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What causes transsexualism?

Started by Natasha, January 06, 2014, 06:10:09 PM

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Jenna Stannis

Quote from: amber1964 on January 06, 2014, 07:31:37 PM
What we need are more effective and readily available treatments, not intellectual masturbation.

How is anyone supposed to know what those treatments might be without theory work?
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Vicky

I love solving mysteries! I am a DES baby but I have a couple other genetically related conditions that are puzzlers, albeit treatable ones.  I have participated in about 20 research efforts in regard to being Trans*, and its not a burden on my time at all, mostly kinda fun.  I was able to trace one study I participated back to my donated sample of genetic material by a research victim number they gave me, and it looks like I and most of the rest of proclaimed TS folks had a long version of some enzyme that in cis males is short.  Beats me which enzyme, but I love being different!! 
I refuse to have a war of wits with a half armed opponent!!

Wiser now about Post Op reality!!
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HughE

Quote from: amber1964 on January 06, 2014, 08:03:24 PM
Yes, read that study. Mildly interesting, slightly suggestive but as you pointed out post mortem and sample size way too small to be meaningful.

There is a well known person, a trans woman, who posts all over the internet. She is a rocket scientist, just ask her and a self appointed expert in all science matters, studies, material, theories etc ad nauseating when it comes to the so called transsexual condition. She even invented a whole new syndrome to explain her sudden and spontaneous change of sex when fully mature and in her (i think) thirties. Heck, she might even be right.

For some, this knowing or trying to know why the have the feelings they do is very important. They need an explanation and will invest all kinds of efforts trying to find one. Like the one that has to do with that di whatever it is med that women took during pregnancy. Might be true for all I know. Im not a scientist but I can read and I have a working sense of smell.

All kidding aside. Its fine to be curious, I sometimes have the same curiosity. But all the well adjusted trans people I have ever met just dont care. Anytime someone takes an unusual interest in this topic they are telling you something about how they feel about themselves. If you are transsexual, you will know. You will either come to terms with it or not. If you get stuck, worrying that it may be some kind of moral defect then its not surprising you might want to invest unreasonable amounts of time desperately trying to find some other reason.

For myself, I could care less. I am what I am and I am okay with it. I dont know why I am this way, I just know the way I am. Thats all I need or care to know. Nothing anyone says, writes, researches or says will change that.

Amber, I presume the rocket scientist you're referring to Zoe Brain. I've read her biography and how she spontaneously started changing sex. I don't think she's making up a story, I think she's just misinterpreted what actually happened to her. Something very similar happened to me in 2007, with similar symptoms to what Zoe describes and the same very abrupt onset. It wasn't "changing sex" though, it was my testosterone production (which has been below normal male all my life) finally shutting down, which resulted in my developing most of the symptoms of acute secondary hypogonadism. Some of those symptoms can include gynecomastica and other feminising effects, so, if what she experienced is similar to what happened to me, I can see why Zoe interpreted it as a spontaneous sex change.

I can see where you're coming from with your professed lack of interest in what made you trans. After all, there's absolutely nothing any of us can do about something that was hardwired into the structure of our brain before birth (apart from make the best of the situation). Nonetheless, I think it's important for trans people to know that we're not crazy or perverted, that there's an actual physical basis for why you identify as a woman even though you were born in a male body.

It was because of wondering why my brain seems to have partly developed as female instead of male, that I first started looking into how sexual development and masculinisation of the brain take place.

Although we have a sex chromosome (the Y chromosome) that ordinarily determines what sex we develop as, it only holds a few dozen functional genes, and all it actually does is instruct your undifferentiated gonads to turn into testicles. All the instructions for both male and female development are held elsewhere in your genome and everyone has the full set of instructions for both sexes. Something has to tell your body which set of instructions to follow, and that something is testosterone.

If, for whatever reason, the testicles fail to develop, the hormones that would ordinarily be produced in the testicles aren't produced, and the result is Swyers Syndrome, a condition which produces a person who appears to be female despite being genetically male. Something similar occurs in a condition called Complete Androgen Insensitivity Syndrome (or CAIS), where a mutation in a single gene produces a person who is to all intents and purposes a woman despite being genetically male. The defective gene in CAIS is for the androgen receptor, and it means that androgenic hormones (primarily testosterone and its derivative DHT) have no effect, so that development in people with CAIS takes place as if those hormones weren't there. With both these syndromes, despite being genetically male, those affected look and behave exactly like ordinary girls at birth and throughout childhood, to the point where the condition often isn't even picked up until, as teenagers, they fail to start menstruating.

