A new law banning gender-affirming care for minors in Louisiana took effect at the start of the year. Since the legislation was passed last summer, parents have been scrambling for help.
For the last two years, Koen has routinely self-administered weekly testosterone injections without a second thought.
During that time, the trans 17-year-old said his self-image and school and family life has drastically improved. His fear of needles, too, has faded.
“[Transitioning] made me look forward to things more because now I can start paying attention to the better version of myself,” said Koen, who asked to be identified by his first name because of fears for his safety. “It’s something I feel like I’ve needed for a while. I’m able to express myself more fluidly and feel comfortable doing that, which I think is a very big step for me right now.”
At the start of the year, though, a greater worry emerged.
A new law banning gender-affirming care for minors in Louisiana took effect on Jan. 1 prohibiting puberty blockers, hormone treatment, and gender-reaffirming surgery. Now, Koen isn’t sure he could continue his hormone treatment.
Louisiana is one of 22 other states that have enacted laws restricting or banning gender-affirming medical care for minors, disrupting health care needs for trans and nonbinary people.
The court cases striking down these shitty laws really need to get moving. Restricting access to hormone therapy is blatantly unconstitutional, as the existing challenges that have made it through the courts have proved.
People born XXY (Klinefelter's Syndrome) can get testosterone for treatment, so to say someone who needs testosterone for similar gender affirming care cannot get it is plain discrimination on the basis of gender and sexual orientation.
I wholly agree with you. And I say this next part as an ally living in Louisiana:
I don't see the courts being able to stop this from happening. Inevitably, it will get challenged and end up at the Supreme Court, which will rule 6-3 "states rights".
Conservative justices have shown time and again that unless the constitution literally says the words "shall not infringe upon trans care for minors" they will not interpret it as such.
The only thing stopping this law in the last few years was a veto from the democratic governor, and now that that has flipped republican, the only thing that will stop it is enough people turning out to vote in 2027.
government has no place in a doctors office period. they need to repeal all drug laws. I love trans women but if they can get estrogen from doctors i demand i get opium as well for my back pain. let me reiterate the current state of peoples true feelings about government in our lives by referring to my favorite palative
But that syndrome is literally about a lack of testosterone production in males, so of course hormone treatment is justified.
There's an imbalance being fixed.
Gender affirmative care isn't medically necessary, you're not curing an imbalance. You're modifying your body to align with what you want it to be.
In my mind it's just like plastic surgery. You wouldn't let a kid get tons of plastic surgery because they don't like their body image. Why should we start pumping them full of hormones?
I’d bet anything you don’t personally know or love any trans folk. On the off chance you do, please please please never tell them that their diagnosable condition is akin to plastic surgery. This is precisely what people are referring to when they talk about harmful, close minded ideals towards trans people and their identities.
Yes their diagnosable mental illness. Why are we letting them delude themselves further?
You look at the people who go bat shit crazy with plastic surgery, and the people transitioning. It's the same thing.
You all preach acceptance, while refusing to accept who you are. Seems to me it's closed minded to refuse reality and expect the rest of the world to play along with it.
Why are we letting them delude themselves further?
Why would this ever be any of your business?
I don’t like the way you drive your car, I’ve decided it’s unhealthy and morally wrong. A bunch of people are all arguing that you should have your license revoked because of it. Seems kinda fucked up, right?
You could get real driving experts, with real bona fides, to present facts saying the way you drive your car is no different from anyone else (as it relates to health and safety). But because I feel like I deserve to be the moral authority on the matter, me and my crowd are going to continue dehumanizing you at every opportunity, and will ruthlessly demand that you lose your driving privileges.
You want the same thing, but for bodily autonomy. For no reason other than you think you know better than everyone.
Because "trans x are x" is plastered literally everywhere. Y'all fucking make it our business. You are free to do as you wish, yet that's not enough. You need everybody to be in on the charade. The second any of us even slightly disagree, it's bloody murder.
Stop being the language police, and people will leave you alone.
Stop being the language police, and people will leave you alone.
That might literally be the dumbest thing I've ever I heard.
"iF yOu DiDn'T cAlL uS oUt FoR bEiNg TwAtS, wE'd ToTaLlY mInD oUr BuSiNeSs"
That doesn't even make sense. If you hear about using the wrong pronouns, it's probably someone you know asking you not to misgender them. If you're hearing about it more than that, it's probably because of whichever talking head you're listening to that's trying to make you mad.
