Compared to the high rates of depression and suicide, yes, I think osteoporosis is probably a relatively small and manageable risk.

With doctors like these, who needs faith healers?

I still don't understand why the depression and suicide risks for Transgender people are taken so much more seriously than any other group of people. Everyone else gets an SSRI and a "try to go for a walk outside once a day, good luck, bye bye!"

Well, that going for a walk outside isn't so easy when you can't walk thanks to severe osteoporosis.

I do not think that ruining your physical health for the mere hope of achieving mental health is such a good idea.

Puberty blockers are not antidepressants, after all. (Though antidepressants also can have osteoporosis as side effect. Taking those on top of the puberty blockers ... yeah, that doesn't sound like a good idea.)

ssri have a lot of side effects. Many cause PSSD, tardive dyskinesis, q-t interval issues, migraines... i wish i had been more informed.

I don't know the relative proportions of side effect, but hormonal birth control, especially long term use, is associated with osteoporosis too. Obviously, there are many reasons women go on it, but if it's just because a man refuses to use a condom, i really don't think it's worth the risk. But, some doctors think that's okay, so i'm not surprised they think it's an acceptable risk for depression.

[–] Julie92845 5 points Edited

Well, they might be going off the 41% myth. Because if that was true it would be very terrible indeed.

Yeah, cracking ribs every time you pick up something a bit too heavy is NBD! Who even needs a solid pelvis or spine anyway?

With doctors like these, who needs faith healers?

I'd rather go to a faith healer for something like genderfeelz. Less harm done.

Lol, I am chronically depressed and frequently suicidal. I would take those feelings over goddamn osteoporosis any day

" far too many people let their political views get in the way here and hide behind a call for “evidence based medicine” when there are way more things we do in medicine with greater potential harms and less evidence behind it."

Well obviously you shouldn't be doing those things either.

[–] Cailin 17 points Edited

there are way more things we do in medicine with greater potential harms and less evidence behind it.

Yes you’re right, prescribing children end-of-life prostate cancer drugs is fine because other things you do aren’t evidence based either.

I'll bet my hat that those treatments with greater potential harm are also prescribed in a lot more discriminatory fashion, and probably greater potential benefits.

GnRH antagonists are the one of, if not THE last fucking stop for many conditions they're actually proven to treat, like endometriosis, exactly because of the risks and general misery of the side effects. Anyone who says they're harmless should be subjected to a 6 month course and tell me a kid deserves that.

My daughter was on them for 3 years for central precocious puberty. She is fine, her bones are fine, her brain is fine. She had no miserable side effects other than a sore bottom from the injections. Puberty blockers are being demonized because they are being misused. They are not the dangerous, damaging medications people claim they are. They are not toxic cancer drugs like chemotherapy, they are used to treat hormone responsive cancer. My daughter deserved treatment to avoid stunted growth, increase risk of sexual abuse, depression, reproductive cancers, diabetes, and obesity.

[–] Tiramisuomi 4 points Edited

I didn't mean to imply that no child deserves treatment for a condition in which this is truly their best choice. I'm sorry that I did that! I'm happy that your daughter is doing well :)

“There isn’t data on if there’s a benefit” is akin to saying “there isn’t data that parachutes save lives.” Technically a true statement, but I think clearly without merit.

These people give me a headache. Whenever I read these comments I’m like wtaf is wrong with you.

I know. These are medical students, doctors? Ugh.

These are medical students, doctors?

Embarrassing for the medical profession. I hope this person is never allowed near patients.

[–] RisingUp 7 points Edited

Many of these patients have depression, limited physical activity, and often vitamin D deficiency which are all independent risk factors for osteoporosis.

So why were they given drugs that carry a known risk of osteoporisis? Was that possibly, just perhaps, a bad fucking idea? Can these fuckers even hear themselves.

Also how are they having this conversation about trans identifying teenagers having low bone mass before starting treatment, and not pointing out the anorexic elephant in the room?

The second black box alert for the puberty blocker Lupron is severe psychiatric episodes, especially suicidal behavior. Do doctors usually prescribe medications for depression that makes the patient even more depressed and suicidal?

Yes. Or rather they prescribe medications where a known side effect is that the person might initially feel worse. But if it doesn't help after a few weeks they STOP the medication or change it.

Do doctors usually prescribe medications for depression that makes the patient even more depressed and suicidal?

In my experience, yes. Some just throw anything at you that might work.

The (Force of) cognitive dissonance is strong in this one.