CMV: Before offering Hormone Replacement Therapy to a transgender person it is justifiable to request that they come out and live as the gender they are for a year (or so)

You'd ask a patient with Multiple Sclerosis to just hang aroun a year and suffer, because some elements of society might view them poorly?

That's a comparable situation in the way that both conditions are very potentially deadly without treatment, but incomparable in that you suggest a complete non-treatment of MS to mirror my suggestion, while I suggest only a partial treatment (change in public gender expression and role). In the Standards of Care for transgender people there are four treatment options mentioned:

  1. Changes in gender expression and role (which may involve living part time or full time in another gender role, consistent with one’s gender identity);
  2. Hormone therapy to feminize or masculinize the body;
  3. Surgery to change primary and/or secondary sex characteristics (e.g., breasts/chest, external and/or internal genitalia, facial features, body contouring);
  4. Psychotherapy (individual, couple, family, or group) for purposes such as exploring gender identity, role, and expression; addressing the negative impact of gender dysphoria and stigma on mental health; alleviating internalized transphobia; enhancing social and peer support; improving body image; or promoting resilience.

I am suggesting that 1) should be used, in most cases, before 2).

"I won't give it to you until you jump through arbitrary hoops."

I'm trying to argue the hoops are not arbitrary

Is a woman with short hair wearing pants not a woman?

Absolutely, but a name change and coming out as a woman, asking people to use the correct pronouns and name, is a much bigger part of being a woman - and that's what the gender expression and role is all about.

/r/changemyview Thread Parent