Planned Parenthood transitioning to transitioning

[CosmicCowboy]

https://www.plannedparenthood.org/get-care/our-services/transgender-hormone-therapy

Planned Parenthood is one of the largest providers of cross-sex hormones in the United States, and one of the fastest growing. Affiliates in the greater Portland area saw a nearly 400 percent increase in "gender-affirming care visits" between 2021 and 2022, according to their annual reports, while those in Ohio saw a 544 percent increase over the same period. Hormones now appear to be in higher demand than abortion at some branches: A Planned Parenthood in Knoxville, Tenn., told NPR that nearly a fifth of its patients sought hormone therapy in 2021, whereas abortion makes up just 3 percent of Planned Parenthood’s services nationally.

This growth has come as pediatric gender clinics, which used to wait months before prescribing hormones, are becoming more laissez faire themselves. Some now prescribe hormones on the first visit, a Reuters investigation found last year, while others say ballooning caseloads have made it harder to conduct the kind of in-depth assessments once standard in the field.

But with Planned Parenthood a constant temptation for older teens, even the most conservative clinics have an incentive to reduce gatekeeping if they don’t want to lose patients. The result, Anderson said, is a race to the bottom that pulls all providers, no matter their philosophy, toward the informed consent model adopted by Planned Parenthood, which doles out life-altering drugs to almost anyone who requests them. And that model has alarmed even the liberal pioneers of gender medicine, who say that some 18-year-olds—especially those with special needs—cannot meaningfully consent to hormones without extensive counseling.

"There are 15-year-olds I work with who are much more mature than average and can make these kinds of decisions," said Edwards-Leeper, who, along with Anderson, has attacked GOP efforts to ban hormone therapy for minors. "But there are also 20-year-olds who are struggling in various ways that make them less able to give informed consent."

These doctors argue that Planned Parenthood, which relies heavily on nurse practitioners and employs few psychiatrists, is ill-equipped to handle complex cases. Its clinicians are not trained to assess patients’ "developmental trajectory," Anderson said, including the role social media or childhood trauma may be playing in their distress. Nor are they trained to consider the impact of autism, which often co-occurs with gender dysphoria and—according to multiple sets of clinical guidelines—warrants a more cautious approach to hormone therapy.

"Because it is often harder for an adolescent with [autism] to comprehend the long-term risks and implications of gender-related medical interventions," guidelines published in the Journal of Clinical Child & Adolescent Psychiatry state, "consenting for treatment may be more complex in this population."

[MultiTroll]

Retired Navy SEAL Chris Beck, who came out as trans, announces detransition: 'destroyed my life' (nypost.com) (https://nypost.com/2022/12/11/retired-navy-seal-chris-beck-who-came-out-as-trans-announces-detransition-destroyed-my-life/)

[Blake]

https://www.plannedparenthood.org/get-care/our-services/transgender-hormone-therapy

Planned Parenthood is one of the largest providers of cross-sex hormones in the United States, and one of the fastest growing. Affiliates in the greater Portland area saw a nearly 400 percent increase in "gender-affirming care visits" between 2021 and 2022, according to their annual reports, while those in Ohio saw a 544 percent increase over the same period. Hormones now appear to be in higher demand than abortion at some branches: A Planned Parenthood in Knoxville, Tenn., told NPR that nearly a fifth of its patients sought hormone therapy in 2021, whereas abortion makes up just 3 percent of Planned Parenthood’s services nationally.

This growth has come as pediatric gender clinics, which used to wait months before prescribing hormones, are becoming more laissez faire themselves. Some now prescribe hormones on the first visit, a Reuters investigation found last year, while others say ballooning caseloads have made it harder to conduct the kind of in-depth assessments once standard in the field.

But with Planned Parenthood a constant temptation for older teens, even the most conservative clinics have an incentive to reduce gatekeeping if they don’t want to lose patients. The result, Anderson said, is a race to the bottom that pulls all providers, no matter their philosophy, toward the informed consent model adopted by Planned Parenthood, which doles out life-altering drugs to almost anyone who requests them. And that model has alarmed even the liberal pioneers of gender medicine, who say that some 18-year-olds—especially those with special needs—cannot meaningfully consent to hormones without extensive counseling.

"There are 15-year-olds I work with who are much more mature than average and can make these kinds of decisions," said Edwards-Leeper, who, along with Anderson, has attacked GOP efforts to ban hormone therapy for minors. "But there are also 20-year-olds who are struggling in various ways that make them less able to give informed consent."

These doctors argue that Planned Parenthood, which relies heavily on nurse practitioners and employs few psychiatrists, is ill-equipped to handle complex cases. Its clinicians are not trained to assess patients’ "developmental trajectory," Anderson said, including the role social media or childhood trauma may be playing in their distress. Nor are they trained to consider the impact of autism, which often co-occurs with gender dysphoria and—according to multiple sets of clinical guidelines—warrants a more cautious approach to hormone therapy.

"Because it is often harder for an adolescent with [autism] to comprehend the long-term risks and implications of gender-related medical interventions," guidelines published in the Journal of Clinical Child & Adolescent Psychiatry state, "consenting for treatment may be more complex in this population."

Why did you link planned parenthood and not the article site

[CosmicCowboy]

Why did you link planned parenthood and not the article site

I just clipped part of it.

If you want to read the whole link it's https://freebeacon.com/latest-news/planned-parenthood-is-helping-teenagers-transition-after-a-30-minute-consult-parents-and-doctors-are-sounding-the-alarm/

It was a link on drudge

I didn't realize you had such an interest in transitioning. Might be good for you though. You might finally get lucky.

[Winehole23]

copy/pasting articles from PJ Media and Free Beacon without attribution or comment, like an unbiased free-thinker does

[CosmicCowboy]

copy/pasting articles from PJ Media and Free Beacon without attribution or comment, like an unbiased free-thinker does

Do you dispute the facts?

[Blake]

I just clipped part of it.

