Narratives of Adults Registered Female at Birth Who Started a Medical Transition and Later Detransitioned

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Paper Summary

Conflicts of Interest

Identified Weaknesses

Rating Explanation

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Paper Summary

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Some Trans Women in the UK Detransitioned, Citing Unmet Expectations and Health Concerns

This qualitative study explored the experiences of six transgender women in the UK who detransitioned after medically transitioning to male. Participants described several unmet expectations about resolving dysphoria and raised concerns about the long-term health impacts of medical transition. They also discussed the social impact of transition on their identity, political views, and relationships, which sometimes involved shifting identifications with women or feminist values. Detransitioning was an ongoing process, involving a complex mix of emotions, and some participants found support and connection through online communities.

Possible Conflicts of Interest

None identified.

Identified Weaknesses

Small sample size

The study's small sample size (six participants) limits the generalizability of the findings. It's possible that other transgender individuals who transition and then choose to detransition may have had different experiences or different reasons for making that choice. The study might not reflect the diversity of detransition experiences across different genders, racial or ethnic backgrounds, socio-economic groups or geographical locations.

Homogeneous sample

All of the participants in the study were White and born in the UK, and all identified as lesbian or bisexual. This homogeneity may limit the transferability of findings to other TGD populations with different ethnic, racial or sexual backgrounds.

Lack of follow-up data

The study focuses on the lived experiences and meaning making related to transition and detransition based on interviews conducted at a single point in time. The lack of follow-up data makes it harder to understand how participant experiences or interpretations might have changed over time.

Rating Explanation

This qualitative study provides valuable insights into the experiences of a specific group of transgender women who detransitioned. The in-depth interviews and thematic narrative analysis offer rich, nuanced data. While the small sample size and homogeneity limit the generalizability, the study's rigorous methods and exploration of multiple intersecting factors contribute to a deeper understanding of this complex phenomenon. The findings underscore the need for holistic assessment, improved information about the consequences of transition, and better support for those considering or undergoing detransition.

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