What this shows is that, in humans, both physical male development and masculinisation of the brain are driven by the action of male hormones. Without these hormones, you'll develop as female rather than male, irrespective of what your genes might say.

In both Swyers syndrome and CAIS, the male hormones fail to act throughout the entire period of prenatal development. But what happens if the male hormones are produced normally to start with, and then something happens partway through the pregnancy to block their production? I think you end up with people like us, people who look male but are psychologically female (or in my case, partly male and partly female!).

I wasn't able to find anything in the medical literature dealing with what happens if fetal testosterone production is interrupted partway though the pregnancy. However, I did discover that quite a bit of research was conducted in the 1970s on sheep (and on birds, rodents and monkeys), in which external testosterone was used to create the reverse situation (genetically female animals that had partially developed as male).

Depending on the timing and duration of the exposure, you could give exposed female offspring male genitals, cause their part of their brain that controls hormones (the hypothalamus) to behave as if it were male rather than female, or you could change part or all of the courtship and mating behaviour of the animal from female to male. I'm not making this up, here's links to some of the sheep research, in which all of those things took place:

http://dev.biologists.org/content/36/1/87.long
"Effects of testosterone implants in pregnant ewes on their female offspring", August 1976 J Embryol Exp Morphol 36, 87-99.
http://www.reproduction-online.org/content/49/2/311.long
"The sexual behaviour of prenatally androgenized ewes observed in the field", J Reprod Fertil. 1977 Mar;49(2):311-5
http://press.endocrine.org/doi/full/10.1210/en.2002-220965
"Prenatal Programming of Reproductive Neuroendocrine Function: Fetal Androgen Exposure Produces Progressive Disruption of Reproductive Cycles in Sheep", Endocrinology 2003 144:4, 1426-1434

You might wonder what relevance this has to human beings, since doctors don't typically administer testosterone to pregnant women. What they do quite commonly do though, is administer feminising hormones (estrogens and progestins) during pregnancy, often in doses that would completely suppress testosterone production in an adult man if he were to be given the same.

This practice started around 1940 with the artificial estrogen DES. DES lost it's FDA approval in 1971, and, while doctors continued to prescribe it off label for several years after that, very few people born post-1980 should have been exposed to DES (or other estrogens). However, there's a second class of feminising hormones called progestins that never lost their approval, and continue to be used during pregnancies even now. Just as with DES, progestins are highly effective at suppressing testosterone production (spironolactone and androcur are both progestins). I've been looking primarily at the effects of DES on male development, but I think the same likely applies to other estrogens and to progestins too.

If you look at the CDC website, the official line is that the "DES sons", the male-born children of mothers given DES, came through their exposure virtually unscathed.  That's completely contrary to what I've seen. Based on the personal stories I've read, DES sons appear to experience effects that are basically the mirror image of what happened in the sheep experiments. Where the exposure started relatively early in the pregnancy, you end up with genital abnormalities, somewhat later, you develop problems with fertility and hormone regulation, later still and the predominant effects are psychological. We're quite a bit more socially complex than sheep, and rather than producing obvious opposite sexed behaviour, you end up with a person suffering from gender dysphoria, whose life experiencess appear to be no different from those of any other MTF gender variant or trans identified person. The rates of MTF transsexuality among male-assigned DES babies appear to be hundreds of times higher than for the unexposed male population.

Although DES is a thing of the past, if one synthetic hormone can produce these effects, the likelihood is that others can too, and that doctors are continuing to create people who are at high risk of being gender variant or trans identified later in life. For the last year I've been trying to get trans people, mainstream media and doctors to look at what happened with DES, but (apart from getting articles published on a couple of websites) so far without much visible success. This seemed like a suitable next place to try!
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peky

Quote from: Jamie de la Rosa on January 06, 2014, 11:52:46 PM
I personally think that we will find that there are various causes, some identifiable, some idiopathic.

idiopathic is just a medical euphemism for "we have not figured out yet"

I do agree with you that the cause is probably multifactorial. The data  indicates that deregulation of several genes (estrogen, testosterone, estrogen receptors, testosterone receptors, aromatase, developmental genes), sub optimal or absent catalytic activity of several genes involved in the metabolisms of steroids, and epigenetic factors they all contribute to the syndrome.
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BlonT

A factor is mother nature love to mutate,to see what specie survive.
But we don,t let the sorting process work. The can say that because of the internet
we more speak out,but this grow in transgenders is world wide !
It never is because of the additives in our food,the (grow) hormones in meat.
The involuntary HRT to which we are subject  to  by  greedy food producers.
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Anatta

Kia Ora,

Re: What causes transsexualism?

