Abigail Shrier has taken a lot of heat for sharing well-documented information and raising important questions about transgender treatment and therapy. For example:

Abigail Shrier’s book Irreversible Damage has created quite a stir. When it was first released in June 2020, Amazon refused to allow the publisher to run sponsored advertisements of the book. After Joe Rogan interviewed Shrier on his podcast, some Spotify employees demanded that the episode be taken down. More recently, Target took the book off its shelves in response to a complaint from a person on Twitter, but later put it back due to other complaints from free speech advocates. Several others have declared the book to be transphobic and harmful to the trans* community (just skim some of the reviews on Amazon)—a particularly hot take among those who have not read the book.

A few days ago, Shrier published an article discussing interviews she has conducted with two well credentialed experts. Shrier’s expressed motive is to help families with teenagers who are struggling with how to proceed. Shrier’s interviews vindicated many of the points she made in her previous writings, including her book, Irreversible Damage. Here is an excerpt from “Why Marci Matters: Dr. Marci Bowers’ and Dr. Erica Anderson’s Candor Could Help Thousands of Families”:

On Monday, I published probably the most important piece of my career thus far: an interview I did with two top gender medical providers – vaginoplasty expert and gender surgeon Dr. Marci Bowers and child psychologist at the UCSF gender clinic, Dr. Erica Anderson, who spoke candidly about risks of current treatment protocols guiding transgender medicine.

For the first time in the U.S., top gender medical providers collectively acknowledged four facts: early puberty blockade can lead to significant surgical complication and also permanent sexual dysfunction; peer and social media influence do seem to play a role in encouraging the current, unprecedented spike in transgender identification by teen girls; and the World Professional Association of Transgender Health (WPATH) – of which both Bowers Anderson are board members – has been excluding doctors who question current medical protocols to its detriment.

But the bombshell – the point made to me in interviews with so many endocrinologists, but never by any providers of transgender medicine – was that “orgasmic naïveté” is real and it’s a problem.

In Bowers’ words:

When you block puberty, the problem is that a lot of the kids are orgasmically naive. So in other words, if you’ve never had an orgasm pre-surgery and then your puberty’s blocked, it’s very difficult to achieve that afterwards. And I think that 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.