If you want to read the whole link it's https://freebeacon.com/latest-news/planned-parenthood-is-helping-teenagers-transition-after-a-30-minute-consult-parents-and-doctors-are-sounding-the-alarm/

It was a link on drudge

I didn't realize you had such an interest in transitioning. Might be good for you though. You might finally get lucky.

This is your thread that you're interested in, not mine. Either disingenuous or weird that you posted planned parenthood link but not article link

[MultiTroll]

Why did you link planned parenthood and not the article site


I just clipped part of it.

If you want to read the whole link it's https://freebeacon.com/latest-news/planned-parenthood-is-helping-teenagers-transition-after-a-30-minute-consult-parents-and-doctors-are-sounding-the-alarm/

It was a link on drudge

I didn't realize you had such an interest in transitioning. Might be good for you though. You might finally get lucky.
Blake you've got to admit you walked right into that one. :lol

[Blake]

Do you dispute the facts?

Didn't realize you were this interested

[CosmicCowboy]

Didn't realize you were this interested

I hadn't realized that Planned Parenthood" had become Transition Central. Guess it makes sense. the He/She's wouldn't be breeding and making babies.

[Blake]

Blake you've got to admit you walked right into that one. :lol

You do the same thing. Start a thread and then when someone calls you out, you try to reverse call them out on your topic that you started.

[Thread]

Retired Navy SEAL Chris Beck, who came out as trans, announces detransition: 'destroyed my life' (nypost.com) (https://nypost.com/2022/12/11/retired-navy-seal-chris-beck-who-came-out-as-trans-announces-detransition-destroyed-my-life/)

& you only get 1 of them, unless you're Trump..."And I'll be back again, and again, and again.........

[MultiTroll]

You do the same thing. Start a thread and then when someone calls you out, you try to reverse call them out on your topic that you started.
Never.
I only respond to cut n paste factual accusations, otherwise they are simply False Charge Chunkos.

And lighten up Francis. :lol

[Winehole23]

Do you dispute the facts?no, just wondering what your take on them is.

does the article speak for you?

[MultiTroll]

& you only get 1 of them, unless you're Trump..."And I'll be back again, and again, and again.........
Trump is transitioning?

Holy phuck who got to him, Caitlyn Jenner?

[Thread]

Never.
I only respond to cut n paste factual accusations, otherwise they are simply False Charge Chunkos.

And lighten up Francis. :lol

Blake got lit.:lol

[MultiTroll]

Blake got lit.:lol
Dale I just did a cup along with steel cut oatmeal and walnuts. :toast

[Thread]

Dale I just did a cup along with steel cut oatmeal and walnuts. :toast

:toast

[Winehole23]

seems a bit outside Planned Parenthood's wheelhouse, and not having staff trained to purpose would seem like an obvious problem.

the innuendo that PP is handing out hormones willy-nilly to teens seems not well supported in your excerpt, though.

[CosmicCowboy]

no, just wondering what your take on them is.

does the article speak for you?

see post #10

And yeah I think it's fucking irresponsible to give a kid transition drugs just because they asked for them.

[Winehole23]

see post #10

And yeah I think it's fucking irresponsible to give a kid transition drugs just because they asked for them.is there any evidence in the article that Planned Parenthood is doing so? be specific, if you can.

[Winehole23]

what's the ratio of adults to teens accessing the services? seems fishy for you to leave that fact out, if it's in the article.

[Winehole23]

what are the raw numbers here?

if you're content to stand pat on Free Beacon pushing your buttons and not dig any deeper, that tells us everything we need to know.

[CosmicCowboy]

what are the raw numbers here?

If it interests you then look it up yourself, whinehole.

[Winehole23]

look it up yourself, whinehole.if you're content to stand pat on Free Beacon pushing your buttons and not dig any deeper, that tells us everything we need to know.

[Blake]

Never.
I only respond to cut n paste factual accusations, otherwise they are simply False Charge Chunkos.

And lighten up Francis. :lol

https://www.spurstalk.com/forums/showthread.php?t=302478#post10961884

And you'll do it again.

And you'll be butthurt again and then tell someone else they are the ones needing to lighten up

[CosmicCowboy]

if you're content to stand pat on Free Beacon pushing your buttons and not dig any deeper, that tells us everything we need to know.

Personally, I think if it is only ONE autistic child they give transition drugs to it is fucking wrong. Do you agree?

[Blake]

If it interests you then look it up yourself, whinehole.


if you're content to stand pat on Free Beacon pushing your buttons and not dig any deeper, that tells us everything we need to know.

Everything we already knew about CC

[CosmicCowboy]

Everything we already knew about CC

We already knew about YOU Cuckeroo. :lol

[Winehole23]

Personally, I think if it is only ONE autistic child they give transition drugs to it is fucking wrong. Do you agree?lol falling back on hypotheticals now that you've abandoned the so-called facts.

sure, consent would be an issue with an autistic child. it would be with any minor.

[CosmicCowboy]

lol falling back on hypotheticals now that you've abandoned the so-called facts.

sure, consent would be an issue with an autistic child. it would be with any minor.

You were given a specific example in the article. Your broad denial of information you deem comes from "conservative" sites is is just as hypocritical as you gorging on and believing every "fact" given to you by liberal sites. And for the record, I looked. Planned parenthood doesn't document age ratios of it's transition "patients". If the ratio really interests you, ask them.

[daboom1]

if you're content to stand pat on Free Beacon pushing your buttons and not dig any deeper, that tells us everything we need to know.

Chump does this also. Who is "us"? Are you speaking for the forum, or siding with Atheist Blake? I gotta know.

[Winehole23]

You were given a specific example in the article. Your broad denial of information you deem comes from "conservative" sites is is just as hypocritical as you gorging on and believing every "fact" given to you by liberal sites.not sure that's accurate, but no matter.

your disinterest in the underlying information here discloses your bias about your own OP

you swallowed it whole, regurgitated it without digesting, and got defensive when confronted about information in your own post. you've shown no interest in digging down on the underlying data for your own article, and are lashing out at other posters instead..

if you were content to have your buttons pushed by Free Beacon that's ok. everyone has biases, just own it.

wanting to be right 100% of the time is a disease.

