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“Reconstructive surgeon and ‘world-renowned vaginoplasty specialist’ Marci Bowers voiced concerns over blocking puberty too early in those born male. Not only can surgery be more difficult because of lack of penile tissue to use (a warning that GIDS clinicians had been issued in 2016 and the Dutch team have discussed), but those children would not be able to achieve orgasm as adults. ‘If you’ve never had an orgasm pre-surgery, and then your puberty’s blocked, it’s very difficult to achieve that afterwards…I consider that a big problem, actually. It’s kind of an overlooked problem that in our “informed consent” of children undergoing puberty blockers, we’ve in some respects overlooked that a little bit.” — Hannah Barnes

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Reconstructive surgeon and ‘world-renowned vaginoplasty specialist’ Marci Bowers voiced concerns over blocking puberty too early in those born male. Not only can surgery be more difficult because of lack of penile tissue to use (a warning that GIDS clinicians had been issued in 2016 and the Dutch team have discussed), but those children would not be able to achieve orgasm as adults. ‘If you’ve never had an orgasm pre-surgery, and then your puberty’s blocked, it’s very difficult to achieve that afterwards…I consider that a big problem, actually. It’s kind of an overlooked problem that in our “informed consent” of children undergoing puberty blockers, we’ve in some respects overlooked that a little bit.
— Hannah Barnes