::) Well, the first cause is the "thoughts of sexual attraction", second putting those "thoughts into action", third "conception", forth "birth" ...After which it's anybody's guess... ;)

Metta Zenda :)
"The most essential method which includes all other methods is beholding the mind. The mind is the root from which all things grow. If you can understand the mind, everything else is included !"   :icon_yes:
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Chaos

Well here's what I do know and mostly anyone with education.every egg starts female.after fertilization,the heart and then brain are created (in the embryo) after the brain,this is when the correct gender related hormones and development start.it triggers or 'tells' the external to follow suit,creating a match (mental and phsyical gender) then the hormones for that gender is ran/fused with the embryo as a whole.this allows said gender traits through out life BUT if you notice,Trans folk are female in some way or form.female brain and male body or female body and male brain.what could cause the mixed development? What stops it mid natal and continues with the wrong hormone and physica body? Understanding fetal development I believe will hold the key to this answer and provide clearer research.I myself suffered an accident during birth in which blood flow and oxygen was cut off for a long period of time.could this be part of it? Who knows and I honestly do not care but I do believe that said 'signals' from the hormone infused brain to the phsyical body,caused incorrect fetal development.but I keep hope that better reseach is done,to answer everyones question.
All Thing's Come With A Price...
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Chaos

I believe a form of 'reboot' takes place,setting the 'default' back to female.best way to explain is like this and ill use me as an example.

During fetal development,the brain was created,being wired and swollen with the male hormone,creating my male idenity.after,a 'signal' as I call it,is sent so that the pshycal male body follows suit but it misses said (this is where research is needed) and because of that,it 'reboots' over the fact that further development with said can't occure.so now the brain is created male but it 'sets back to default female' and furthers development.as we know,if this didn't happened then testes,male penis and so on,is then created.setting a match as a whole.in which then the brain would release said hormones into the matching physical form.of course this is MY way of explaing but I'm sure you get the idea.this is my theory but if proven wrong,awesome-as long as progress was being made.
All Thing's Come With A Price...
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anjaq

#29
Quote from: HughE on February 08, 2014, 12:19:42 PM
However, there's a second class of feminising hormones called progestins that never lost their approval, and continue to be used during pregnancies even now. Just as with DES, progestins are highly effective at suppressing testosterone production (spironolactone and androcur are both progestins). I've been looking primarily at the effects of DES on male development, but I think the same likely applies to other estrogens and to progestins too.

My mother received injections of Gravibinon, I presume it is a German drug, unsure if it is used elsewhere. It is used to treat hormone deficiency during pregnancy and prevent abortion.

2ml Injection contain Hydroxyprogesteroncaproat (Progestin) and Estradiolvalerate (plus Benzylbenzoate and Rizinusoil)

I do not know when and how often the injections were done.

I want to point towards something else: Consider the possibility that it is a reverse correlation, meaning that something that goes weird with the mothers endocrine system during a pregnancy might cause transsexuality but at the same time increase the risk of an abortion (maybe a natural way to limit the number of trans- or intersexed people born who are - evolutionary speaking - less likely to reproduce). The application of hormone injections may thus be a result of this.
I consider it the less likely option but if you find a correltaion, always think about a reversed causality as the one you are suspecting as well ;)

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Emmaline

I was born after a long string of miscarriages in the late seventies.  I would guess that  anti-miscarriage drugs occurred, but my mother isn't the best at recalling facts.  Other factors include exposure to pesticides, fertilizers and other farm chemicals.  My mother also has multiple sclerosis.  My sister has a couple of interesting mutations too- an extra set of adult teeth (lucky for her) and an enlarged breast (not so lucky).  We all have food intolerances.

I have a varicocele in my testes (something other trans girls share).   What if this was present as a flaw early in foetal development?  Would a developing flaw constrict the androgen release for a critical period, but then unblock as it developed further?

I find the post mortem sufficient to confirm a neurological basis for the condition in my mind, and that gives me a lot of self acceptance.    It certainly helps people understand and accept me as transwoman when I explain that all it is is ' having a brain that developed in the default female mode because of a hormone problem during pregnancy'.  It is so much easier to leave it at that initially, and say it is hard trying to be a man when you are not wired up that way.
Body... meet brain.  Now follow her lead and there will be no more trouble, you dig?



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HughE

#31
Quote from: anjaq on February 11, 2014, 02:50:49 AM
My mother received injections of Gravibinon, I presume it is a German drug, unsure if it is used elsewhere. It is used to treat hormone deficiency during pregnancy and prevent abortion.

2ml Injection contain Hydroxyprogesteroncaproat (Progestin) and Estradiolvalerate (plus Benzylbenzoate and Rizinusoil)

I do not know when and how often the injections were done.