[Spurminator]

Yeah I hear they're chopping off the genitals of 5 year old kids who ask for it too.

This kind of scare tactic is effective with conservatives because it allows them to avoid a discussion of parental rights.

[ChumpDumper]

CC wants to transition. Good for her.:tu

[RandomGuy]

https://www.plannedparenthood.org/get-care/our-services/transgender-hormone-therapy

Planned Parenthood is one of the largest providers of cross-sex hormones in the United States, and one of the fastest growing. Affiliates in the greater Portland area saw a nearly 400 percent increase in "gender-affirming care visits" between 2021 and 2022, according to their annual reports, while those in Ohio saw a 544 percent increase over the same period. Hormones now appear to be in higher demand than abortion at some branches: A Planned Parenthood in Knoxville, Tenn., told NPR that nearly a fifth of its patients sought hormone therapy in 2021, whereas abortion makes up just 3 percent of Planned Parenthood’s services nationally.

This growth has come as pediatric gender clinics, which used to wait months before prescribing hormones, are becoming more laissez faire themselves. Some now prescribe hormones on the first visit, a Reuters investigation found last year, while others say ballooning caseloads have made it harder to conduct the kind of in-depth assessments once standard in the field.

But with Planned Parenthood a constant temptation for older teens, even the most conservative clinics have an incentive to reduce gatekeeping if they don’t want to lose patients. The result, Anderson said, is a race to the bottom that pulls all providers, no matter their philosophy, toward the informed consent model adopted by Planned Parenthood, which doles out life-altering drugs to almost anyone who requests them. And that model has alarmed even the liberal pioneers of gender medicine, who say that some 18-year-olds—especially those with special needs—cannot meaningfully consent to hormones without extensive counseling.

"There are 15-year-olds I work with who are much more mature than average and can make these kinds of decisions," said Edwards-Leeper, who, along with Anderson, has attacked GOP efforts to ban hormone therapy for minors. "But there are also 20-year-olds who are struggling in various ways that make them less able to give informed consent."

These doctors argue that Planned Parenthood, which relies heavily on nurse practitioners and employs few psychiatrists, is ill-equipped to handle complex cases. Its clinicians are not trained to assess patients’ "developmental trajectory," Anderson said, including the role social media or childhood trauma may be playing in their distress. Nor are they trained to consider the impact of autism, which often co-occurs with gender dysphoria and—according to multiple sets of clinical guidelines—warrants a more cautious approach to hormone therapy.

"Because it is often harder for an adolescent with [autism] to comprehend the long-term risks and implications of gender-related medical interventions," guidelines published in the Journal of Clinical Child & Adolescent Psychiatry state, "consenting for treatment may be more complex in this population."

Is this what is making conservative media outlets money these days?

Congrats, you are now the product.

[CosmicCowboy]

Yeah I hear they're chopping off the genitals of 5 year old kids who ask for it too.

This kind of scare tactic is effective with conservatives because it allows them to avoid a discussion of parental rights.

It specifically discussed 18 year old kids with disabilities like autism and gave a specific example.

[CosmicCowboy]

Is this what is making conservative media outlets money these days?

Congrats, you are now the product.

as you are the product of your left wing media. Pot/kettle

[Spurminator]

It specifically discussed 18 year old kids with disabilities like autism and gave a specific example.

18 you say? I'm not familiar with the legal consent restrictions on autistic adults. That sounds like an interesting discussion. I don't see why we need to hold up parental rights or hormone therapy for the other 99% of examples just for this fringe example. But again, that's kind of what conservative media does. I doubt we'll see PJ media offer up an example of parents having to decide whether to give gender affirming therapy to their suicidal child and that decision being prevented by big GOP government.

[hater]

:lmao

gotta keep that money flowing nigs :rollin

[ChumpDumper]

18 you say? I'm not familiar with the legal consent restrictions on autistic adults. That sounds like an interesting discussion. I don't see why we need to hold up parental rights or hormone therapy for the other 99% of examples just for this fringe example. But again, that's kind of what conservative media does. I doubt we'll see PJ media offer up an example of parents having to decide whether to give gender affirming therapy to their suicidal child and that decision being prevented by big GOP government.
Elon Musk is autistic. Clearly he can't make decisions about himself or anything.

[Blake]

It specifically discussed 18 year old kids with disabilities like autism and gave a specific example.

Lol "18 year old kids"

[Blake]

Chump does this also. Who is "us"? Are you speaking for the forum, or siding with Atheist Blake? I gotta know.

Anyone reading this thread is "us", genius.

Go back to posting your favorite team hero action pictures in your play threads with your creepy grandpa cubs.

[CosmicCowboy]

Lol "18 year old kids"

People can make tragic mistakes at 18 or even older. Just look what happened with your ex. At least it was easier for her to dump you than attempt to reverse a gender transition.

[Spurminator]

People can make tragic mistakes at 18 or even older.

Cool so ban it for everyone because autistic adults might make a decision they later regret! Very small government philosophy.

[Spurminator]

Elon Musk is autistic. Clearly he can't make decisions about himself or anything.

Right? Like what's the cutoff point on the spectrum where an autistic person can be trusted to make adult decisions? And which decisions should we limit for them? How about tattoos?

[daboom1]

:lmao

gotta keep that money flowing nigs :rollin

Yup straight to the DNC. :tu

[Blake]

People can make tragic mistakes at 18 or even older. Just look what happened with your ex. At least it was easier for her to dump you than attempt to reverse a gender transition.

Nearly every thread you make tragically ends up this way. You get shown up, get butthurt and end up giving me another month of free rent.

[CosmicCowboy]

Nearly every thread you make tragically ends up this way. You get shown up, get butthurt and end up giving me another month of free rent.

