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I think that truscum, while I prefer it to transtrender (trans as a human right/existential lifestyle choice), still just begs the question of whether that is the best way to treat dysphoria. Ive noticed its being talked about less in any case these days with a preference for trans rights or existential transcendence narratives.
The low regret rates apply to a different cohort, being studies on older adults, mainly MtF and we don't know the rates for the recent so-called ROGD cohort. We know from one study that most of those with gender dysphoria who do not transition, desist from having dysphoria, with most of those turning out to be gay and in a recent study it was found that 30% of those prescribed hormones were found to have stopped them within 4 years.
Clearly we don't know enough to identify 'true trans', or 'true truscum' and given that early treatment with puberty blockers followed by hormones will result in infertility we have a high ethical bar, even for research. We know rates of mental illness are increasing rapidly in this cohort also and that there is frequently overlap with other conditions such as autism, OCD, anorexia/eating disorders, self harm, generalised anxiety etc.
I don't see why dysphoria is able to claim special status when it may only be a component of the actual condition the individual is caught in. Autism could easily involve a distorted self concept at its root, as well as a fastidious compulsiveness, and gender dysphoria be just the culture-bound manifestation of this for autistic people. Similarly we could think of the desire to be something different as resulting from some underlying OCD mechanism, with the gender content available to be the focus.
As I've said before, the rationale you raise for younger transition, indicates already that attempts to appear as the opposite sex are not necessarily effective in resolving dysphoria, especially when there are any cosmetic concerns. We don't know if some degree of persistent dysphoria, or dis-ease might be apparent in later in life, even for good-passers.
After all there is something existentially fragile about the reliance on passing in the first instance and I would speculate a fear perhaps of not being authentic could always be a risk.
As I've said before, this wish for young transition starts to fall into a transhumanism paradigm, as you acknowledge with your queering of the normative of puberty in human development. It's obviously better to treat somebody while causing the least harm. This is a normative claim we could all agree on surely. The big question beg is what's to say there won't be better treatments that don't involve risks to fertility or altering body parts? Lobotomy was also justified on their being no good alternative but then they discovered antidepressants/anti-psychotics.
The transhumanist desire for transcendence through technology along with anti-natalism is part of the broader frame of understanding the culture bound syndrome we are seeing expressed. We need to understand the cultural level if we are to remedy peoples distress in this regard as it's more and more apparent to me we are all stuck in a lack of meaning.
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