Latinx. People who menstruate. Those with penises.
Shit like that. Not talking about misgendering.
We're not allowed to say man and woman anymore because you fucks are campaigning to change all speech
I don't know why you're assuming I'm some fox news viewer parroting something someone else said. I'm on the left, have been in more than a few gay relationships.
Latinx. People who menstruate. Those with penises.
A bunch of niche terms used by like a dozen people, one of which being pretty much used by like weird liberals with MBAs and the other two just being specific about anatomy and ignoring gender
HOLY SHIT BROTHER YOU ARE SO OPPRESSED
Literally no one is stopping you from saying man or woman, you god damn manbaby
Because they kill themselves. That's why we give gender affirming care - because at best it just really can mess them up not to have it. And they were killing themselves. A lot.
So we came up with a protocol to do reversible puberty blockers for 4-6 years while they and their parents work with an endocrinologist and therapist to make sure this is the right call.
Only at 16 or 17 they then get the option for hormone therapy, and if they've been on puberty blockers then they either grow (or don't grow) boobs naturally.
And unless they think there's a high risk of suicide or self-mutilation otherwise (and there's a process and a panel that needs to approve this) they can't get bottom surgery until they're at least 18 - assuming they even want it
We also do allow elective plastic surgery with parental and doctor approval - breast reduction or implants for example - at the age they're eligible for hormone therapy.
Also, we give gender affirming plastic surgery to cis male teens and preteens who have manboobs, I think it can even be covered by insurance. It's not unnatural or necessary unless they have a high risk for breast cancer, it's purely because it makes them insecure
Should we start telling schizophrenics to listen to the voices in their head? I'm sure they'd feel a lot more comfortable in their skin.
The general populace agrees with me, even if they're not saying it out loud. Trans women have to seek out special dating apps, because no cis men actually want to have a relationship with them.
If trans women were really women, and I mean if people really believed that. Why won't they date trans people?
Most people don't actually care much either way because they don't know any trans people. They just parrot things that sound good without putting any thought into it
Let's put in a little thought.
Why would trans people have a dedicated dating app if no one was interested? It would just be one of the million other failed dating apps no one has ever heard of.
Why do they have prominent categories on many porn sites? Why do they do so well on only fans?
They're less than 0.5% of the population... If they're that overrepresented then clearly, there's a demand
But I think we're getting into the source of this... Trans girls make your dick confused, and you're not secure enough in your sexuality to confront what that means
You're claiming something is flat out not medically necessary when you clearly do not have the knowledge to make that call. Your opinions cost people their lives.
I said it's not medically necessary because there's not a physical imbalance that needs to be fixed, like the syndrome the person I was responding to used as a comparison.
A person with gender dysphoria will not have physical problems, like the people with the syndrome mentioned would.
That's all I was getting at. Whether you consider medically necessary to include their distress over a mental disorder, was something I wasn't touching on.
My only opinion that's really relevant is that I don't think minors should be allowed to transition. At no point did I say trans folk should be harmed or berated in the street or whatever else I'm being accused of.
So this is just meaningless fluff? Or are we agreeing that these, uh... “mutilated children” as you so eloquently put, often lead much happier lives with their chosen identity?
The alternative is they kill themselves in droves, which they’re already doing. Thanks in large part to people like you. Thanks again for being so understanding.
If a child is born with a cleft lip would you repair it or tell them that's the way god made them and they have to live with it?
If a child is neurodivergent and has severe gender dysphoria becasue of it do you force them to remain unhappy and uncomfortable or do you help them make adjustments to make them more comfortable?
If you can't "fix" the issue isn't the next best step accommodating for it? If someone is paralyzed and the spine can't be repaired do you leave them in bed or give them a wheelchair? If I person is deaf do you just leave them in silence or give them hearing aids and/or teach them to sign?
Being trans is very often like being gay, it's hardwired into the brain, just like being left handed. If it's just the way a person's brain is wired isn't it better to relieve discomfort by adjusting the physical to match the mental if the mental can't be adjusted to match the physical?