:lol

Vivid imagination. You haven't ever shown anyone up. You are still the running forum joke.

[Blake]

:lol

Vivid imagination. You haven't ever shown anyone up. You are still the running forum joke.

Dude, everyone in this thread is laughing at you wanting to crack down on autistic transgender adults

[koriwhat]

I'm a-ok with abortions and transitioning as long as those doing either end their lineage altogether. :tu

[CosmicCowboy]

Dude, everyone in this thread is laughing at you wanting to crack down on autistic transgender adults

As usual you are too fucking stupid to get the point. Did you even read the article? Legitimate transition establishments go through a rigorous screening process to determine if the person is stable and a legitimate candidate for transition. PP policy is if they ask, then prescribe them the drugs. In and out in 30 minutes.

My mistake though. I should have known trying to have a serious discussion with Blake involved was a waste of time.

[koriwhat]

As usual you are too fucking stupid to get the point. Did you even read the article? Legitimate transition establishments go through a rigorous screening process to determine if the person is stable and a legitimate candidate for transition. PP policy is if they ask, then prescribe them the drugs. In and out in 30 minutes.

But BlaKKKe isn't the least concerned with the fact that autism these days is closely linked with transgender bs. I wonder why that is?

Either way, end the gene pool for all the weirdos in this world! BlaKKKe I applaud you finally coming out as trans but unfortunately you already spread your seed. Lets hope your little girl learns something of value from that Catholic school because she hasn't learned jack shit from your bitchass. :tu

[ChumpDumper]

But BlaKKKe isn't the least concerned with the fact that autism these days is closely linked with transgender bs.Link?

[Monostradamus]

Cool so ban it for everyone because autistic adults might make a decision they later regret! Very small government philosophy.
lol, CC ignoring this post is very on brand.

[CosmicCowboy]

Link?

https://www.spectrumnews.org/news/largest-study-to-date-confirms-overlap-between-autism-and-gender-diversity/

[ChumpDumper]

https://www.spectrumnews.org/news/largest-study-to-date-confirms-overlap-between-autism-and-gender-diversity/

“It’s really, really distressing to read sometimes, where you have people who have very strong gender dysphoria and want to transition, and their therapist says, ‘Well, we need to first cure your autism before we transition,’ which is wrong on all levels,” Warrier says. “We want this study to really demonstrate that both of these things can co-occur, and just because these things co-occur does not mean that one should be denied.”

Directly shits on your implication, doesn't it?

[CosmicCowboy]

“It’s really, really distressing to read sometimes, where you have people who have very strong gender dysphoria and want to transition, and their therapist says, ‘Well, we need to first cure your autism before we transition,’ which is wrong on all levels,” Warrier says. “We want this study to really demonstrate that both of these things can co-occur, and just because these things co-occur does not mean that one should be denied.”

Directly shits on your implication, doesn't it?

Wasn't "my" theory

You asked for a link about autism and gender transition

It was pretty easy

[ChumpDumper]

Wasn't "my" theoryI'm not disputing the study. Thank you for linking it.

I said nothing about a theory in my question to you. RIF.

I said that quote shits on your implication that an autistic person shouldn't be allowed to make the same decisions a non-autistic person is allowed to make.

Does that quote not shit on your implication?

[CosmicCowboy]

Let me show you Chump

https://letmegooglethat.com/?q=transgender+linked+to+autism

[ChumpDumper]

Let me show you Chump

https://letmegooglethat.com/?q=transgender+linked+to+autism

I'm not disputing the study. Thank you for linking it.

I said nothing about a theory in my question to you. RIF.

I said that quote shits on your implication that an autistic person shouldn't be allowed to make the same decisions a non-autistic person is allowed to make.

Does that quote not shit on your implication?

[CosmicCowboy]

Fred has a history of developmental issues. He was diagnosed with autism—technically ADHD with autistic traits—at age four, struggled with depression and anxiety as he got older, and was expelled from three different special-needs schools due to behavioral problems, stemming in part from an impulse control disorder. He is an 18-year-old high school student in New Jersey and lives with his parents, who asked the Washington Free Beacon to withhold his real name.

Like many people on the autism spectrum, Fred cycles through obsessions and extreme views. He was part of an alt-right group chat as recently as last year, his parents said, but apostatized suddenly and now considers himself far left.

Still, Fred has a few interests that have remained constant throughout his life, all fairly typical for a teenage boy: guns, power tools, and metalworking. That made it all the more shocking when, in December 2022, at 17 years old, he announced he was a transgender woman.

The revelation came a few months after Fred’s best friend, who also has autism, began identifying as transgender. Concerned that this was another phase, but open to the possibility that it wasn’t, Fred’s parents tried to enroll their son, whom they were now calling by a female name at home, in the Gender and Autism Program at Children’s National Hospital, the only gender clinic in the country specializing in autistic youth. Fred was determined to take hormones, they told the clinic, which is known for its lengthy assessments. Before he did, they wanted to be sure his dysphoria wasn’t transient or peer-driven.

The clinic informed them in March that it had a waitlist of about a year. And Fred, who would be turning 18 in two months, wasn’t willing to wait.

In late July, while his parents were out of town and after he had come of age, Fred went to Planned Parenthood, which prescribes hormones to any legal adult without a letter from a therapist or a formal diagnosis of gender dysphoria. The only requirement is a brief consultation, usually with a nurse practitioner, about the drugs’ effects, which range from mood swings and male pattern baldness to permanent infertility.

How brief? Fred arrived at his local clinic, on North Fullerton Ave. in Montclair, New Jersey, at around 11:00 a.m., according to phone tracking data his parents used to monitor his whereabouts. By 11:39, they received a text message from CVS: Fred’s estrogen prescription was on its way. Instead of a months-long evaluation by expert psychiatrists, a nurse practitioner had, in little over 30 minutes, prescribed their special-needs son a powerful drug without their knowledge or consent.

