SEGM ✓

@segm_ebm · United States · joined 30 Oct 2019

Society for Evidence-Based Gender Medicine. Promoting ethical and evidence-informed healthcare for children, adolescents & young adults. (Formerly SEGMtweets)

17 471Followers

176Following

1 370Posts total

1MViews on collected posts

Against accounts of the same size

19 posts from the last 90 days, next to the 10K–100K follower range. shown far beyond its own audience, and the audience reacts.

Median views12 383this account1 266median for 10K–100K

Reach, %70.88%this account3.99%median for 10K–100K

Engagement, %4.75%this account1.98%median for 10K–100K

Metric	This account	Median for 10K–100K	Ratio
Median views per post	12 383	1 266	9.78×
Reach (views ÷ followers)	70.88%	3.99%	17.8×
Engagement rate	4.75%	1.98%	2.40×

Others in this range → Compare with another account → How these benchmarks are built →

Growth & engagement

How the posts we collected actually performed: views and reaction rate post by post, what the audience did with them, and where the follower count goes.

Views per post

12.9K11 Aug

13.9K

23.2K

9.9K

3.5K

25.4K

5.3K

24.1K12 Aug

7.6K

30.3K

209

473

361

2.8K4 Sep

Last 14 collected posts, oldest on the left. The scale is logarithmic: one post can outrun the rest a hundred times over.

Engagement rate per post

5.24%11 Aug

4.75%

3.38%

5.94%

8.45%

1.96%

5.39%

0.11%12 Aug

7.27%

2.62%

13.40%

11.84%

6.65%

2.99%4 Sep

Reactions — likes, reposts, replies and quotes — divided by views. Median for 10K–100K accounts is 1.98%.

What the audience does

Likes68.0%10 114 in total

Reposts16.4%2 435 in total

Replies2.0%296 in total

Quotes3.4%511 in total

Bookmarks10.2%1 521 in total

Share of every reaction we collected for this account. Replies mean argument, reposts mean endorsement, bookmarks mean the post was worth keeping.

Followers by day

5 Sep

Daily snapshots since 05 Sep 2026; the dashed line is the starting count.

