Perils of Gender Transition on Populations and Governments: Ramifications on the Truncation of Human Lineage “A Prospective Analytical Study”

This article presents an in-depth examination of challenges facing the practical implementation of reproductive rights in contemporary society. Research confirms that reproductive rights constitute a fundamental component of fourth-generation human rights, characterized by autonomous choice of legally permitted behaviors and personal self-determination. The legal framework governing reproductive rights in Ukraine includes constitutional provisions, Civil and Family Codes, and healthcare legislation. However, the analysis reveals a significant legislative gap - the absence of a unified regulatory document comprehensively addressing reproductive rights, resulting in numerous legal inconsistencies. The study categorizes reproductive rights into positive rights (such as artificial insemination access) and negative rights (including sterilization and abortion services). Key regulatory issues surrounding assisted reproductive technologies are identified, particularly the lack of clear statutory definitions for critical terms like “infertility,” “embryo,” “surrogacy,” and “genetic parents,” alongside inadequate age restrictions for ART procedures and ambiguous embryo status regulations. International jurisprudence on sterilization is examined, with specific reference to the V.C. v. Slovakia case, which emphasized the paramount importance of obtaining informed patient consent. The research highlights the problematic imbalance in spousal rights regarding sterilization and abortion decisions, advocating for mandatory consent requirements when procedures could permanently affect a couple’s procreative capacity. Particular scholarly attention focuses on the embryo’s evolving legal position within reproductive rights discourse, especially relevant given advancing reproductive technologies. The article explores ethical and legal tensions between embryonic right to life considerations and individual reproductive freedoms. The conclusion offers specific recommendations for strengthening reproductive rights legislation in Ukraine.

Background Previous research on what is often termed “detransitioning” experiences among transgender and nonbinary individuals has frequently lacked conceptual clarity, failed to differentiate interrupted gender transition experiences by underlying motivations, and failed to examine correlations with psychosocial risks by the various motivations. Aims Utilizing a proposed conceptual framework that captures motivational differences between various interrupted gender transition experiences, this examination seeks to provide a more nuanced understanding of these interrupted gender transitions and their associations with psychosocial risks, underscoring the importance of improved conceptual clarity and empirical precision in this body of scholarship. Methods This secondary data analysis of the 2015 US Transgender Study (N = 26,026) examines how three specific interrupted gender transitions (i.e. interpersonal adaptive gender transitions, structural adaptive gender transitions, and gender recalibration) are correlated with a series of lifetime (i.e. suicide attempts and physical relational violence) and recent (i.e. illicit drug use, fear-based avoidance of medical providers, homelessness, and arrests) psychosocial risks. Multivariate models examine the relationships of interest controlling for age, gender identity, sexual orientation, race/ethnicity, partner status, education, employment status, and household income. Results Across all six examined risks, we find that interrupted gender transitions due to interpersonal pressure from others (interpersonal adaptive gender transition) and structural barriers facing transgender and nonbinary people (structural adaptive gender transition) are associated with the highest likelihoods of risks. Transgender and nonbinary (TNB) respondents who experience an interrupted gender transition due to a shift in their gender identity from one identity to another identity within the TNB umbrella (gender recalibration) are not significantly different than TNB respondents who had never undergone a gender transition in the first place. Discussion The study’s findings underscore not only the importance of disaggregation of gender transition interruptions by their underlying motivation, but also highlight one other way in which interpersonal and structural transphobia negatively impact the lived experiences of TNB people.

Treating Family Members of Transgender and Gender-Nonconforming People: An Interview With Eric Yarbrough, M.D.

Most understandings of successful aging are developed within a heteronormative cultural framework, leading to a dearth of theoretical and empirical scholarship relevant to lesbian, gay, bisexual, transgender, and queer (LGBTQ) older adults. This study explores the experiences of transgender persons who contemplate or pursue a gender transition in later life in order to develop culturally diverse conceptualizations of health and wellness in older age. Using the extended case method, in-depth interviews were conducted with male-to-female-identified persons (N = 22) who have seriously contemplated or pursued a gender transition past the age of 50. In addition, 170hr of participant observation was carried out at 3 national transgender conferences generating ethnographic field notes on the topics of aging and gender transitions in later life. Interpretive analyses suggest that many transgender older adults experience challenges to their gender identities that put their emotional and physical well-being at risk. Contemporary queer theory is used to understand these experiences and argue that greater attention to experiences of queer "failure" and negotiating "success on new terms" may be integral aspects of growth and development for transgender older adults. The Baby Boom generation is aging in a post-Stonewall, LGBTQ civil rights era, yet gerontology's approach to gender and sexual identity has largely been formulated from a heteronormative perspective. A framework for understanding older transgender persons' experiences informed by queer theory offers a new orientation for conceptualizing successful aging in the lives of marginalized gender and sexual minorities.

Gender-affirming medical care is the provision of transition-related medical services that support a transgender person’s own gender identity. Gender transitioning is a process that requires not only social support but also psychological and medical support, This paper attempts to document the challenges faced by transgender individuals (TG) especially in the context of gender affirming medical care in the Kerala context. The transition process is extremely complex as the preference for such process is varied. Some transgender individuals preferred social transition and/or medical transition to align their gender expression with their gender identity, while others chose to have a gender expression or identity outside the traditional gender binary. In Kerala, despite proactive policy and positive legal support, transgender individuals face many challenges in gender-affirming medical care which include lack of family support and equity-related issues with respect to a number of social support institutions including health services. A few possible interventions are suggested such as changes in medical curriculum, more active State support and sensitization of the society including health workers.

Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals face social, economic, legal, health, and health care–related disparities amid evolving threats to sociopolitical advances made in the last decade ([1][1],[2][2]). In response, organizations, including the National Institutes of

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Changes in sexual orientation identity (SOI) and gender identity (GI) have rarely been studied in transgender and/or nonbinary youth (TNBY), but documenting such changes is important for understanding identity development and gender transition and supporting the needs of TNBY. This study examined the frequency and patterning of changes in GI and SOI across 3 months (T1-T2) and 1.5 years (T1-T4) among 183 TNBY (baseline age 14–17 years; 83.6% White, 16.9% Hispanic/Latinx) who participated in a longitudinal US study. Participants completed online surveys including measures of GI and SOI. The most common gender identity selected at T1 (with or without another gender identity) was nonbinary (56.3%), and more than half (57.4%) of youth identified with a plurisexual identity (e.g., bisexual, pansexual). GI fluidity from T1-T2 was 13.2% and from T1-T4 was 28.9%. It was equally common to move toward a nonbinary gender identity as toward a binary gender identity. SOI fluidity was more common (30.6% from T1-T2; 55.8% from T1-T4) than GI fluidity. Shifts toward plurisexual identities were more common than shifts toward monosexual identities (e.g., straight, gay). Findings highlight the need to assess changes in GI and SOI in research and clinical practice to address the unique needs of TNBY accurately and effectively.

Medieval and Trans Ways of Being

(124) GENDER EXPRESSION AND GENDER AFFIRMATION PROCESS IN INDIVIDUALS WITH SUSPECTED ASD: A CASE REPORT

AIM. To examine the social and medical aspects of gender transition practices in Russia. MATERIAL AND METHODS. An anonymous online survey of people living in Russia whose gender experience differed from the sex marker determined at birth was conducted. The final sample consisted of 588 respondents (aged 24.016.70), of whom 69.9% (n=409) were transgender male, 23.1% (n=136) were transgender female, and 7.3% (n=43) had a different gender identity. RESULTS. There was a high frequency of social disadaptation among respondents (15.5% of the sample). Most respondents first reflected that their gender identity did not match their sex at birth and/or did not fit into the social framework during childhood or adolescence, with a peak at age 1114 (39.8% of the entire sample). The age at which respondents began gender transition was overwhelmingly after adulthood, with a peak at age 1825 (32.0% of the entire sample). More than half of the respondents (59.4%) who had medical body changes associated with gender transition initiated them on their own. Less than half of the respondents who were on hormone therapy (41.0%) had been monitored by an endocrinologist. The study showed a large proportion of people who already had medical body changes but had not changed sex marker on their IDs, with transgender women having the largest rate in this indicator. CONCLUSION. The data obtained determine the relevance of developing a system of specialized medical care for transgender people with essential destigmatizing psychotherapeutic and psychiatric care for these people, as well as emphasize the need to study the availability of medical (psychiatric) care for transgender people living in Russia.

This research explored identity processes related to mid-life gender transitioning in 13 trans women (assigned male at birth), ages 44–67 years, who lived in the Midwestern United States. Participants completed a semi-structured qualitative interview with questions about transgender identity development and experiences of gender transitioning. Interview transcripts were analyzed using grounded theory methodology. Themes representing cognitive and interpersonal processes differed in salience throughout the gender transitioning process: cognitive processes were more salient earlier and later in the transition, whereas interpersonal experiences were more salient in the middle of transitioning. Results from this study can inform counseling practice by improving cultural competency in counselors through increasing knowledge about how trans women form their gender identities and experience gender transitioning.

This article shows how sex work, gender identity and spatial mobilities were entangled for Greek trans women selling sex. Selling sex, particularly as trans women, exposed them to severe threats due to restrictive legislation and bias against them. Nevertheless, sex work could also be an empowering experience, facilitating their gender transitioning and helping them develop professional self-esteem. Greek trans women selling sex experienced such barriers and empowerment between the 1960s and early 1980s. Thus, contrary to the powerful argument in the history of sexuality, the late 1970s witnessed no ‘turn inwards’ for them. Selling sex as a pathway to gender transitioning was a process situated in specific spaces and facilitated by mobilities. Gender transitioning through sex work transpired in niches that trans women selling sex carved out in Athens and Salonica from the 1960s on. Simultaneously, movement across space had a complex and, sometimes, cumulative effect on sex work as a road to gender transitioning. Individuals engaging in the latter process relocated within the urban centres or from villages and provincial towns to the large cities of Greece, populating the abovementioned niches. In these niches, they exchanged information on locations outside of Greece. Subsequently, some trans women travelled to Casablanca to undergo gender-affirming surgery and/or migrated to West Berlin to sell sex. Such cross-border mobility had an ambiguous impact on the link between sex work and gender transitioning for Greek trans women, sometimes consolidating it and sometimes helping weaken it. In exploring the experience of Greek trans women in West Berlin, the article also contributes to the conjoined study of sex work, on the one hand, and migration from Greece to West Germany, on the other, which historians have hitherto primarily analysed separately from one another.

Exploring transgender adolescents’ body image concerns and disordered eating: Semi-structured interviews with nine gender minority youth

This study examines perspectives on gender transition from three viewpoints: students of the Islamic Education Program (PAI) at UIN Maulana Malik Ibrahim Malang, Indonesian positive law, and Islamic law. Using a qualitative narrative approach, interviews with ten PAI students revealed that the majority adhere to Islamic teachings, considering gender identity as a divine destiny that should not be altered, except in certain medical conditions. In Indonesian positive law, the process of gender transition is recognized through the court system with medical evidence. Meanwhile, in Islamic law, gender transition is generally rejected, except in cases of intersex. The Fatwa of the Indonesian Ulema Council (MUI) states that gender transition for individuals with a clear gender is haram but permissible in certain medical cases. This study concludes that the issue of gender transition is a complex debate involving religious, social, and legal aspects.