© RFAnecdotal reports suggests the number of so-called 'reversals' are on the rise
Around five years ago, Professor Miroslav Djordjevic, the world-leading genital reconstructive surgeon, received a visit at his Belgrade clinic: a transgender person who had undergone surgery at different clinic to remove male genitalia - and since changed their mind.
That was the first time Prof Djordjevic had ever been contacted to perform a so-called gender reassignment "reversal" surgery. Over the next six months, another six people also approached him, similarly wanting to reverse their procedures.
They came from countries all over the western world, Britain included, united by an acute sense of regret.At present, Prof Djordjevic has a further six prospective people in discussions with his clinic about reversals and two currently undergoing the process itself; reattaching the male genitalia is a complex procedure and takes several operations over the course of a year to fully complete (at a cost of some €18,000).
Those wishing to reverse their
gender reassignment, Prof Djordjevic says,
have spoken to him about experiencing crippling levels of depression following their transition and in some cases even contemplated suicide. "It can be a real disaster to hear these stories," says the 52-year-old.
And yet, in the main part, they are not being heard.Last week, it was alleged that
Bath Spa University has turned down an application for research on gender reassignment reversal because it was a subject deemed "potentially politically incorrect". James Caspian, a psychotherapist who specialises in working with transgender people, suggested the research after a conversation with Prof Djordjevic in 2014 at a London restaurant where the Serbian told him about the number of reversals he was seeing, and the lack of academic rigour on the subject.
© NYTNSProfessor Miroslav Djordjevic
According to Caspian, the university initially approved his proposal to research "detransitioning". He then amassed some preliminary findings that suggested a growing number of young people - particularly young women - who were transitioning their gender and then regretting it.
But after submitting the more detailed proposal to Bath Spa, he discovered he had been referred to the university ethics committee which rejected it over fears of criticism that might be directed towards the university. Not least on social media from the powerful transgender lobby.Speaking this week, Caspian described himself as "astonished" at the decision, while Bath Spa University has launched an internal inquiry into why the research was turned down and is at present refusing to comment further.
Until the investigation is complete, Prof Djordjevic, who performs around 100 surgeries a year both at his Belgrade clinic and New York's Mount Sinai Hospital, is unwilling to give his exact opinion on the apparent rejection, but admits he is baffled as there is a desperate need for greater understanding in reversals.
"Definitely reversal surgery and regret in transgender persons is one of the very hot topics," he says. "Generally, we have to support all research in this field."
Prof Djordjevic, who is an expert in urology with 22 years experience of genital reconstructive surgery, operates under strict guidelines. Before any surgery takes place, he requires patients to undergo psychiatric evaluation for a minimum of between one and two years, followed by a hormonal evaluation and therapy. He also requests two professional letters of recommendation for each person and attempts to remain in contact for as long as possible following the surgery. Currently, he estimates he still speaks with almost 80 per cent of his former patients.
Following conversations with those upon whom he has helped detransition, Prof Djordjevic says he has real concerns about the level of psychiatric evaluation and counselling that people receive elsewhere before gender reassignment first takes place.Such worries were echoed in an interview given by an anonymous transgender person to the
Guardian earlier this year, in which they expressed their regret at transitioning and called for greater emphasis on counselling, with surgery promoted as the very last resort: "Had that been the case for me, I might not have transitioned. I was so focused on trying to change my gender, I never stopped to think about what gender meant."
Prof Djordjevic fears money is at the root of the problem, and says his reversal patients have told him about making initial enquiries to surgeries and simply being asked to send a cheque in return.
"I have heard stories of people visiting surgeries who only checked if they had the money to pay," he says. "We have to stop this. As a community, we have to make very strong rules: nobody who wants to make this type of surgery or just make money can be allowed to do so."
To date, all of his reversals have been transgender women aged over 30 wanting to restore their male genitalia.
Over the last two decades, the average age of his patients has more than halved, from 45 years old to 21. While the World Professional Association for Transgender Health guidelines currently state nobody under the age of 18 should undergo surgery, Prof Djordjevic fears this age limit could soon be reduced to include minors.Were that to happen, he says, he would refuse to abide by the rules. "I'm afraid what will happen five to 10 years later with this person," he says. "It is more than about surgery; it's an issue of human rights. I could not accept them as a patient because I'd be afraid what would happen to their brain and mind."
