Oct. 12, 2026

Stay Silent or Resign: Dr Karla Solheim

Stay Silent or Resign: Dr Karla Solheim

Dr. Karla Solheim, former chair of the Iowa section of the American College of Obstetricians and Gynecologists, joins Travis Myers for a wide-ranging conversation about medical guidelines, pediatric gender medicine, scientific debate, and the personal cost of challenging professional institutions.Dr. Solheim discusses why she wrote an article questioning the evidence behind gender-related medical interventions for young people, what happened after she shared those concerns with ACOG, and why she ultimately chose to resign rather than stop speaking publicly.The conversation also examines Dr. Solheim’s criticisms of WPATH, the role of professional guidelines in medical practice, the visibility of detransitioners in medical research, and the concerns she says doctors and parents should consider when evaluating gender-related care.Dr. Solheim also explains her work with the LGB Courage Coalition and why she believes people with differing views should be allowed to examine evidence, ask difficult questions, and challenge established medical guidance.

Topics Covered


  • Why Dr. Solheim challenged ACOG’s guidance
  • The evidence behind pediatric gender medicine
  • WPATH and the development of medical guidelines
  • Scientific disagreement and professional censorship
  • The role of detransitioners in medical research
  • Why some physicians may be afraid to speak publicly
  • Gender nonconformity, adolescence, and puberty
  • Questions parents may want to ask healthcare providers
  • What doctors should know about long-term outcomes
  • Dr. Solheim’s work with the LGB Courage Coalition

Chapters

00:00 Introduction to Dr. Karla Solheim

00:53 Researching pediatric gender care

02:16 Questions about the evidence

04:43 Court documents and the article

06:21 ACOG’s response

07:41 Is WPATH a scientific or advocacy organization?

11:07 How professional guidelines influence doctors

15:43 What ACOG objected to

17:41 The resign-or-stay-silent ultimatum

19:40 Why Dr. Solheim chose to resign

22:43 The LGB Courage Coalition

26:54 Concerns about long-term outcomes

29:49 Gender dysphoria and adolescence

31:56 Social media and detransition

32:58 Why doctors may not hear about detransitioners

36:45 Why physicians may stay silent

41:36 Advice for parents

44:30 Questions to ask a doctor

47:26 What doctors should know

48:58 Where to find Dr. Solheim’s work

Guest

Dr. Karla SolheimDr. Solheim is a physician from Iowa and the medical director of the LGB Courage Coalition. In this episode, she shares her perspective on medical guidelines, gender-related care, scientific debate, and professional accountability.

Important Context

This episode presents the views and claims discussed by the guest and host. It is intended for conversation and commentary, not as medical advice. Parents and patients should consult qualified healthcare professionals regarding individual medical decisions.

Suggested Call to Action

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