Summary

Canadian researchers interviewed 20 young people aged 16 to 25, nearly all born female, from seven countries. All had started and then stopped a gender transition, and were asked about the whole journey. How they saw their gender changed over time, and rarely settled into a simple return to their birth sex. Same-sex attraction, sometimes with shame about being gay, was part of why many had transitioned. Body discomfort often eased during transition. Afterwards it could ease, come back, or turn into distress about permanent changes such as a deeper voice. The authors conclude that paths are too varied to predict how things will turn out. They say care should look at the whole of life, including sexuality and possible loss. This is early, exploratory work. The group was small and volunteered, accounts look back in time, and the analysis openly comes from a gender-affirming viewpoint.

Key findings

• Dua puluh orang berusia 16 hingga 25 tahun dari Kanada, AS, Prancis, Belgia, Indonesia, Skotlandia, dan Finlandia diwawancarai pada 2020; 19 dari 20 orang terlahir perempuan.
• Semuanya telah bertransisi secara sosial; 13 juga telah bertransisi secara medis (12 memakai hormon, 8 menjalani setidaknya satu operasi, 2 memakai penghambat pubertas), tetapi hanya 3 dari 13 orang itu yang memulai transisi medis sebelum usia 18 tahun.
• Setelah berhenti, identitas gender bervariasi: sebagian merangkul kembali jenis kelamin lahir mereka, yang lain menyebut diri non-biner atau fluid atau tidak memakai label, dan sebagian mempertahankan nama atau kata ganti transisi mereka.
• Lebih dari separuh dari mereka yang berbicara tentang seksualitas pernah tertarik pada sesama jenis sebelum bertransisi, dan beberapa mengaitkan transisi mereka dengan rasa malu karena menjadi gay.
• Sebagian besar merasa lebih baik dalam tubuh mereka selama transisi, tetapi sebagian merasa perubahan itu tidak cukup, mengalami komplikasi, atau merasa tertekan untuk terus melanjutkan ke 'langkah' berikutnya.
• Setelah berhenti, tiga pengalaman tubuh digambarkan: merasa cukup nyaman, tekanan batin semula kembali, atau tekanan baru karena perubahan permanen seperti suara atau rambut wajah.
• Para penulis tidak menemukan ciri bersama yang dapat memprediksi siapa yang akan berhenti, dan merekomendasikan agar persetujuan berdasarkan informasi mencakup seksualitas, kemungkinan kehilangan, dan tantangan di masa depan sepanjang hidup seseorang.

Abstract

Background: Detransition is frequently covered in the media as a return to a cis identity after transition. Detransition is often studied in isolation and fails to examine it in context of various stages leading to detransition. Aim: To present the perspectives and reflections of youth who have detransitioned on their journey from early transition to discontinuation, focusing on three key dimensions: gender modalities, sexual modalities, and dysphoria experiences, and their evolution during this journey. Method: We drew from 20 in-depth interviews with young people aged 16 to 25 who have discontinued a transition and examined various stages of the gender journey from early transition to detransition. Youth narratives were analyzed thematically and longitudinally. Results: We developed three main themes related to the gender journey: nonlinear gender modalities, navigating sexual modalities along with gender modalities, and coping with dysphoria and body discomfort. We found a great diversity of experiences with regard to these within each participant and across the sample. Discussion: Transition and detransition trajectories are nonlinear and heterogeneous, without any identified commonalities that enable the prediction of outcomes after transitions. However, transnormativity may influence how people who detransition are expected to conform to a certain narrative despite the diversity of experiences present in this community.

Conclusion

Youth who discontinue a transition undergo diverse gender journeys and changes across gender modalities, sexual modalities and experiences of dysphoria. Transition and detransition trajectories are nonlinear and heterogeneous, with no identified commonalities that allow outcomes after transition to be predicted, and transnormativity may push people who detransition to fit an expected narrative. Future research should examine these experiences prospectively, for example by following youth from the moment they question their transition and examining how heteronormativity and transnormativity affect decisions to transition or detransition. Providers should look critically at media narratives, take a life-course approach that offers support beyond transition care, help youth understand how transition may affect their gender and sexual modalities, and discuss possible ambiguous loss, in order to strengthen informed consent and support youth whatever direction their gender journey takes.