I want to point towards something else: Consider the possibility that it is a reverse correlation, meaning that something that goes weird with the mothers endocrine system during a pregnancy might cause transsexuality but at the same time increase the risk of an abortion (maybe a natural way to limit the number of trans- or intersexed people born who are - evolutionary speaking - less likely to reproduce). The application of hormone injections may thus be a result of this.
I consider it the less likely option but if you find a correltaion, always think about a reversed causality as the one you are suspecting as well ;)

Going on what I've read, Gravibinan and other formulations containing hydroxyprogesterone caproate are normally given weekly, since the biological half life of hydroxyprogesterone caproate is long enough so that you don't get large swings in the blood level of it with weekly injections. I wasn't aware that there was a double strength version of it too. That amount weekly is a colossal dose of any hormone (especially a progestin), and per week of intramuscular estradiol valerate is well into the range that is used for MTF HRT! My bet is that you could actually use Gravibinan, in the same dosage and following the same administration schedule as is used for preventing miscarriage, and get decent breast development, suppression of testosterone, and all the other effects of MTF HRT!

I agree with what you're saying about the possibility that hormonal problems in the mother could be contributing to the development of transsexuality. However, the fact is that pregnant women are being given very high doses of feminizing hormones, drugs which are known to be able to suppress testosterone production in adult men. If anything else had been shown to have a certain adverse effect on adults, the natural assumption would be that it does the same (or worse) to an unborn baby. Why are these hormone treatments so special?

I'm not sure of what stage of the pregnancy Gravibinan is typically administered, but the prescribing guidelines for Makena (another branded version of depot hydroxyprogesterone caproate) state that treatment should be started between 16 and 21 weeks after conception and continued for the remainder of the pregnancy. That's after genital development has completed, but during the time most sexually dimorphic brain development takes place. You could hardly imagine a treatment better suited to creating people with male bodies but female brains!

I'm sure there are people who know all about what happened with DES, and by now it must surely be known (in some circles at least) that the treatments that replaced it are also causing transsexuality. My guess is that because of the disquiet many people feel about intersex and transsexuality, and because the numbers potentially affected are so large, that it's got to the point where nobody in authority is prepared to own up to what's happened (and is continuing to happen). It's much easier for them to all keep their heads down and pretend not to see anything, and the status quo is going to continue indefinitely until someone outside the medical and pharmaceutical establishment does something about it. That's my take on it anyway!
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anjaq

Quote from: HughE on February 12, 2014, 10:07:16 AM
Going on what I've read, Gravibinan and other formulations containing hydroxyprogesterone caproate are normally given weekly,..... I wasn't aware that there was a double strength version of it too. 500mg weekly is a colossal dose of any hormone.....
the prescribing guidelines for Makena (another branded version of depot hydroxyprogesterone caproate) state that treatment should be started between 16 and 21 weeks after conception and continued for the remainder of the pregnancy.
Weekly injections in the critical stage of brain development but not during the formation of gonads - yes that is sounding like it could have an effect. And actually it would not even matter if it was given earlier as its effect would basically be supression of the testosterone produced by the gonads of the fetus but it would not prevent formation of the gonads which is regulated by genes and other hormones, right?

QuoteI agree with what you're saying about the possibility that hormonal problems in the mother could be contributing to the development of transsexuality. However, the fact is that pregnant women are being given very high doses of feminizing hormones, drugs which are known to be able to suppress testosterone production in adult men. If anything else had been shown to have a certain adverse effect on adults, the natural assumption would be that it does the same (or worse) to an unborn baby.
Well only if these hormones are a) reaching the baby across the barrier that the placenta forms and b) if they cannot be counteracted. Estrogen is harmless I believe as it is present in massive dosages in the mothers blood anyways during pregnancy and progesterone is the same. There also seem to be mechanisms in place for the fetus to deal with all that estrogen and progesterone. But Testosterone is a different game and progestins are totally different again.

One thing that is remarkable though and that kind of casts big doubts on this theory is that there are countless babies whose mothers received these treatments and nothing happened to them. If the effect would be as straightforward, it should happen basically every other time this is administered. So there is something missing. It may increase the chances of the occurance of Transsexuality but it is not a direct causality.

And of course it cannot be the only explanation - TS existed long before progestins were around. However if progestins as well as all the estrogen-like artificial compounds that are either given as medication or are just in the environment can increase the occurence of gender variance, it may explain why this is such a big deal nowadays and the numbers are rising.

The mechanism by which it increases the chances of gender variance happening without being able to do this reliably every time it is given is puzzling though and I guess that is why it is not an accepted hypothesis yet.

