Trans and health: reality bites

Erasing someone's entire medical history because they think they've changed sex is really a very odd course of action when you think about it.

There were threads on.the NHS software on here. There are fields for recording both sex and gender identity, but at least at the time the NHS was only using the latter.

This is the problem you run into with an unreality-affirming approach.

If you're committed to pretending someone is something they are not you're really fucked when it comes to evidence based treatments.

Forms need to say:
M or F
plus
Taking cross-sex hormones? GRS?

Some women might present as male/nonbinary but if they have had no medical or surgical interventions, it doesn't matter from a clinical point of view. The HCP can deal with a person sensitively when they see them in the flesh. They already ask how they would like to be addressed, etc.

Is it known how and exactly when this ridiculous system was agreed and given the go-ahead and who is responsible? Because thinking in terms of medical realities rather appeasing trans demands, surely erasing or falsifying the sex of a person when there are important differences in illnesses, symptoms and medication requirements between the sexes (I.e. sex matters), is a legal failure to safeguard health and do no harm? Besides the many lawsuits the NHS will be facing for ruining minors’ health, this is surely going to add more?

Especially as there are quite a few trans people according to various accounts, who genuinely believe they have changed sex (because it’s transphobic for anyone to enlighten them otherwise, and the ideology attracts a lot of young people in care, autistic people and others who might lack full understanding and education on the reality). Arguably the sex marker thing is contributing to that and making them literally unable to understand which sex-related medical issues can affect them.

Frankly this is why Pregnant People is harmful.

If they are so traumatised by their own sex, they have a mental health issue. Oh wait being trans isn't a mental health issue though is it according to activists.

Once again the cognitive dissonance is through the roof.

Why on earth did the NHS ever start pandering to this nonsense?

the obvious answer, as it always has been is a supplementary marker, if it is appropriate that the person now presents as a different gender to what their sex marker indicates.

So M or F. (sex)

and if they are trans (i am rolling my eyes so it's hard to type) they get an extra box that is entered. And if the trans person chooses not to indicate that they are trans - anything healthcare related that is sex specific, is on them.

Its as if biological sex is fixed and immutable and the risk of sex linked conditions and illnesses does not disappear when the admin records change.

Wha really?? Does that actually happen?? What does the poor nurse do?? Surely that's assault against the nurse?

it really is a thing, and yes as a pp said it’s just part of the general issue of sexual behaviour and harassment that affect HCPs, mainly female ones. But it’s harder of course when you’re not allowed to say the person is male and you can be accused of transphobia for objecting.

it’s not true of all trans women but it’s been an increasingly big issue in recent times because of the cultural shift towards immediately affirming any male who says he’s female and abandoning the previous process of psychotherapy and checks. Men who used to indulge their fetish in private are now coming out as trans women because they are encouraged to and everyone is expected to bow down to them and affirm them. There’s also a much greater rate of sex offending among trans women than among males in general, though part of that is the tendency for sex offenders to say they identify as female when put on trial in an attempt to get a lighter sentence or get into a female prison.

The fetish element is called agp and has been extensively studied.

this and various other things are why some people have concerns about gender ideology.

A potential solution would be taking responsibility for self and not requiring everyone else to run around in circles.

Gosh. Have I really been on Mumsnet 13 years?

The phrase I remember most from that is "the utter arse of a woman". Still makes me laugh.

Possibly a return to Iron Age cleansing rituals, where if you sin you go and sit in an underground cave for a few days burning sage.

Well you just know that if a "trans man" WAS invited for a pap smear, she'd doubtless take to Reddit to complain about how invalidating and triggering it was for her dysphoria.

The NHS is on its knees, especially when it comes to women's services. Having to pander to countless 'special' groups for no good reality-based reason is NOT the way to run a socialised universal healthcare service effectively.

Whilst I have a certain amount of sympathy for gender dysphoric females as statistics show that most of them have experienced sexual abuse (as have I), I'm also an old dinosaur who doesn't have enough oestrogen left in her body to pander to people who will persist in foolishness. If you make a huge fuss thinking you can opt out of your own sex and all the attendant problems with it, then to a large extent that's your bed and you've got to lie in it.

The thread where a male called 999 because he was having an asthma attack, and they asked for his sex at birth, and he then complained at length?

Miracle cure!

So illness doesn't buy into delusions. Colour me surprised.

I despair at this sort of nonsense, all trans people know exactly what sex they actually are and ought to be taking responsibility for their own health. Surely they know that they need periodic screening? It's common knowledge.

Anyway, in case anyone doesn't know about cutted up pear...

https://www.mumsnet.com/talk/mumsnet_classics/1301196-If-my-3yo-had-access-to-AIBU

Ah, so they get the receptionist calling them Miss, but they still get a prostate exam ?

I hate to sully Friends by invoking it here, but could they be more transparent 😁

Aren't there some people who even if they were to be sent sex appropriate NHS test invites, this would make these people dysphoric. Even if it is carefully worded and all.

This really does get to be extreme, and in these cases, what is the NHS supposed to do?

Recording biological sex as well as made up gender, what a novel idea!

@Datun

From the article, this is what was suggested

O’Callaghan said more could be done. “The system needs to find a way to track trans status without removing a person’s right to privacy.

They added: “A potential solution would be having both gender and sex registered at birth on the patient record, but the latter only being accessible at a system level or by clinicians with permission. But any solution to this issue must be co-created with trans patients directly.”

They could develop some kind of memory wipe mechanism so anyone who'd seen the unholy information of deadnames/biosex would be cleansed and forget their sin immediately. A sort of transconfessional.

The thread where a male called 999 because he was having an asthma attack, and they asked for his sex at birth, and he then complained at length?

Much outrage on reddit at 'gendering' lungs. And on here various MNers explaining why sex matters wrt lung capacity and peak rate flow etc.

Well, fancy that.

So what did they think the solution should actually be?

Is there some kind of 'inclusive' way of solving it?

It would require them taking responsibility for their actions and that would never do!