Referrals to adult and
child gender identity clinics in the UK have increased dramatically over the past 10 years. In April, the Tavistock and Portman NHS Foundation Trust, the only clinic for adolescents in England, reported 2,016 referrals to its gender identity development service, a 42 per cent increase compared to the previous year, which in itself marked a 104 per cent increase on the year before that.
The clinic stresses the majority of its young referrals do not end up receiving physical treatment through the service. While NHS guidelines state young people should not be given
cross-sex hormone treatment until 16, concerns have been raised about the lack of regulation particularly in the private sector.
Earlier this month, it was revealed a Monmouthshire MP, Dr Helen Webberley, was being investigated by the General Medical Council (GMC), following complaints from two GPs that she had treated children as young as 12 with hormones at her private clinic, which specialises in gender issues.Dr Webberley insists she has done nothing wrong, and there were no "decisions or judgements" made on the claims against her. "There are many children under 16 who are desperate to start what they would consider their natural puberty earlier than that," she said earlier this month.
Prof Djordjevic feels differently, and admits he has deep reservations about treating children with hormonal drugs before they reach puberty - not least as by blocking certain hormones before they have sufficiently developed means they may find it difficult to undergo reassignment surgery in the future.
"Ethically, we have to help any person over the world starting from three to four years of age, but in the best possible way," he says. "If you change general health with any drug, I'm not a supporter of that theory."
These are profoundly life-changing matters around which he - like many in his industry - feel far better debate is required to promote new understanding.
But at the moment, it seems, that debate is simply being shut down.
(I've posted this before relative to the transgender 'movement'... this article calls for it to be re-posted.)
For the record, I'm what is known as a 'true hermaphrodite'. I see these people and simply feel sorry for their state of mind. Personally, I view the current hysteria surrounding the issue of 'transgender' as more of a political ploy to further the 'divide and conquer' meme, just as the 'powers' use race, economic, political, national or religious leanings to pit individuals against one-another, and the controversy of 'transgender only confirms my suspicions. The Bruce/Caitlin Jenner debacle is just such a situation, as was the Caster Semyana Olympian runner issue a number of years back. Now we have multiple personalities advocating the 'gender neutrality or fluidity ' of children... NOT a good sign!
I do feel that those who surgically alter their bodies to conform with the 'other' gender, are actually acting out on feelings they have due to the nature of simultaneous incarnation described by Seth, in his 'Seth" series of books regarding the nature of Reality. There is NO Time in the Greater Reality - it is Always the 'Present', and thus All incarnations are happening At The Same Time.
Everyone has had many incarnations as both as males and females because consciousness (Spirit) wishes to experience as much as possible for its Spiritual Enrichment (even the ‘painful’ stuff has its lessons). This is how the Spirit grows and evolves, for that is the nature of Creation – to become More than it was a ‘moment’ ago. These trans-people are just Psychically tuning into other portions of their multiple Realities, and misinterpreting the signals in the 'here and now'. I'm certain that there are other factors at play, such as hormone levels as well as personal and social influences that cause further confusion in the individual who acts out in such a manner.
The fact is, these people will Never be a ‘woman’ or a ‘man’ (dependent upon what gender they are aspiring to be), although they may have the appearance of their choosing. In altering their bodies, these beings are actually Harming the very basis for their being manifested in the First Place, which has serious ramifications to physical body, the aura, as well as the psyche of the individual. This is why so many transsexuals have psychological problems as they (sometimes) come to realize the mistake they made as a result of mutilating their physical body and disrupting it's natural aura. Certainly, not All of them, but it is well known in the psychological profession that the majority have life-long psychological issues that typically result in suicide or addictions.
If only there was greater understanding of these issues surrounding the multiplicity of our Spirit in the general population, I believe we'd see much less 'confusion' and greater acceptance and rejoicing of our current individual physical manifestations, and thus avoid the harmful effects of such mutilations.
Namaste'