• marcie (she/her)M
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    4 months ago

    Its my understanding that body dysmorphia is best treated with anti-depressants in most patients. Anti-depressants have no effect on gender dysphoria. If anti depressants aren’t working, maybe some other kind of intervention is warranted for those patients.

    I do not understand why being against it is transphobia, but I would like to understand this better.

    FFS is a reconstructive surgery. It is hard to compare to anything, but the purpose is to revert disfiguration by having the improper hormones. If cis people had this issue with hormones, then of course they should be covered.

    • jsomae
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      4 months ago

      OK, the argument that it’s caused by improper hormones is very compelling. The state could save money by helping ensure the hormones are corrected as early as possible.

      I do not know if antidepressants help cis dysmorphia, I’m somewhat skeptical about that. Antidepressants aren’t a miracle drug when it comes to this kind of thing, from what I’ve seen.

      • marcie (she/her)M
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        4 months ago

        I’m not sure about it either, I just know that it seems to be the most clinically significant treatment. Most people with body dysmorphia regret their surgeries, rates for trans regret are extremely low. Usually in the range of .5%-2% depending on surgery. For reference, somewhere around 30-40% regret knee surgery depending on the study. Regret rate science is a pretty well established thing.

        • jsomae
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          4 months ago

          Yeah that makes sense, I don’t doubt the regret numbers. I didn’t realize cosmetic surgery regret was that high. Well damn, consider me educated.

          I’ve seen that knee surgery figure before but I don’t think it’s a good comparison at all, and it’s easily attacked. Knee surgery has immense potential for chronic pain afterward, and poor mobility. Dysmorphia regret rates are much more compelling.