Latest posts

When the American Public Health Association and "123 public health and health policy deans..." signed a letter asserting that the "Utah Review" was a systematic review proving youth gender transitions safe & effective, SEGM investigated. We found another broken chain of trust 2.8K views · 59 likes · 23 reposts · 1 replies 04 Sep 2026 @segm_ebm @wesyang No one in the work of producing and maintaining clinical guidelines (used to shape care decisions) in USA would agree with WPATH on the now ‘new’ legal stance they are taking to try to escape liability w FTC and other entities. B$&%#* crazy to move the go 361 views · 23 likes · 1 reposts · 0 replies 12 Aug 2026 @segm_ebm The John Hopkins study was suppressed and the Tavistock records were made unavailable. I think there's a pattern here. 473 views · 51 likes · 3 reposts · 2 replies 12 Aug 2026 @segm_ebm The fact that WPATH actively tried to stop the release of the John Hopkins study shows criminal negligence to me. But there are other deceitful players like the head of Harvard Medical who presented messy Tawani Foundation "survey" data as a "clinical study" to support 209 views · 27 likes · 1 reposts · 0 replies 12 Aug 2026 WPATH's SOC-8 recommendations for puberty blockers and hormones for gender-dysphoric youth hinged on one key assertion: that a systematic review of outcomes for adolescents was "not possible" and therefore WPATH's expert opinion represented the best available evidence. Yet at ht 30.3K views · 566 likes · 188 reposts · 17 replies 12 Aug 2026 WPATH now admits that youth gender medicine is marked by "medical and scientific uncertainty" with 2 alternative paths to care for gender-dysphoric youth: WPATH's medicalized vs the Cass-aligned non-invasive one. Yet for 10+ years, doctors have been told WPATH's is the only way. 7.6K views · 412 likes · 123 reposts · 9 replies 12 Aug 2026 All recommendations from clinical guidelines represent opinions not fact Doesn’t matter for what disease, doesn’t matter for which condition All guidelines represent the opinions of the group tasked with evaluating the evidence and generating recommendations based on the 24.1K views · 14 likes · 1 reposts · 11 replies 12 Aug 2026 A key post from a @McMasterU scientist who went through a lot just to publish a peer-reviewed paper on the (poor) quality of WPATH Standards of Care 8. The question of how to care for gender-dysphoric youth has been presented by WPATH as settled—until it was challenged in court. 5.3K views · 228 likes · 56 reposts · 2 replies 11 Aug 2026 WPATH claims it is “contributing to [medical] debate.” But as someone “contributing to the debate” from the opposite side, I cannot make sense of my experiences if this is merely a debate. Why do my coauthors, I, and many others like us need to overcome anxiety, and, for some, 25.4K views · 366 likes · 102 reposts · 16 replies 11 Aug 2026 @segm_ebm Sorry, but you don't get to present yourself as a medical organization (even if you're not), publish a series of documents called "standards of care" (even though they never were), and escape blame when people took you at your word and hurt themselves or others. That's 3.5K views · 264 likes · 24 reposts · 7 replies 11 Aug 2026 This most recent WPATH court filing is here and deserves to be read in full: https://t.co/THJtHDcsik Note: AI was used in the production of the screenshots for this thread, in order to stitch text across page breaks & suppress hanging sentence fragments. The wording is verb 9.9K views · 512 likes · 62 reposts · 9 replies 11 Aug 2026 SEGM is not a policy-making group. Rather, we communicate with the clinical community, and often have to explain why we do not consider the WPATH Standards of Care to be evidence-based. Our reading of the latest WPATH filing: WPATH's message is that its "Standards of Care" are 23.2K views · 645 likes · 113 reposts · 9 replies 11 Aug 2026 In what appears to be a desperate move, WPATH favorably quotes the SCOTUS ruling that cleared the path for administering talk therapy aimed at changing homosexual orientation and gender identity (Chiles v. Salazar). WPATH previously strongly objected to both as forms of https://t 13.9K views · 565 likes · 78 reposts · 8 replies 11 Aug 2026 To defend itself against the FTC in the federal court, WPATH leans 𝐟𝐚𝐯𝐨𝐫𝐚𝐛𝐥𝐲 on two Supreme Court rulings that under normal circumstances it decries. One is Skrmetti, which allowed states to ban transgender interventions for minors. The other is the pro-"conversion 12.9K views · 605 likes · 61 reposts · 2 replies 11 Aug 2026 Leaning on the pro-state-bans Skrmetti ruling, WPATH argues that the states have the right to regulate transgender interventions. While some states exercised their right to ban them—other states likewise have the right to promote transgender interventions for minors, using WPATH 12.4K views · 515 likes · 47 reposts · 3 replies 11 Aug 2026 WPATH now says there are two sides to the scientific debate over care for gender-dysphoric youth. On one, the gender-affirming model WPATH promotes. On the other, the Cass Review and Cass-aligned policies such as restrictions or bans on puberty blockers and hormones for minors./3 19.1K views · 844 likes · 95 reposts · 3 replies 11 Aug 2026 WPATH now agrees that pediatric transgender medicine is marked by "medical and scientific uncertainty." It represents its SOC-8 recommendations merely as an expression of WPATH's "free speech." Yet for years, WPATH presented its guidelines as an unquestionable medical standard of 63K views · 1.3K likes · 295 reposts · 20 replies 11 Aug 2026 🚨 WPATH has conceded in court that its "Standards of Care" is merely an opinion. WPATH says it represents one side of an unsettled scientific debate marked by uncertainty — and physicains & orgs that rely on WPATH as the standard of care must bear "independent responsibility. 755.6K views · 3K likes · 1.1K reposts · 176 replies 11 Aug 2026 Registration is now open for SEGM’s 2026 conference, 𝐑𝐞𝐭𝐡𝐢𝐧𝐤𝐢𝐧𝐠 𝐘𝐨𝐮𝐭𝐡 𝐆𝐞𝐧𝐝𝐞𝐫 𝐌𝐞𝐝𝐢𝐜𝐢𝐧𝐞: 𝐂𝐡𝐚𝐫𝐭𝐢𝐧𝐠 𝐚 𝐏𝐚𝐭𝐡 𝐅𝐨𝐫𝐰𝐚𝐫𝐝, this November 5-7 in Washington, DC! Youth gender medicine now operates across sharply divided clinical and policy https://t.co/EtVxpKIZcL 3K views · 42 likes · 21 reposts · 1 replies 04 Aug 2026

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