"It’s criminal what Planned Parenthoods all over the country are doing," Fred’s mother, a New Jersey pediatrician, said. "And most people have no idea this is happening."

Fred’s story—corroborated through nursing and medical board complaints, locational data, prescriptions, text messages, emails, and other documents reviewed by the Free Beacon—is a microcosm of how the nation’s largest abortion provider is eroding the already thin guardrails on gender medicine in America. As waitlists swell at clinics like Children’s National, and as concern mounts about the perils of rushed transition, many young people are using Planned Parenthood to skip the line and circumvent the safeguards, making it much more difficult to gatekeep what was once a tightly regulated treatment.

That dynamic has sparked criticism of the organization from an unlikely source: the liberal psychologist who helped bring pediatric gender medicine to the United States.

"I have always been a very strong supporter of Planned Parenthood and am pro-choice," said Laura Edwards-Leeper, who co-founded the nation’s first pediatric gender clinic, at Boston Children’s Hospital, in 2007. "But they have taken on something that they are not equipped to handle." The lack of gatekeeping is so bad, she added, that some of her patients received hormones from Planned Parenthood before coming to her for an assessment.

Others, like Erica Anderson, a former president of the US Professional Association for Transgender Health, say patients they’ve sought to delay from transitioning have simply turned to Planned Parenthood. "I’ve had patients desperate to get hormones where I’ve been the voice of caution," said Anderson, who is transgender herself. "In some cases, they say, ‘I’ll just go to Planned Parenthood when I’m 18.’ Usually I can dissuade them but sometimes I can’t."

Planned Parenthood is one of the largest providers of cross-sex hormones in the United States, and one of the fastest growing. Affiliates in the greater Portland area saw a nearly 400 percent increase in "gender-affirming care visits" between 2021 and 2022, according to their annual reports, while those in Ohio saw a 544 percent increase over the same period. Hormones now appear to be in higher demand than abortion at some branches: A Planned Parenthood in Knoxville, Tenn., told NPR that nearly a fifth of its patients sought hormone therapy in 2021, whereas abortion makes up just 3 percent of Planned Parenthood’s services nationally.

This growth has come as pediatric gender clinics, which used to wait months before prescribing hormones, are becoming more laissez faire themselves. Some now prescribe hormones on the first visit, a Reuters investigation found last year, while others say ballooning caseloads have made it harder to conduct the kind of in-depth assessments once standard in the field.

But with Planned Parenthood a constant temptation for older teens, even the most conservative clinics have an incentive to reduce gatekeeping if they don’t want to lose patients. The result, Anderson said, is a race to the bottom that pulls all providers, no matter their philosophy, toward the informed consent model adopted by Planned Parenthood, which doles out life-altering drugs to almost anyone who requests them. And that model has alarmed even the liberal pioneers of gender medicine, who say that some 18-year-olds—especially those with special needs—cannot meaningfully consent to hormones without extensive counseling.

"There are 15-year-olds I work with who are much more mature than average and can make these kinds of decisions," said Edwards-Leeper, who, along with Anderson, has attacked GOP efforts to ban hormone therapy for minors. "But there are also 20-year-olds who are struggling in various ways that make them less able to give informed consent."

These doctors argue that Planned Parenthood, which relies heavily on nurse practitioners and employs few psychiatrists, is ill-equipped to handle complex cases like Fred’s. Its clinicians are not trained to assess patients’ "developmental trajectory," Anderson said, including the role social media or childhood trauma may be playing in their distress. Nor are they trained to consider the impact of autism, which often co-occurs with gender dysphoria and—according to multiple sets of clinical guidelines—warrants a more cautious approach to hormone therapy.

"Because it is often harder for an adolescent with [autism] to comprehend the long-term risks and implications of gender-related medical interventions," guidelines published in the Journal of Clinical Child & Adolescent Psychiatry state, "consenting for treatment may be more complex in this population."

The guidelines, developed by proponents of hormone therapy who work with autistic youth, add that a "black-and-white" mindset can lead some on the spectrum to assume, mistakenly, that "gender nonconforming interests" imply a need for medical transition.

Even the World Professional Association of Transgender Health (WPATH), whose standards of care are among the most aggressive and controversial in the field, says "it is critical to differentiate gender incongruence" from autistic "obsessions" and "rigid thinking." Though the group does recommend an informed consent standard for people over 18, it also states that its guidelines for minors—which call for "comprehensive" evaluations by experts on autism and other disorders—are "often relevant" to young adults.

"Some young adults are developmentally more like adolescents," Edwards-Leeper, who helped write the WPATH guidelines for minors, said. "Planned Parenthood really isn’t following the standard of care if they don’t take that into account."

Fred’s parents made a similar argument in a complaint they filed with New Jersey’s nursing and medical boards in July. The complaint, a copy of which was reviewed by the Free Beacon, said that Planned Parenthood violated the standards of care by prescribing Fred estrogen without a thorough psychiatric assessment, and that his autistic traits had inhibited his capacity to consent. It also questioned whether 30 minutes was enough time for anyone to think through the implications of a permanent loss of fertility.

"The New Jersey State Medical Board has an obligation to protect children and young adults, especially those with special needs," the complaint reads. "This type of shoddy (and irreversible) medical practice is a threat to all of them."

Planned Parenthood did not respond to multiple requests for comment.

Even for people without special needs, Edwards-Leeper said, 18 is a young age to remove all safeguards on gender care. The brain does not finish developing until at least 25, she noted, with the prefrontal cortex—which is responsible for long-term planning and decision-making—taking the longest to mature.

"The 18-25 range has been recognized as a unique developmental period in psychology," Edwards-Leeper said, adding that she tried, but failed, to get WPATH to draft separate standards of care for this age group. "But in the gender field, we have chosen to draw a clear line at 18."

The costs of that clear line are already piling up. At least two high-profile detransitioners, Cat Cattinson and Helena Kirschner, received testosterone from Planned Parenthood after a 30-minute appointment, which, in Cattinson’s case, took place over the phone. Kirschner stopped taking testosterone once her mental health deteriorated; Cattinson, a singer, stopped after it permanently destroyed her singing voice.

