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Notes -
Do you think you would have been better off with medical transitioning pre-puberty, even if that meant you would never orgasm or have functional male or female sexuality (like what seems to have happened with Jazz Jennings)?
I don't think there's enough studies on the sexual development of trans women who completely blocked male puberty, as it's fairly rare. I probably would have preferred that at the time, since my sexuality made me feel very distressed in general, but "completely block puberty" and "transition as an adult" aren't the only two options. I don't see why I couldn't have transitioned shortly after the onset of male puberty, enough to gain the ability to orgasm and some sexual functioning, but before my voice dropped and height increased. And there's also the potential use of topical testosterone for normal genital development, that's very promising but under-studied.
FWIW, it isn't even true that starting medical transition early on results in an inability to orgasm or a lack of sexual function. Even trans women who start puberty blockers so early that they don't have enough skin to use for a penile inversion vaginoplasty are still as likely as cis women to report being able to orgasm, after vaginoplasty using an alternative technique.
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