Letter: Consent for Gender Transitioning with Puberty Blockers of Children before the End of Tanner Stage 2

Dear Doctors: As you know, the Medical Practice Act makes you and me mandated reporters of professional misconduct. I request that you identify all practices in Pennsylvania engaged in gender affirming care of children prior to Tanner Stage 2. You must then read their written informed consent. It should state the finding of Dr. Marci Bowers that the development of adult genitalia is required to experience a sexual climax. Puberty blockers permanently prevent sexual climax. At a recent talk at Duke University on "Trans & Gender Diverse Policies, Care, Practices, & Wellbeing," surgeon and "trans affirming" Doctor Marci Bowers, who transitioned at the age of 38, admitted that children who undergo transition before puberty will never have adult sexual function or experience orgasm. "An observation that I had," said Bowers, "every single child who was, or adolescent, who was truly blocked at Tanner stage 2," which is the beginning of physical development, when hormones begin their work of advancing a child to adulthood, "has never experienced orgasm. I mean, it's really about zero." 

Then you must request that each practitioner repeat to the investigator the speech they give to children and to parents, explaining the idea of a sexual climax, its value, and the implications of not being able to experience it. In males, it is required, not just for gratification, but also for reproduction. 

I request overall numbers that you have found, how many providers discuss this result in their informed consent, and the specific language used to explain it to children. 

If you only act on specific complaints, this is a complaint against all transitioning practitioners who fail to inform children and their parents of this effect. Do not become accomplices in this misconduct by covering up their failures.