Though Planned Parenthood does warn patients about the effects of hormone therapy, those warnings are not standardized across its numerous state affiliates, which means patients in one region might get very different information from those in another. Planned Parenthoods in Virginia and some parts of California warn that testosterone can cause vaginal atrophy, for example. But branches in Michigan, Central and Western New York, Greater Washington and North Idaho, Southeastern Pennsylvania, and the Great Plains region do not, according to resources posted on their websites.

"That’s crazy," Edwards-Leeper said. "Vaginal atrophy should always be discussed. If they’re not including that on their list, that’s a problem."

A few branches, such as California Central Coast, do not even list increased libido as an effect of testosterone.

The lack of standardization extends to lab work—used to determine what dosing regimen will be safe for a given individual—which varies by clinic and in some cases does not include a blood draw. Hormone therapy can affect kidney function, potassium levels, and red blood cell counts, according to Planned Parenthood of Michigan, where bloodwork is required, so people with higher baselines may need lower doses to avoid blood clots and other conditions.

Planned Parenthood’s national office "hasn’t exerted any influence to make things uniform," Anderson said. "I don’t think they have a grip on the fundamental difference between hormone therapy and reproductive health care."

[ChumpDumper]

I'll quote this from your link again. Take a breath and stop being so emotional.

“It’s really, really distressing to read sometimes, where you have people who have very strong gender dysphoria and want to transition, and their therapist says, ‘Well, we need to first cure your autism before we transition,’ which is wrong on all levels,” Warrier says. “We want this study to really demonstrate that both of these things can co-occur, and just because these things co-occur does not mean that one should be denied.”

Directly shits on your implication that an autistic person shouldn't be allowed to make the same decisions a non-autistic person is allowed to make., doesn't it?

[CosmicCowboy]

I'll quote this from your link again. Take a breath and stop being so emotional.

“It’s really, really distressing to read sometimes, where you have people who have very strong gender dysphoria and want to transition, and their therapist says, ‘Well, we need to first cure your autism before we transition,’ which is wrong on all levels,” Warrier says. “We want this study to really demonstrate that both of these things can co-occur, and just because these things co-occur does not mean that one should be denied.”

Directly shits on your implication that an autistic person shouldn't be allowed to make the same decisions a non-autistic person is allowed to make., doesn't it?

No it doesn't. I never said autistic people should be banned for transitioning. That was your strawman.

I said the drugs shouldn't be dispensed on a whim, and yes, therapy should be part of that regimen to determine suitability.


Others, like Erica Anderson, a former president of the US Professional Association for Transgender Health, say patients they’ve sought to delay from transitioning have simply turned to Planned Parenthood. "I’ve had patients desperate to get hormones where I’ve been the voice of caution," said Anderson, who is transgender herself. "In some cases, they say, ‘I’ll just go to Planned Parenthood when I’m 18.’ Usually I can dissuade them but sometimes I can’t."

[ChumpDumper]

No it doesn't. I never said autistic people should be banned for transitioning. That was your strawman.It was your implication.

If you believe autism has nothing to do with your opinion, why did you post an entire anecdote featuring an autistic person?

[Blake]

Link?

:lol

[ChumpDumper]

Personally, I think if it is only ONE autistic child they give transition drugs to it is fucking wrong. Do you agree?

I mean WTF else is one supposed to take from this? You made this specifically about an autistic 18 year old.

What about the autism makes it especially egregious to you?

[CosmicCowboy]

Funny how this always turns out. I thought it was an interesting article and shared it. I honestly had no idea Planned Parenthood had gone into the transgender business. Then automatically Whinehole, Random Guy, Chump, Spurminator etc, want to jump in and go on the attack. Then even the stupid ones like Blake pile on.

[ChumpDumper]

Funny how this always turns out. I thought it was an interesting article and shared it. I honestly had no idea Planned Parenthood had gone into the transgender business. Then automatically Whinehole, Random Guy, Chump, Spurminator etc, want to jump in and go on the attack. Then even the stupid ones like Blake pile on.

Now you want to shut down discussion of the interesting article you posted and wanted to discuss on a discussion board because you did and said questionable things.

Funny how this always turns out.

[CosmicCowboy]

It was your implication.

If you believe autism has nothing to do with your opinion, why did you post an entire anecdote featuring an autistic person?

It was a good example why Planned Parenthood shouldn't be prescribing hormone therapy like it was aspirin, which you and the gang wanted to argue against.

[ChumpDumper]

It was a good example why Planned Parenthood shouldn't be prescribing hormone therapy like aspirin.

Why does autism make the case more special to you?

You can't claim it doesn't. Don't make me quote you again. You know you posted it.

[koriwhat]

LOL Nono's solution to these rats (Chump, FruityBumpkins, Ef-PEDO, MultiPerv, and others) is downright amazing!

Glad I could start the convo over trans bs being linked to autism. Also glad I don't see Chump's bs posts at all; they don't even show up on screen whatsoever. :lmao

[koriwhat]

Funny how this always turns out. I thought it was an interesting article and shared it. I honestly had no idea Planned Parenthood had gone into the transgender business. Then automatically Whinehole, Random Guy, Chump, Spurminator etc, want to jump in and go on the attack. Then even the stupid ones like Blake pile on.

It's been their same game plan for yrs now. Revenge of the Nerds or better yet Revenge of the Trans. I wouldn't doubt those dudes are more female than most females with the amount of estrogen running through their veins.

[ChumpDumper]

LOL Nono's solution to these rats (Chump, FruityBumpkins, Ef-PEDO, MultiPerv, and others) is downright amazing!

Glad I could start the convo over trans bs being linked to autism. Also glad I don't see Chump's bs posts at all; they don't even show up on screen whatsoever. :lmao

:lmao glad to start a conversation you can't see

What a scared moron.

