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.
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.