Avira: no, it’s me that needs to be clearer. I’m saying that you can quote that sefer as many times as you want, and it’s not going to change my mind. It’s just a depressing example of how many contemporary poskim have submitted to the whims of the “expert class” on anything that can be construed as a medical issue, even when the decision makes absolutely no medical or halachic sense.
And for the record, the fact that this sefer is stand-alone on this issue does not automatically imply that everyone accepts it as authoritative. It could just be that nobody else thought it was worth addressing this issue; just like there are no sforim about how to live a fulfilling life as a frum homosexual. If a YCT rabbi went ahead and wrote one (if they haven’t already), the lack of competition would not imply agreement.
n0m: thanks for getting this back on track.