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Shana A

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HughE

Quote from: anjaq on February 14, 2014, 06:07:58 AM
Weekly injections in the critical stage of brain development but not during the formation of gonads - yes that is sounding like it could have an effect. And actually it would not even matter if it was given earlier as its effect would basically be supression of the testosterone produced by the gonads of the fetus but it would not prevent formation of the gonads which is regulated by genes and other hormones, right?
That's right, although I imagine if one of these hormone treatments was given during the time differentiation of the gonads was actually taking place (around 6 weeks after conception), things would go wrong with that process and you'd end up with testicles that were abnormal in some way.
Quote
Well only if these hormones are a) reaching the baby across the barrier that the placenta forms and b) if they cannot be counteracted. Estrogen is harmless I believe as it is present in massive dosages in the mothers blood anyways during pregnancy and progesterone is the same. There also seem to be mechanisms in place for the fetus to deal with all that estrogen and progesterone. But Testosterone is a different game and progestins are totally different again.

You only need to spend a very small amount of time talking to some of the DES daughters to realise that a) DES did cross the placenta and affect fetal development, and b) it wasn't counteracted, and did all sorts of harm to them.

The officially acknowledged effects are that many of them have physical abnormalities of their internal reproductive organs that make it difficult or impossible to have children of their own, and they have an increased risk of several kinds of cancer. However, the ones I've talked to seem to have very high rates of PCOS (an endocrine disorder affecting women in which excessive production of androgenic hormones takes place), of rheumatoid arthritis and other autoimmune disorders, and a wide range of other chronic ailments too. Although most DES daughters don't seem to end up trans, I've so far had 3 of them remark to me that, while they're fully heterosexual and are happy living as women, they nonetheless feel quite gender blended psychologically. That's what makes the official story, that DES sons suffered almost no effects from their exposure, look so implausible in my eyes.

Doctors and the pharmaceutical industry like to make out that synthetic hormones are more or less interchangeable with their natural equivalent, but that's not so. Synthetic hormones target the same receptors that the natural hormones do, but that's where the similarities end. Your body has a whole collection of enzymes, hormone binding globulins and so forth, that control where the natural hormones can go, and deactivate them or convert them into something else if they get into the "wrong" place. Synthetic hormones are either resistant to or completely untouched by those systems. This makes them into more potent, longer acting drugs with more predictable properties (all good things from a medical point of view), but it also means that they can behave very differently from the natural hormones in the human body. It's like the difference between sugar and saccharin. Both substances activate the sweetness receptors on your tongue, but if you tried using saccharin as a food and energy source, you'd soon starve to death! That's why the fact that there are high levels of estriol and progesterone present in the mother's bloodstream during pregnancy doesn't mean anything as far as the safety of synthetic estrogens and progestins towards a developing fetus are concerned.

There's a trail of carnage associated with synthetic hormones going back decades, e.g. see:
http://www.cbgnetwork.org/2883.html
https://www.facebook.com/pages/Association-for-Children-Damaged-by-Hormone-Pregnancy-Testing/178989865519162
http://desdaughter.wordpress.com/2013/05/22/the-consequences-of-mass-prenatal-progestin-exposure-1950s-70s/
http://www.intechopen.com/books/state-of-the-art-of-therapeutic-endocrinology/behavioral-and-somatic-disorders-in-children-exposed-in-utero-to-synthetic-hormones-a-testimony-case#article-front

I only know for sure that there's a link between DES and MTF transsexuality, but I think that's just the tip of a much larger iceberg. Synthetic hormones in general seem to have the ability to cause all kinds of developmental abnormalities in an unborn child, and they're probably the underlying cause of most of the mysterious chronic ailments that have begun to afflict people in Western countries in recent decades.

Quote
One thing that is remarkable though and that kind of casts big doubts on this theory is that there are countless babies whose mothers received these treatments and nothing happened to them. If the effect would be as straightforward, it should happen basically every other time this is administered. So there is something missing. It may increase the chances of the occurance of Transsexuality but it is not a direct causality.

This is a valid point. There were apparently between 2 and 3 million DES sons born worldwide in the 4 decades between 1940 and 1980 when DES was used as a treatment to prevent miscarriages. You'd expect there to be about a million DES sons turned MTF transsexuals as a result. So where are they?

Well, firstly, I think most late transitioning MTFs born in the DES era are, whether they know it or not, DES babies. I've been chatting with some MTFs in a gender research group I recently joined, and it turns out that at least half of them either know or have reason to suspect they are DES babies. Unfortunately, if you don't know for sure already, it's usually impossible to find out now whether you're DES-exposed or not - medical records are unlikely to exist, and those who would have known have either died, forgotten or were never told in the first place that they'd been given DES.

