what has already been done?
The muddling of crucial data was a predictable result of using gender-affirming language in patient records. There is so much that is shocking in the medical establishment's handling of the trans phenomenon, and the unavailability of reliable statistics is just one more. When will this nightmare ever end?
NHSE has funded the setting up of a new surgical provision at Chelsea and Westminster hospital to provide "masculinising genital surgeries", aiming to do about 280 procedures a year when fully up and running. Plus also funding provision at one private facility.
Thanks for this analysis, Paul. There are some additional factors you might wish to consider when comparing the UK's gender surgery statistics to Germany's:
1. Elective genital surgeries on women also include metoidioplasty, the surgical extension of the clitoris to supposedly resemble a micro-penis. It isn't all phalloplasty (the creation of a flesh-tube pseudo-penis from the patient's arm or leg skin).
2. The NHS doesn't carry out these bizarre medical procedures, but it does fund them in private clinics for some people. The number of self-paying private customers and overseas surgeries for this relatively wealthy country remains unknown, so the NHS England numbers are likely to be just a fraction of the total for the UK as a whole.
3. Scotland is the home of both heretical religious sects and gender cults, which may not be a coincidence, if we consider Gnostic and pagan influences. (The body is the prison of the soul, the Judaeo-Christian God is really the devil, the serpent in the Garden of Eden was correct etc etc). It wouldn't be a surprise to me if Scottish people are over-represented among those who have had elective genital surgeries.
Great piece! Thank you for this work.
1. I'd like a TL:DR explanation of "diagnostic overshadowing”. I guess you mean that there are many cases where gender dysphoria is NOT the main diagnosis and actually these surgeries are being done to people whose primary diagnosis is that they have "mental health issues". I hope I have got that right.
2. I knew about how data on gender is flawed because people's gender identity is recorded, not their sex - in prisons and the NHS and elsewhere. That's bad enough. But I had not realised that "there has been a severe censoring of information by NHS England as unlike with other surgical procedures age and other patient characteristics are no longer published after 2015." I wonder why that change was made and if FoI requests would reveal the data. Certainly, ages of patients would seem to be important data.
3. Is there any relevant NHS data on de-transitioners, including surgeries to attempt to undo what has already been done?
The muddling of crucial data was a predictable result of using gender-affirming language in patient records. There is so much that is shocking in the medical establishment's handling of the trans phenomenon, and the unavailability of reliable statistics is just one more. When will this nightmare ever end?
NHSE has funded the setting up of a new surgical provision at Chelsea and Westminster hospital to provide "masculinising genital surgeries", aiming to do about 280 procedures a year when fully up and running. Plus also funding provision at one private facility.
https://www.whatdotheyknow.com/request/cost_of_provision_of_masculinisi#incoming-2844337
Thanks for this analysis, Paul. There are some additional factors you might wish to consider when comparing the UK's gender surgery statistics to Germany's:
1. Elective genital surgeries on women also include metoidioplasty, the surgical extension of the clitoris to supposedly resemble a micro-penis. It isn't all phalloplasty (the creation of a flesh-tube pseudo-penis from the patient's arm or leg skin).
2. The NHS doesn't carry out these bizarre medical procedures, but it does fund them in private clinics for some people. The number of self-paying private customers and overseas surgeries for this relatively wealthy country remains unknown, so the NHS England numbers are likely to be just a fraction of the total for the UK as a whole.
3. Scotland is the home of both heretical religious sects and gender cults, which may not be a coincidence, if we consider Gnostic and pagan influences. (The body is the prison of the soul, the Judaeo-Christian God is really the devil, the serpent in the Garden of Eden was correct etc etc). It wouldn't be a surprise to me if Scottish people are over-represented among those who have had elective genital surgeries.