The science of sellouts: Why are LGBT conservatives like that?

Zinnia JonesThere’s a certain combination of personal and political identity that proves perpetually puzzling: queer and trans people who support conservative parties which broadly oppose and work against the rights and equality of queer and trans people. What motivates someone whose fundamental validity as a member of society is still contested to forsake that political concern and basic self-interest? What outcomes do they envision for themselves and their community as a result of these policies? Are they self-absorbed to the extent that they believe any negative impacts of these policies simply won’t affect them? As my wife and I have often wondered about a notorious YouTube conservative: if trans people were all sent off to camps tomorrow, does she believe she’d just get a Blaire White exception? Continue reading

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One Month Left

Zinnia JonesAs we approach the end of 2019, a meme has been circulating around Twitter: “there’s only ONE MONTH left in the decade. what have you accomplished?” Some have responded with a laundry list of accomplishments and ways that their lives have dramatically changed for the better. For others this was occasion for despair over the realization of how little they’ve managed to progress for a significant fraction of their lives. Still others helpfully pointed out that the decade will not actually end until the arrival of 2021, which surely takes the sting out of looking back over the past 10 years and being disappointed at your wasted decade of stagnation and underachievement.

After seeing how many people were displeased with what their lives have amounted to over this time, it occurred to me how taking this perspective played a crucial role in one of the most significant decisions of my life: transitioning. And, at least in that area of life, imagining that point of view helped me avoid an outcome of looking back on the past 10 years with regret. Continue reading

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Spironolactone can be ineffective as an antiandrogen for many trans women

Zinnia JonesFor trans women and transfeminine people who choose medical transition, one of the most common treatments is the use of hormonal medications to reduce testosterone levels and raise estrogen levels. By moving testosterone and estrogen levels into the normal female range, cross-sex hormone therapy diminishes masculine features and produces the development of feminine features.

However, one of the medications most commonly used to block testosterone for trans women in the United States may be one of the less effective medications for this purpose. A growing body of evidence suggests that spironolactone does not usefully lower testosterone into the female range for many trans women. Continue reading

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Even more data confirms: Trans people’s awareness of their gender long precedes disclosure to others

Zinnia JonesLast month, I looked at the findings of Restar et al. (2019) in Transgender Health, which examined the developmental trajectories and milestones of trans women aged 16 to 29 and found that their own awareness of their identity as women typically preceded their disclosure of their gender to others by several years. This is relevant to the uniquely poor methodology used in the “rapid onset gender dysphoria” study, in which reports from parents alone were used, and a child’s disclosure of their transness to a parent was equated with the time at which that child’s transgender identity actually appeared. It also comes to bear on the all-too-common objection heard by trans people from family members that they “never saw any signs” of the person’s transness – when all this means is that the trans person hadn’t yet decided to show any signs.

Findings such as those from Restar et al. overturn the naïve assumption of a developmental trajectory that starts with reading about trans people on Tumblr, continues with self-identification as trans 5 minutes later, and is followed by telling your parents 30 seconds after that realization. And another recent study offers further details on the developmental course of known and lived transgender identity among an even younger age group. Continue reading

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How soon can AFAB trans adolescents expect physical changes from testosterone?

Zinnia JonesAs of this month, it’s been seven years since I started HRT, and I can still recall the excitement, anticipation, and impatience of waiting for the first physical results to appear. (It turned out to be 10 days after starting, with the first noticeable hint of breast and areolar changes.) I also remember the acute discomfort and deep sadness, ten years prior to that, of seeing my body grow more and more unsightly and uncomfortable hair every day, heading in exactly the wrong direction. It would have been fantastic if the dread of the latter could have been replaced with the joy of the former, and with the advent of puberty blockers, trans youth today increasingly have the opportunity to access that very possibility.

But even the Endocrine Society’s most recent version of its transgender treatment guidelines offers only rough estimates of the timeframes of physical changes from hormone treatments for trans adults, apparently based only on the authors’ general clinical experience, and nothing on trans youth using puberty blockers and cross-sex hormones to induce the correct puberty. A recent study helps to change that, examining just what the course of puberty looks like for adolescent trans boys. Continue reading

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