[koriwhat]

No one gives a fuck about you Chump and most definitely not me. I'm sure you sent some msg about reading your nonsense but I'm not and never wanted to to begin with. Years ago I put you on ignore because you're just a weirdly obsessed dipshit, took you off ignore recently just to prove you're still the dipshit you've always been, and now using Nono's solution to silence you and the other obsessed weirdo gays. Sorry but I'm not sorry and I hope you cry about it because it sure seems like your boyfriends are crying about it themselves. Eat shit and die Chump. :tu

[ChumpDumper]

No one gives a fuck about you Chump and most definitely not me. I'm sure you sent some msg about reading your nonsense but I'm not and never wanted to to begin with. Years ago I put you on ignore because you're just a weirdly obsessed dipshit, took you off ignore recently just to prove you're still the dipshit you've always been, and now using Nono's solution to silence you and the other obsessed weirdo gays. Sorry but I'm not sorry and I hope you cry about it because it sure seems like your boyfriends are crying about it themselves. Eat shit and die Chump. :tu

:lol what a performative crybaby

You live for your victimhood.:tu

[koriwhat]

LMAO Here's how your worthless posts are shown to me Chump. :lol

https://i.ibb.co/sqDcnjH/Screenshot-2023-10-06-at-4-07-08-PM.png

Give it a rest you fucking obsessed weirdo loser! :tu

[ChumpDumper]

LMAO Here's how your worthless posts are shown to me Chump. :lol

https://i.ibb.co/sqDcnjH/Screenshot-2023-10-06-at-4-07-08-PM.png

Give it a rest you fucking obsessed weirdo loser! :tu

I mean if you're going to whine every time I show up in your notifications, it's easy entertainment to trigger you. :tu

[koriwhat]

What a fucking weirdo you truly are... Can't stop, won't stop... Amirite? :lmao

https://i.ibb.co/gWC9cFg/Screenshot-2023-10-06-at-4-12-04-PM.png

[ChumpDumper]

What a fucking weirdo you truly are... Can't stop, won't stop... Amirite? :lmao

https://i.ibb.co/gWC9cFg/Screenshot-2023-10-06-at-4-12-04-PM.png

It's actually kind of fun now. Especially since you're going through the trouble of multiple screenshots, etc.

[Blake]

Funny how this always turns out. I thought it was an interesting article and shared it. I honestly had no idea Planned Parenthood had gone into the transgender business. Then automatically Whinehole, Random Guy, Chump, Spurminator etc, want to jump in and go on the attack. Then even the stupid ones like Blake pile on.

:lol could the way this thread has gone be any more predictable? It was also an even money bet that tats would show up to make it about him and sure enough... :lol

[baseline bum]

as you are the product of your left wing media. Pot/kettle

ROFL acting like there is a left wing media in this nation. MSNBC was so left wing when Chris Matthews started ranting about how Bernie Sanders would have him killed had he made president back when it looked like he was the frontrunner for the nomination. Also ROFL that you post this culture war bullshit you claim to hate when Trump fans the flames of it.

[koriwhat]

ROFL acting like there is a left wing media in this nation. MSNBC was so left wing when Chris Matthews started ranting about how Bernie Sanders would have him killed had he made president back when it looked like he was the frontrunner for the nomination. Also ROFL that you post this culture war bullshit you claim to hate when Trump fans the flames of it.

LOL Acting like Bernie is anything but the commie that he is.... His left is as far as you can get to authoritarian but masked with virtue. That dude is a fucking loser commie!

And yes our MSM is left... As far left as it can get without burying itself like Bernie did but they are inching closer to his shit politics though.

[hater]

LOL Acting like Bernie is anything but the commie that he is.... His left is as far as you can get to authoritarian but masked with virtue. That dude is a fucking loser commie!

And yes our MSM is left... As far left as it can get without burying itself like Bernie did but they are inching closer to his shit politics though.


ROFL acting like there is a left wing media in this nation. MSNBC was so left wing when Chris Matthews started ranting about how Bernie Sanders would have him killed had he made president back when it looked like he was the frontrunner for the nomination. Also ROFL that you post this culture war bullshit you claim to hate when Trump fans the flames of it.




Poor americans.

Still believe there is a left and right in this country :lmao

Both parties are the same. Neocon warmongers who work for the american olygarchs

So sad that these people are so fooled by the Uniparty

These poor folk still believe we live in a democracy :lmao

[spurraider21]

LOL Acting like Bernie is anything but the commie that he is.... His left is as far as you can get to authoritarian but masked with virtue. That dude is a fucking loser commie!

And yes our MSM is left... As far left as it can get without burying itself like Bernie did but they are inching closer to his shit politics though.
how is bernie a communist?

[koriwhat]

Should I take SR21 off the JunkThread list? :lmao

[hater]

how is bernie a communist?

Bernie is a fake ass social fighter but in reality a toe the line capitalist warmonger

He just got some stop teh war protesters kicked off his office today :lmao

Guess what? Majorie Taylor Greene embraced these same protestors and posted selfies on twatter :lmao

If you cant figure out its all a sham after that. Im sorry for your dumb ass :lmao

[RandomGuy]

ROFL acting like there is a left wing media in this nation. MSNBC was so left wing when Chris Matthews started ranting about how Bernie Sanders would have him killed had he made president back when it looked like he was the frontrunner for the nomination. Also ROFL that you post this culture war bullshit you claim to hate when Trump fans the flames of it.

The right wing outrage machine winds up the faithful, telling them what to be angry about, and, like clockwork, they come up here and post nuggets like "white millenials leaving the Democratic party" or this gem.

whatever gets the clicks and eyeballs, and panders to the violence, dishonesty, or greed subsections of the conservative lizard brain.

[Blake]

Poor americans.

Still believe there is a left and right in this country :lmao

Both parties are the same. Neocon warmongers who work for the american olygarchs

So sad that these people are so fooled by the Uniparty

These poor folk still believe we live in a democracy :lmao

Oh look a both sides guy!

