"'If you’ve never had an orgasm pre-surgery, and then your puberty's blocked, it's very difficult to achieve that afterwards... I consider that a big problem, actually.'"
"'It's kind of an overlooked problem that in our ‘informed consent’ of children undergoing puberty blockers, we’ve in some respects overlooked that a little bit.'... [Dr. Marci Bowers] can build a labia, a vaginal canal and a clitoris, and the results look impressive. But, she said, if the kids are 'orgasmically naive' because of puberty blockade, the clitoris down there might as well be a fingertip and brings them no particular joy and, therefore, they’re not able to be responsive as a lover. And so how does that affect their long-term happiness?"
From "Top Trans Doctors Blow the Whistle on ‘Sloppy’ Care" by Abigail Shrier (at Common Sense with Bari Weiss).
Also: "[I]n natal males, early blockade might lead to 'non-normal pubertal phallic growth,' meaning that 'the genital tissue available for vaginoplasty might be less than optimal.' But... [m]any American gender surgeons augment the tissue for constructing neovaginas with borrowed stomach lining and even a swatch of bowel. Bowers draws the line at the colon. 'I never use the colon,' she said. 'It’s the last resort. You can get colon cancer. If it’s used sexually, you can get this chronic colitis that has to be treated over time. And it’s just in the discharge and the nasty appearance and it doesn’t smell like vagina.'"
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