When you take into account the high suicide rate, deaths through recklessness and a self destructive lifestyle, the fact that most MTFs from that era spent decades in a state of denial (and many more probably live their entire lives in denial), those who know they're trans but for personal reasons keep that fact hidden, and the fact that around 1 in 300 of the natal male population in the US has transitioned, I think the numbers do stack up.

Quote
And of course it cannot be the only explanation - TS existed long before progestins were around. However if progestins as well as all the estrogen-like artificial compounds that are either given as medication or are just in the environment can increase the occurence of gender variance, it may explain why this is such a big deal nowadays and the numbers are rising.

The mechanism by which it increases the chances of gender variance happening without being able to do this reliably every time it is given is puzzling though and I guess that is why it is not an accepted hypothesis yet.

Of course. Any intersex condition is likely to affect brain development just as much as it affects genital development. I've chatted online with some XXY's (an XXY karyotype being the commonest genetic cause of intersex). Their life experiences (and even the "eunuchoid" body structure they often have) seem to be quite similar to my own. The ones in the group I joined seem to all be gender variant to a degree, although not to the extent where any of them have sought out reassignment. I have seen news stories about trans women who are XXY's though, so there straightaway is one cause of transsexuality that has been present throughout history.
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anjaq

#35

Quote from: HughE on February 15, 2014, 09:19:37 AM
Doctors and the pharmaceutical industry like to make out that synthetic hormones are more or less interchangeable with their natural equivalent, but that's not so. Synthetic hormones target the same receptors that the natural hormones do, but that's where the similarities end. Your body has a whole collection of enzymes, hormone binding globulins and so forth, that control where the natural hormones can go, and deactivate them or convert them into something else if they get into the "wrong" place. Synthetic hormones are either resistant to or completely untouched by those systems. ....That's why the fact that there are high levels of estriol and progesterone present in the mother's bloodstream during pregnancy doesn't mean anything as far as the safety of synthetic estrogens and progestins towards a developing fetus are concerned.
Yes, that is what I meant. Natural hormones (or "bioidentical") are not causing so much issues, so in the case of Gavibinan I would say the estradiol part is no issue at all and also the more recent treatments of women with estradiol and natural progesterone are probably more or less harmless. But the Progestins and DES are modified hormones that the body cannot deal with.

You cited something about progestin exposure and related issues. However there it is described that the children are autistic (or I would assume if not that, it would be aspergers). This does not apply at all to me. An Autistic or Apsergerian brain is after all according to some of the common distinctions between male and female brains a "hypermale" brain - not exaclty prime material for a MtF TS. So if progestin exposure is likely to cause the baby to get either an autist or experiecne a massive virilization of the brain, it would be the opposite of what is proposed here?

QuoteYou'd expect there to be about a million DES sons turned MTF transsexuals as a result. So where are they?

Well, firstly, I think most late transitioning MTFs born in the DES era are, whether they know it or not, DES babies....
When you take into account the high suicide rate, deaths through recklessness and a self destructive lifestyle, the fact that most MTFs from that era spent decades in a state of denial (and many more probably live their entire lives in denial), those who know they're trans but for personal reasons keep that fact hidden, and the fact that around 1 in 300 of the natal male population in the US has transitioned, I think the numbers do stack up.
Thats a bold claim. Starting with that 1 in 300 number - is that a reality? The numbers I heard form here in Europe are usually said to be around 1 in 10000! If this number is true and DES was used more frequently in the US than in Europe, you may have a point, but I did not think that one in 300 Americans turned out to be trans. What would really have to be massive there would be that ratio of MtF vs FtM. Commonly it is around 3:1 . If a unidirectionally effective drug as DES which would by the proposed mechanism vastly increase the MtF portion of that ratio be used widespread and that mechanism is really as proposed, that ratio would have to explode in the 100:1 range or therelike. Conversely I am sure you can find plenty of men who were exposed to DES but did not have issues - so I still dont think it is just as straightforward as this.

Even less so with progestins which are still used...

So I guess it is a mulifactorial issue...