[hater]

Oh look a both sides guy!

Oh look a dumb ass lemming that believes D and R party are different :lmao

[koriwhat]

The right wing outrage machine winds up the faithful, telling them what to be angry about, and, like clockwork, they come up here and post nuggets like "white millenials leaving the Democratic party" or this gem.

whatever gets the clicks and eyeballs, and panders to the violence, dishonesty, or greed subsections of the conservative lizard brain.

Yeah yeah go back to your safe space echo chamber of a thread, "#Trumpcrimescommission", you fucking loon. :tu:lol

[Blake]

Oh look a dumb ass lemming that believes D and R party are different :lmao

Right, they're exactly the same

:lol both sides guys are hilarious

[hater]

Right, they're exactly the same

:lol both sides guys are hilarious

Thats a start

Now tell me what has fundamentally changed in the last 25 years?

We had both sides ruling.

Rs chant about abortion, immigration and reducing welfare
Ds chant about abortion, welfare, equality and stopping wars

Now tell me what has happened in those fronts in the last 25 years??

Absolutely nothing :lmao

[Blake]

Thats a start

Now tell me what has fundamentally changed in the last 25 years?

We had both sides ruling.

Rs chant about abortion, immigration and reducing welfare
Ds chant about abortion, welfare, equality and stopping wars

Now tell me what has happened in those fronts in the last 25 years??

Absolutely nothing :lmao

They always fight each other about those topics. You're an idiot.

Now grab some more likes from koriwhat and Chris to really show me how right you are.

[Will Hunting]

As usual you are too fucking stupid to get the point. Did you even read the article? Legitimate transition establishments go through a rigorous screening process to determine if the person is stable and a legitimate candidate for transition. PP policy is if they ask, then prescribe them the drugs. In and out in 30 minutes.

My mistake though. I should have known trying to have a serious discussion with Blake involved was a waste of time.
Sounds like you’re using LIBRUHL talking points about the perils of a private healthcare system with no cost controls where providers have a financial incentive to create bullshit healthcare treatments out of thin air.

[baseline bum]

Poor americans.

Still believe there is a left and right in this country :lmao

Both parties are the same. Neocon warmongers who work for the american olygarchs

So sad that these people are so fooled by the Uniparty

These poor folk still believe we live in a democracy :lmao

Why are you quoting me here? I have never pretended there is a left and a right in our government; they're both very right wing parties.

https://i.ibb.co/28ZJdXM/perception-reality.webp

[Will Hunting]

If Planned Parenthood is erroneously giving teenagers hormone therapy the solution isn’t nanny state regulations. Those teenagers need to pull themselves up by their bootstraps! The hormone therapy free market will correct itself!

[ChumpDumper]

Thats a start

Now tell me what has fundamentally changed in the last 25 years?

We had both sides ruling.

Rs chant about abortion, immigration and reducing welfare
Ds chant about abortion, welfare, equality and stopping wars

Now tell me what has happened in those fronts in the last 25 years??

Absolutely nothing :lmao

Then why do you make a big deal out of voting for one side or the other?

[spurraider21]

Should I take SR21 off the JunkThread list? :lmao
you put your late great grandmother on your ignore list

[hater]

Why are you quoting me here? I have never pretended there is a left and a right in our government; they're both very right wing parties.

https://i.ibb.co/28ZJdXM/perception-reality.webp

Ma niga :tu

Much love

[hater]

Then why do you make a big deal out of voting for one side or the other?

Lol I never do that

I do make a big deal about morons voting for any of these losers.

[pgardn]

Lol I never do that

I do make a big deal about morons voting for any of these losers.

Nah.

Its the voting part you hate.
Vlad!
President for life!

Vlad is everything to all people as illustrated in your new avatar.

[Blake]

Lol I never do that

I do make a big deal about morons voting for any of these losers.

:lol you prefer Putin

[Monostradamus]

how is bernie a communist?


Should I take SR21 off the JunkThread list? :lmao
There’s his question that you won’t answer. Now go sweep Mommy’s floors.

[ChumpDumper]

Lol I never do that

I do make a big deal about morons voting for any of these losers.

Nope. You post a lot about for whom you'll vote.

Because you think there are differences. :tu

[RandomGuy]

As usual you are too fucking stupid to get the point. Did you even read the article? Legitimate transition establishments go through a rigorous screening process to determine if the person is stable and a legitimate candidate for transition. PP policy is if they ask, then prescribe them the drugs. In and out in 30 minutes.

My mistake though. I should have known trying to have a serious discussion with Blake involved was a waste of time.

Think a lot of this worrying about transitioning is just right wing media looking to farm you for money and clicks.

You let yourself be led into thinking this is some huge important problem when we are talking about something that affects a tiny, tiny, tiny number of people.

Don't you think this is getting just a *bit* too much coverage from the Right Wing Outrage Machine? Aren't there other, more pressing, problems going on in the world?

[Thread]

Think a lot of this worrying about transitioning is just right wing media looking to farm you for money and clicks.

You let yourself be led into thinking this is some huge important problem when we are talking about something that affects a tiny, tiny, tiny number of people.

Don't you think this is getting just a *bit* too much coverage from the Right Wing Outrage Machine? Aren't there other, more pressing, problems going on in the world?

You're chock full of shit, RG.

[koriwhat]

Nah.

Its the voting part you hate.
Vlad!
President for life!

Vlad is everything to all people as illustrated in your new avatar.

Lol You're just deranged

[Thread]

Nah.

Its the voting part you hate.
Vlad!
President for life!

Vlad is everything to all people as illustrated in your new avatar.

You got nary room, peeg. Nary.

You couldn't even permit Trump to move into the White House without threatening to blow the damn thing up. After that day you threatened to cut his head off and Milley threatened to shoot him to death on his last day in office.

American Democracy indeed.

ADDENDUM: And now you got Hillary Clinton mandating that we all be rounded up and put in re-education camps.

Russia is better than U.S., peeg.