Dank eines Retweets von der Harry Potter Autorin Rowlings erhielt ein Thread auf Twitter über geschlechtsangleichende Operationen insbesondere im Bereich des Unterleibs eine hohe Aufmerksamkeit:
I want to tell everyone what they took from us, what irreversible really means, and what that reality looks like for us. No one told me any of what I’m going to tell you now.
I have no sensation in my crotch region at all. You could stab me with a knife and I wouldn’t know. The entire area is numb, like it’s shell shocked and unable to comprehend what happened, even 4 years on.
I tore a sutra 4 days post recovery, they promised to address it, i begged them in emails to fix it, they scorned me instead. Years later, I have what looks like a chunk of missing flesh next to my neo-vagina, it literally looks like someone hacked at me. They still wont fix it
No one told me that the base area of your penis is left, it can’t be removed – meaning you’re left with a literal stump inside that twitches. When you take Testosterone and your libido returns, you wake up with morning wood, without the tree. I wish this was a joke
And if you do take testosterone after being post op, you run the risk of internal hair in the neo-vagina. Imagine dealing with internal hair growth after everything? What a choice… be healthy on Testosterone and a freak, or remain a sexless eunuch.
And thats something that will never come back and one of the reason why i got surgery. My sex drive died about 6 months on HRT and at the time I was glad to be rid of it, but now 10 years later, Im realising what im missing out on and what I won’t get back.
Because even if i had a sex drive, my neo vagina is so narrow and small, i wouldn’t even be able to have sex if i wanted too. And when I do use a small dilator, I have random pockets of sensation that only seem to pick up pain, rather than pleasure.
Any pleasure I do get comes from the Prostate that was moved forward and wrapped in glands from the penis, meaning anal sex isnt possible and can risk further damage.
Then theres the dreams. I dream often, that I have both sets of genitals, in the dream I’m distressed I have both, why both I think? I tell myself to wake up because I know its just a dream. And I awaken into a living nightmare.
In those moments of amnesia as I would wake, I would reach down to my crotch area expecting something that was there for 3 decades, and it’s not. My heart skips a beat, every single damn time.
Then theres the act of going to the toilet. It takes me about 10 minutes to empty my bladder, it’s extremely slow, painful and because it dribbles no matter how much i relax, it will then just go all over that entire area, leaving me soaken.
So after cleaning myself up, I will find moments later that my underwear is wet – no matter how much I wiped, it slowly drips out for the best part of an hour. I never knew at 35 I ran the risk like smelling like piss everywhere I went.
Now i get to the point where im detransitioned and the realisation that this is permanent is catching up with me. During transition, I was obsessive and deeply unwell, I cannot believe they were allowed to do this to me, even after all the red flags.
In den Kommentaren darunter tobt die zu erwartende Schlacht.
Beispielsweise wird dagegen diese Studie angeführt:
There is an unknown percentage of transgender and gender non-confirming individuals who undergo gender-affirmation surgeries (GAS) that experiences regret. Regret could lead to physical and mental morbidity and questions the appropriateness of these procedures in selected patients. The aim of this study was to evaluate the prevalence of regret in transgender individuals who underwent GAS and evaluate associated factors.
A systematic review of several databases was conducted. Random-effects meta-analysis, meta-regression, and subgroup and sensitivity analyses were performed.
A total of 27 studies, pooling 7928 transgender patients who underwent any type of GAS, were included. The pooled prevalence of regret after GAS was 1% (95% CI <1%–2%). Overall, 33% underwent transmasculine procedures and 67% transfemenine procedures. The prevalence of regret among patients undergoing transmasculine and transfemenine surgeries was <1% (IC <1%–<1%) and 1% (CI <1%–2%), respectively. A total of 77 patients regretted having had GAS. Twenty-eight had minor and 34 had major regret based on Pfäfflin’s regret classification. The majority had clear regret based on Kuiper and Cohen-Kettenis classification.
Based on this review, there is an extremely low prevalence of regret in transgender patients after GAS. We believe this study corroborates the improvements made in regard to selection criteria for GAS. However, there is high subjectivity in the assessment of regret and lack of standardized questionnaires, which highlight the importance of developing validated questionnaires in this population.