Quote
Of course. Any intersex condition is likely to affect brain development just as much as it affects genital development.
Yes of course, but I think since there are hormonal based intersex conditions like PAIS, CAIS or others, I think it would be neglective to ignore the possibility that a natural DSD condition would exist that does not affect the genitalia as much as it does the brain. Simplified: If an DSD condition exist that causes the genitalia to form ambiguosly due to hormonal issues during the state of pregnancy where they are formed, a delay in that issue towardas a date where the genitals have formed but the brain is differentiating would also be a DSD but one that causes the brain to be shaped differently ad then is called TS. And it is not really that uncommon for TS to have some form of bodily hints as well - smaller genitals, less body hair, etc. Makes sense if there is something going on in the unborn baby that is causing the brain to lack virilization that other parts of the body may also be affected if that condition existed throughout the pregnancy in intermittent intervals (like a repeated injection with DES or a Progestin)

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HughE

"Anjaq", you're right, I seem to have remembered that ratio of 1 in 300 incorrectly. Around 1 in 500 natal male US residents are living as women, 20 percent of whom have undergone full SRS:

http://web.archive.org/web/20051111032643/http://www.tgender.net/taw/thbcost/img22.html
http://ai.eecs.umich.edu/people/conway/TS/TSprevalence.html

MTF transsexuality is much more common than most people realise!

When you take into account the high suicide and murder rate, the propensity for alcoholism, drug abuse and homelessness (all of which have a high associated mortality), and the intense social pressures that discourage all but the most dysphoric from actually going ahead and transitioning, I think the numbers are roughly in line with what you'd expect if, say, a third of DES sons identify as women rather than men (I think this was the figure that came out of the only study that's ever been done into gender dysphoria among DES sons).

Those links in my last post weren't intended to make out that people exposed to progestins are autistic, sorry if that was the impression you got! I was just trying to show that transsexuality or gender variance are far from the only problems associated with fetal exposure to synthetic hormones, they appear to be capable of causing all kinds of abnormalities, ranging from major organ defects to bulimia and other seemingly non gender related psychiatric disorders.

I did have a discussion quite recently though, about the supposed link between transsexuality and autism spectrum disorders. My take on it is that you can't ignore the fact that many gender variant people (myself included) experienced a great deal of bullying and social isolation during our teenage years, and that tends to make us turn inward and develop an interest in inanimate things rather than interpersonal relationships. That can end up looking a lot like Aspergers, even though it's not Aspergers nor anything inherent to transness, it's just a result of people's bad reactions to it!
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anjaq

Yes, I totally agree on the simulated Aspergers Condition. If you feel alien and isolated because of gender issues, you may look just like someon who is isolated because of Aspergers. I think Aspergers cannot be healed though , right? Transpeople often really blossom up when transitioning and the pseudoaspergers is going away with time, so I guess it is an indication that it is not really Aspergers...

http://www.gires.org.uk/assets/Medpro-Assets/GenderVarianceUK-report.pdf
This one says tha tin the UK the numbers of transsexuals has gone up from 3 in 100000 to 20 in 100000 - this is still far away from the 1 in 500 number you cited, so I am curious as to why. Do they take different definitions? Like a person crossdressing vs people going for a legal name change? Or is the prevalence in the USA really that much higher. Are the numbers for FtMs equally high in the USA? Do you know if DES or progestins were used more frequently in the USA than in Britain?
The fact that they are going up however is a possible indicator that something is happening - maybe the exposure to chemicals or pharmaceuticals that is increasing... Or maybe it is really that more people are now daring to come out as the climate is better instead of living miserably or doing suicide.

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HughE

There's a 2001 study of UK TS prevalence here:
http://ai.eecs.umich.edu/people/conway/TS/UK-TSprevalence.html

which shows that the prevalence of MTF transsexuality in the UK is probably quite similar to what it is in the US (somewhere around 1 in 500). As to why there's such a massive discrepancy between the officially quoted figures and independent estimates of the actual numbers, in the UK, one of the reasons must be that the NHS route is so arduous and time consuming that plenty of TGs must get fed up with it and find alternatives. That of course means they drop off the radar as far as the official statistics are concerned.

According to this document (the 3rd timeline entry for 1975):
http://www.douglasandlondon.com/docs/DES-Timeline.pdf

440,000 were exposed in Holland and between 150,000 and 450,000 in France, so the numbers exposed in the UK were probably of a similar magnitude. DES action UK give an estimate of 300,000 people exposed, see:
http://web.archive.org/web/20110412201549/http://www.des-action.org.uk/des.html (that was a snapshot of their website in 2011; unfortunately their organisation has since closed down).

Jill Escher is the person who knows the most about progestin use. Here's an interesting quote from her Prenatal Exposures blog I linked to previously:

"The heavy use of synthetic hormones for anti-miscarriage began to fade in the 1970s, first with the revelations about DES toxicity in 1971, and then with the publication of various studies beginning to question the fetal impacts of these exposures, including, notably, the aforementioned 1977 study of developmental effects by June Reinisch, in which she found distinct personality differences in the exposed children, as compared to their unexposed siblings. The differences can be summed up this way: we were a bit "Aspie," that is more independent and less groupish, and somewhat gender-bended."

