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Incorrect.

Genetic problems can lead to gender dysphoria (transgender), particularly for a segment of the Klinefelters population, people with congenital adrenal hyperplasia or non-classic congenital adrenal hyperplasia, hyperandrogenism, and others.

Not all people who suffer from these incurable conditions experience gender dysphoria, but plenty of studies going back 30 years or more show that some do.

As the parent of a child with one of these incurable genetic defects and gender dysphonia, I was forced to learn more about them and the impact of the endocrine system on sexual development than most people in the hopes of finding a cure.

When you know how rare these conditions are, and then how rare the subset who experience gender dysphoria is, you quickly realize that the current push in the medical field to transition everyone is agenda-driven instead of based on actual science. Further, you quickly determine that the number of kids now claiming to be “trans” is statistically impossible.

A huge mistake people make is not recognizing that there should be an underlying medical condition (because for some there is and in some instances it is curable; for example, boys with Klinefelters who experience GD can be treated with testosterone, which has shown for some patients to alleviate the GD, for some not). If there isn’t, it’s a mental disorder and we should not be operating on kids.

I have a relative whose daughter was born with a congenital birth defect - transverse vaginal septum – a nearly complete blockage of her upper vagina.

It wasn’t discovered until she started menstruation at 13. With her first period she experienced rather extreme cramps and some very lite spotting but not a full menstrual flow. The problem wasn’t discovered until she had her next period.

In her case because the blockage was nearly complete, when she started menstruating again, the menstrual blood, having nowhere else to go, backed up into her uterus, causing extreme pain, and a mass of congealed blood formed in her uterus, almost like a fetus, especially after her 2nd period and the pain and contractions this caused was described as if she was in hard childbirth labor.

This went on for weeks, her being in constant and agonizing pain, and given all sorts of pain killers in the hospital – oxy, fentanyl, tramadol, on a rotating basis, and even at one point accused of faking it because she also has ADHD and at one point being diagnosed as bi-polar like her twin, until she was finally properly diagnosed and transferred to Children’s National Hospital in DC.

There she underwent 2 surgeries by one of the most expert adolescent gynecological surgeons in the country but will need additional surgeries when she gets older.

In the meantime, she’s been put on both puberty blockers to stop her menstruation and other hormones to allow her to develop secondary sexual characteristics – a very delicate balancing act and requiring close and regular monitoring.

It is yet to be determined if she will ever be able to have children as other congenital defects of her sexual organs such as her fallopian tubes and uterus have also been possibly found but not yet 100% confirmed as last I know, which may or may not be corrected with future surgeries and or hormonal therapies, but even with a future and hopefully a successful re-sectioning and reconstruction of her vagina when she is older, she may still have difficulty with vaginal intercourse or giving birth vaginally.

FWIW, I noticed years before this that she was quite tomboyish and unlike her triplet sisters who do not share this same birth defect, she didn’t develop any interest in boys or in dressing femininely, liked playing with toys more akin to that of boys, acted more like a boy than a girl in many other ways even as a toddler, so I must wonder if she doesn’t also have some endocrine issues as well because of this birth defect.

As far as I know however she doesn’t think she is a boy, but she’s never been a “typical” girl either.

After her hospitalization and initial surgeries and going on all these medications, her mom and dad sat down with her to try to explain what was happening and why and that it was possible she might never be able to have any babies.

Her response was something like “that’s OK because I don’t want babies and I’ve never wanted a husband”. This was perhaps her way of trying to deal with this difficult diagnosis and all the surgeries she has in front of her and to try to pass it off as no big deal, being in denial.

And she of course at 13 now 15 may eventually change her mind but then again, I wouldn’t be surprised if she doesn’t come out one day as a lesbian. There has always been something about her that made me think she leans this way.

FWIW, I have a great niece who I thought showed signs as being a lesbian even as a young child, I never said anything about it but was mostly right - while she has been in a committed relationship for many years now with a man, she identifies as bi-sexual.

At the end of the day, if she is straight but unable to have children like me because we were dealt a bad card on the procreation thing or whether she marries a man in the future or marries a woman, I will love her unconditionally all the same.

Sometimes nature deals us an unexpected card. I am 100% straight and always wanted children but couldn’t despite several years of inconclusive tests and failed infertility treatments. I was sometimes left feeling less than a “real” woman because all my female friends got married and had babies.

But I’m at 62 now, I am OK with how it turned out. I think I’m much better as a supportive auntie than I might have been as a mother.