Aus der Studie:
The causes and types of regrets reported in the studies are specified and shown in Table Table55 and and6.6. Overall, the most common reason for regret was psychosocial circumstances, particularly due to difficulties generated by return to society with the new gender in both social and family enviroments.23,29,32,33,36,44 In fact, some patients opted to reverse their gender role to achieve social acceptance, receive better salaries, and preserve relatives and friends relationships. These findings are in line with other studies. Laden et al performed a logistic regression analysis to assess potential risk factors for regret in this population.46 They found that the two most important risk factors predicting regret were “poor support from the family” and “belonging to the non-core group of transsexuals.”46 In addition, a study in Italy hypothesized that the high percentage of regret was attributed to social experience when they return after the surgery.33
Another factor associated with regret (although less prevalent) was poor surgical outcomes.20,23,36 Loss of clitoral sensation and postoperative chronic abdominal pain were the most common reported factors associated with surgical outcomes.14,36 In addition, aesthetic outcomes played an important role in regret. Two studies mentioned concerns with aesthetic outcomes.14,47 Only one of them quoted a patient inconformity: “body doesn’t meet the feminine ideal.”14 Interestingly, Lawrence et al demonstrated in their study that physical results of surgery are by far the most influential in determining satisfaction or regret after GAS than any preoperative factor.36 Concordantly, previous studies have shown absence of regret if sensation in clitoris and vaginal is achieved and if satisfaction with vaginal width is present.36
Other factors associated to regret were identified. Blanchard et al in 1989 noted a strong positive correlation between heterosexual preference and postoperative regret.32 All patients in this study who experienced regret were heterosexual transmen.32 On the contrary, Lawrence et al in 2003 did not find such correlation and attributed their findings to the increase in social tolerance in North American and Western European societies.36 Bodlund et al found that clinically evident personality disorder was a negative prognostic factor for regret in patients undergoing GAS.48 On the other hand, Blanchard et al did not find a correlation among patient’s education, age at surgery, and gender assigned at birth.32
In the present review, nearly half of the patients experienced major regret (based on Pfäfflin classification), meaning that they underwent or desire de-transition surgery, that will never pass through the same process again, and/or experience increase of gender dysphoria from the new gender. One study found that 10 of 14 patients with regret underwent de-transition surgeries (8 mastectomies, 2 vaginectomies, 2 phalloplasties, 2 testicular implants removal, and 1 breast augmentation) for reasons of social regret, true regret or feeling non-binary.23 On the other hand, based on the Kuiper and Cohen Kettenis’ classification, half of the patients in this review had clear regret and uncertain regret. This means that they freely expressed their regret toward the procedure, but some had role reversal to the former gender and others did not. Interestingly, Pfäfflin concluded that from a clinical standpoint, trangender patients suffered from many forms of minor regrets after GAS, all of which have a temporary course.20 This is an important consideration meaning that the actual true regret rate will always remain uncertain, as temporarity and types of regret can bring a huge challenge for assessment.
Regret after GAS may result from the ongoing discrimination that afflicts the TGNB population, affecting their freely expression of gender identity and, consequently feeling regretful from having had surgery.15 Poor social and group support, late-onset gender transition, poor sexual functioning, and mental health problems are factors associated with regret.15 Hence, assessing all these potential factors preoperatively and controlling them if possible could reduce regret rates even more and increase postoperative patient satisfaction.
Regarding transfemenine surgery, vaginoplasty was the most prevalent.14, 19, 23, 30–33, 35, 36, 44, 45Interesintgly, regret rates were higher in vaginoplasties.14,36,44 In this study, we estimated that the overall prevalence of regret after vaginoplasty was 2% (from 11 studies reviewed). This result is slightly higher than a metanalysis of 9 studies from 2017 that reported a prevalence of 1%.13 Moreover, vaginoplasty has shown to increase the quality of life in these patients.13 Mastectomy was the most prevalent transmasculine surgery. Also, it showed a very low prevalence of regret after mastectomy (<1%). Olson-Kennedy et al demonstrated that chest surgery decreases chest dysphoria in both minors and young adults, which might be the major reason behind our findings.38
In the current study, we identified a total of 7928 cases from 14 different countries. To the best of our knowledge, this is the largest attempt to compile the information on regret rates in this population. However, limitations such as significant heterogeneity among studies and among instruments used to assess regret rates, and moderate-to-high risk of bias in some studies represent a big barrier for generalization of the results of this study. The lack of validated questionnaires to evaluate regret in this population is a significant limiting factor. In addition, bias can occur because patients might restrain from expressing regrets due to fear of being judged by the interviewer. Moreover, the temporarity of the feeling of regret in some patients and the variable definition of regret may underestimate the real prevalence of “true” regret.
Ich kann mir vorstellen, dass Leute, die tatsächlich Transsexuell sind, auch eher zufrieden sind, weil sie ihr ursprüngliches Geschlecht eh kritisch sahen und daher zurück keine Option ist, man eben nur das beste aus der Situation machen kann.
Weniger überzeugte, die vielleicht eher gesellschaftlich beeinflusst worden sind, werden wohl auch eher mit den Resultaten nicht zufrieden sein.
Bereits die Frage, wie viele Detransitioner es überhaupt gibt, ist ja hoch umstritten. Da zu kommen eine Vielzahl verschiedener Operationsmethoden. Hier wurde mir schon mitgeteilt, dass neuere Prozeduren eben (wenig überraschend) wesentlich besser wären als alte. Wobei man über „Neovaginas“ eben genug Schaudergeschichten hört, die sehr in die Richtung der obigen Schilderungen gehen.
Es ist hier schwer ein objektives Bild zu bekommen, weil sehr viele Emotionen in dem Thema drin sind.
Dieses Bild war auch noch in den Kommentaren unter dem Thread zu finden:
Ebenso wie Aussagen wie diese:
The account is not a real person Katy. They are a GC larping as a detransitioner. This is a basic anatomy fail, the corpus cavernosum is excavated during surgery down to the root. There may be some left in the clitoris and surrounding area but it’s hardly a ’stump