While it was never 100% accurate, the current state of the extension is pretty dire. I appreciate that it can be logistically difficult or even impossible to manually verify every report, as well as emotionally draining, but letting it remain in this a confusing and potentially defamatory state is worse than it not existing at all. The young trans people I support in a queer youth group are pessimistic enough about life already without being made to be paranoid about things they needn't be or tricked into viewing potentially traumatic content as a result of a poorly moderated extension.

Transphobes famously spend almost all of their free time trolling anything remotely related to being trans online, you cannot run something like this without having safeguards in place to prevent interfernece. I sympathise, but I think it's time to admit that it's become too big for you to manage and to retire the extension. It's kinder than allowing people to believe it will give them any kind of control over their online experience and being let down.