I have a copy of the 1977 study Jill is talking about. It's a study looking at the effects of prenatal exposure to estrogens and progestins on intelligence. While this study itself found no significant difference in intelligence between the unexposed and hormone-exposed groups, they mention some of the previous research in the field. The way I read it, it seems that, during the 1960s and 1970s at least, some of the world's leading psychiatrists thought that progestins were a wonder drug that could dramatically increase intelligence. Maybe they still do. I can't help but wonder, are we all victims of a secret experiment aimed at raising the average IQ of the global population?

It reads like something out of science fiction, but these are actual quotes I've copied and pasted out of that paper:

"Ehrhardt and Money (1967) published a study of ten girls treated prenatally with synthetic progestins in which detailed inquiry was made into IQ and personality development. Analysis of extensive interviews given to both the subjects and their mothers demonstrated an unusually high degree of "tomboyism" in these treated subjects. ... Unexpectedly, the subjects also evidenced extraordinarily high IQs as measured by the Wechsler Intelligence Scale for Children, The mean IQ of the group was 125, with a standard deviation of 11.8. Sixty percent of the IQs were above 130, when only 2% would be predicted from a random sampling of the normal population. "

"In 1968, Dalton published data which lent added credence to the findings of Ehrhardt and Money. Dalton studied achievement ratings made by teachers of 29 British 9- and 10-year-old children prenatally exposed to progesterone. ... An analysis of the data revealed that the prenatally progesterone-exposed subjects received significantly more "above average" grades than did either of the control groups in academic subjects including verbal reasoning, English, and arithmetic. Although caution was suggested in interpreting these results because of the possibility of selection bias, Dalton did find the effects to be dosage dependent - those subjects whose mothers had received over 8 g of progesterone received significantly better ratings than those getting less than 8 g. Results were also related to time of onset of treatment in pregnancy: "a significant improvement in educational performance was demonstrated among children who received progesterone before the 16th week."

"A follow-up on the British sample was presented at the Society for Research in Child Development which seemed to confirm Dalton's (1968) earlier findings while  providing additional information on personality development in progesterone-treated children (Zussman et al., 1975). ... Results from the Differential Aptitude Test suggested that hormone exposed children showed a clear advantage in Numerical Ability. This advantage was significantly related to higher dosage and a duration of treatment longer than 8 weeks. "

"Additional information related directly to school achievement was reported by Dalton (1976), who stated that "eleven of the 34 progesterone children obtained a university place compared with 2 normal controls and 1 toxemic control, that is 32 percent of progesterone chiidren compared with 6 percent among all the control children (p < 0.02)." In comparison, the percentage of 18-year-olds entering universities in England was approximately 6% for both inner London and the borough from which most of the children had come. These results are similar to those obtained in the initial study of 10-year-old progesterone-exposed children (Dalton, 1968)."

Prenatal Exposure to Synthetic Progestins and Estrogens: Effects on Human Development, Reinisch et al, Archives of Sexual Behavior, VoL 6, No. 4, 1977
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HughE

Just to clarify what I said in my previous post, I've been wondering for some time why TPTB allowed progestins to continue to be used for miscarriage treatment after DES was pulled. As you can see from what I've quoted out of Dr Reinisch's paper, by the 1970s, there was clear evidence that prenatal exposure to progestins (as was the case with DES) causes measurable, lifelong changes in personality and behaviour. It was also well known by that stage that progestins can cause genital masculinization in female fetuses (and, from a part of that paper that I didn't quote, evidence that they can cause genital abnormalities in males too).

You'd think, after what happened with DES, the authorities would have drawn a line and said "no more sex hormone treatment during pregnancy". Yet they didn't, and progestins continue to be used to the present day. Why? I can't help but wonder whether the prospect of creating legions of geniuses played a part in that decision.

By the 1970s, DES and other synthetic hormones were being used very successfully as growth promoters in cattle, so for psychologists to get the idea that hormones could, under the right circumstances, act as intelligence promoters in human beings, isn't as outlandish as it sounds. As you can see from my previous quotes, there was published research from several sources supporting the idea (including at least one paper from world renowned psychologist Dr John Money).

Being realistic though, the thing that swung it was probably something far more mundane: pharmaceutical companies greasing the right palms to ensure that the gender bending properties of progestins were overlooked, so that progestins could seamlessly take the place of DES for miscarriage treatment. That way, everyone was happy. The pharmaceutical companies simply replaced one product with another so they didn't lose any revenue, and doctors continued to have treatments they could offer to women experiencing difficulties with their pregnancies.
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