There will be kids who are experimenting with their gender identity and decide that they're most comfortable as their birth gender and that's great, any form of self discovery is awesome but there will always be people who are gender dysphoric and the most successful way of alleviating that dysphoria is to transition.
Years and years of therapy come before any form a medical transition for kids and often transition simply means a preferred name change, change of clothes and gender affirming hair style. If a child is comfortable with just those changes then medical transition isn't necessary. If however they, after therapy and non medical gender affirming care still feel uncomfortable puberty blockers can be used to pause puberty until the child is older. Once they're older they can decide whether or not transition is the right choice for them.
No one should go into transition without therapy first but gender dysphoria is so uncomfortable. It's like walking around in shoes that are 3 sizes too big or too small your entire life. You can get by, but it's painful.
I'm just not a believer that anything is actually being changed. You've just making small changes with drugs. Furthering the disconnection from reality and obscuring who you actually are.
Would have been cool to be born a beautiful woman, but I wasn't. Gotta work with the cards you're dealt and accept the body you got. No amount of surgery or hormones is going to actually transition you.
We don't treat other mental disorders by feeding into their delusions.
I'm not religious, none of this is about God for me. I don't have an issue with gay people. Physical abnormalities at birth are not comparable to encouraging body alteration to feed into a mental illness
So you’re actively arguing they not receive treatment for something you do think is a mental illness?
No wonder mental health is failing so hard across the board, people are just deciding which things do and don’t get treatment all willy nilly based on feelings apparently!
I don't think treatment should be telling them they're now the gender they want to be instead of figuring out how to accept yourself for who you truly are.
But that's my opinion. I don't need it to be my way. If they are happier, cool for them.
You don’t know shit about trans people, but you DO know exactly what treatment entails for them? You’ve got a very human-shaped blind spot in your demonization goggles there, friend. I’d suggest you stop viewing them as some kind of nebulous “enemy”.
Talk about fragile minds, you’re just parroting random hatespeech about a whole ass group of people because... what? What drives a person to do that? At the very least you’re going waayyy out of your way just to be mean, is that cool to you? Is this thing you’re doing productive?
It could be said I’m being no more productive, but at least I’m not shitting all over a whole bunch of my fellow humans while doing it. Who hurt you?
Reconstructive surgery to fix an aesthetic-only deformity isn't "medically necessary" either, by your definition. So you get upset that people stare at you in public? Ha ha, feelings aren't real, get over it!
You literally said "so of course hormone treatment [for klinefelter syndrome] is justified". you didn't say the exact words "it's medically necessary" but you're acting like for some reason it's justified for X person to get HRT that exists solely to make their bodies more similar to what would make them comfortable, while it's not justified for Y person to do the same thing. You're drawing arbitrary lines for what specific condition "counts" as justification to get the treatment. And here you are admitting that you label both as "not medically necessary" yet only one you're vehemently against and crying about online?
It's also ignoring the fact that a large portion of people who are trans are also born with "abnormal" hormone production or sex characteristics (major chromosomal abnormalities are reported to be about 8-10x as prevalent in trans populations compared to the general population) and gender dysphoria (along with pretty much every other disorder in existence) is heavily tied to genetics, prevalence of anything like ADHD or gender dysphoria or bipolar can be traced to various sets of specific genes and in the case of e.g. latent gender dysphoria or latent bipolar or latent depression, are often present for someone's entire life (i.e. they're "predisposed" to it) without being "active" but then (irreversibly) start developing from, or are triggered by, events – like reaching a certain point in development (especially puberty), or experiencing certain environmental conditions over a long period of time (especially as a child), or even as an acute chemical response to a drug (for example, anti-depressants and hallucinogens can cause trigger full-blown bipolar in those who are predisposed), or various other factors, and a combination of a bunch of them.
You are discriminating against people for their medical condition and hand-picking scenarios in which medical treatment is "acceptable" with absolutely zero scientific, logical, or moral basis. You are acting on your insecurity, emotions, and hatred of trans people alone, and nothing else.
Lots of doctors disagree with you. I think I'll go with their opinions over those of some uninformed internet rando who decides things based on feelings.
You’re the first person to even think nazi in this case. You’ve been shitty and alarmist at every opportunity, shifting the goalposts around to match whatever your current talking point is. Go have a bad faith argument in a conservative community, they LOVE throwing the word nazi around.