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Boone, an operations and project manager, had a harder time, but was brought around for the sake of his child. At 16 and a half, after seeing a therapist, Kat began taking estrogen and a blood pressure drug, spironolactone, that is also used to block the actions of testosterone, to help her look more female.

In the fall of junior year, she showed up at school wanting to be called Katherine, or Kat, because she likes cats. She does not want anything to do with her birth name, Caden.

She also has discovered that she likes girls. It was the cutting that convinced them that if she could not live as a girl, Kat would kill herself.

She still has two angry scars on her left forearm. Boone said. Part of what brought her father around was the support network that has sprung up around transgender issues.

In Syracuse, it is the Q for queer or questioning Center, run by the nonprofit ACR Health. It is not easy to find. Visitors have to be buzzed in through an unmarked back door in a shabby neighborhood.

But inside, it is homey, with a well-appointed library, a kitchen and a meeting room outfitted with beanbag chairs.

A meeting of teenagers in April began with each one declaring a name and pronoun of the day. Their choices were not always intuitively obvious.

But there were hints of the pain the children had to endure. One child was required to use a separate bathroom at school, and a hidden camera was later found there.

Kat told the group that she was looking forward to surgery in six days. They clapped. But the drive to treat children is relatively new.

One of the first and biggest hormone programs for young teenagers in the United States is led by a Harvard-affiliated pediatric endocrinologist, Dr.

Spack recalled being at a meeting in Europe about 15 years ago, when he learned that the Dutch were using puberty blockers in transgender early adolescents.

The puberty-blocking protocol gained legitimacy in , when it was endorsed by the Endocrine Society, the leading association of hormone experts, on the recommendation of a task force including Dr.

The protocol calls for administering puberty-blocking drugs, generally Lupron, an injection, or histrelin, an implant, that are normally used to treat precocious puberty as well as prostate cancer and endometriosis, abnormal growth of uterine tissue.

The theory is that this drug-induced lull from about 12 to 16, sometimes younger, will help teenagers decide if they truly are transgender, without committing to irreversible physical changes.

Puberty blockers are reversible. If a psychological evaluation confirms gender dysphoria, teenagers are treated with cross-sex hormones estrogen for boys, testosterone for girls , so they will, in effect, go through opposite-sex puberty.

A consequence of going through the whole protocol is infertility. Spack said his clinic had treated about children since , and less than 20 percent had been covered by insurance.

Doctors say that if children are started on puberty blockers young enough, insurance is less likely to question it. While hormones for minors are sometimes covered by insurance, surgery almost never is.

But several doctors said they had performed surgery on minors. Christine McGinn, estimated that she had done more than 30 operations on children under 18, about half of them vaginoplasties for biological boys becoming girls, and the other half double mastectomies for girls becoming boys.

McGinn said. Advocates say that extending treatment to teenagers will alleviate depression and suicide.

Patients as young as 15 do not need parental consent. The evidence is mixed. A large-scale Swedish study at the Karolinska Institute found that starting about a decade after gender reassignment surgery, transgender people were still more than 19 times as likely to die by suicide as the general population.

Complicating matters, studies suggest that most young children with gender dysphoria eventually lose any desire to change sex, and may grow up to be gay, rather than transgender.

Once into adolescence, however, their dysphoria is more likely to stick. McHugh, who said he played a role in closing a transgender surgery program at Johns Hopkins about 35 years ago.

This is America, be my guest. McGinn was far from Cazenovia, in Lower Bucks Hospital in Pennsylvania. Kat had been accepted at Champlain College in Vermont, where she planned to use her artistic talent she designed the rose tattoo on her shoulder to study video game design.

Her goal was to start college as a woman. Through luck — a cancellation — they were able to book a date during spring break, when Dr.

A customer service agent told her genital reconstructive surgery was allowed only for conditions like birth defects.

Boone retorted. The operation involved deconstructing her male genitals and repurposing the nerves and skin as female anatomy.

When it was over, Kat developed aspiration pneumonia and had vomiting and dry heaves for days, normal reactions to anesthesia, narcotics and antibiotics, but Dr.

In the video, she is taunting her ex-boyfriend who had dumped her. I do not understand Cantonese so here is a translation from The Dark Side :.

Ng ga ching , you cheap bastard! Before you got me, you did whatever I asked of you. After you got me, we had to go Dutch on everything.

Ok, that was still fine, but then you started complaining that my tits are AA cups and too small! And you dumped me because of that? Today, 3 months after we broke up, I want to show you something.

Now, take a good look, I have a C cup! And I bet you want to do me again, right? Comments from Tudou :. Everyone agree?

Evaluation complete!!! Although, very creative!!!! I pei [spit]! The horror of modern women. This guy should thank her for not exposing his true character…conclusion is that one must not offend 21st century females.

I am thinking…maybe this girl made this video for her ex-boyfriend…afterward made public by that boyfriend to get revenge on her…thus allowing us to see this video….

AA cups. Fauna is a mysterious young Shanghainese girl who lives in the only place a Shanghainese person would ever want to live: Shanghai.

In mid, she started chinaSMACK to combine her hobby of browsing Chinese internet forums with her goal of improving her English. Through her tireless translation of popular Chinese internet news and phenomenon, her English has apparently gotten dramatically better.

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