(1) No I haven't. I experienced some limited intimacy as a teenager such as kissing and lying in bed together (whilst clothed). I honestly don't think I will regret it. I think if I did do it, I would regret that.
(2) I knew before doing an AMA here that some people would feel that was the most appropriate way to refer to me. It doesn't have a lot of effect on me in this context, but it would make me feel uncomfortable in my day to day life. Regardless, I don't think it is right to police the language people use in regards to a complex issue.
(3) I'm not sure to be honest with you. Early on I was very determined that no one would ever know because I had experienced a lot of humiliation and wanted normality. However, over time keeping something like that a secret exerts a burden, and I wondered whether people may be more accepting in recent years. However, it still does not feel like something I can do. It is hard to distinguish the degree to which that is caused by my general shame or the assault.
(4) Yes, unfortunately I met several as a teenager when I was still involved in trans spaces. There were quite a lot of young people (both biological boys and girls) who felt very uncomfortable around specific trans women and transvestites who would attend support groups.
We would talk about it amongst ourselves, but we weren't able to say it in the bigger group without being accused of being disrespectful by the people who led the group. I did end up leaving, and later joined a group for young people aged 16 to 25. That was a much better experience, and I didn't meet anyone there who made me feel uncomfortable despite there being many young trans women who attended.
Having said all this, I don't agree with the way that some people characterise all trans women as a monolith. Most that I met were sensitive and vulnerable people simply trying to live their lives. Many had experienced horrendous discrimination and mistreatment, and were nothing but kind and protective of the younger members of the group.
(5) If it is not particularly sensitive then I don't mind whether I see a male or female doctor. If it is intimate then I prefer to see a woman. Mainly because they have the same genitalia as me, but also because I have found female doctors to be more empathetic about trans issues. That isn't a rule though and there have been plenty of exceptions of both sexes. Ultimately, for me the most important is that it is someone who listens, is kind, and engenders trust.
(6) It was very difficult. However, I think it would be very difficult for anyone, regardless of their biological sex or identity.
The staff were wonderful. I didn't initially want to have any kind of examination and the nurse never tried to force it at all. She just started with things that weren't very invasive, and then explained the other exams they could do and why they would be beneficial. Because of her kindness and patience, I did ultimately go ahead with an intimate examination as I was in a lot of pain and was scared it was something serious.
I did feel a lot of shame, but I know that is common in people from all kinds of backgrounds, so it is hard to say the extent to which that was related to my sex dysphoria.
More generally, I have had many incidents in which staff have asked invasive and inappropriate questions. For example, I was asked by a triage nurse whether I used a 'strap on', when presenting with a broken arm.
I also had a bimanual exam performed following a cystoscopy to investigate microscopic haematuria. I wasn't told of the clinician's intentions, he said 'I just need to do one more thing' and then performed the exam. It was in the operating theatre when I was already feeling very exposed. He had also convinced me to get the cystoscopy by explaining it would just be him and one nurse, but when I arrived there were at least 5 people, including students. I think he probably reasoned that I would have refused both investigations and that it was in my best interests, but I found it very upsetting nevertheless.
In terms of being respectful, I think medical professionals should refrain from asking patients anything that is not medically relevant. I also think they should be empathetic whenever an intimate exam is required, and make efforts to preserve people's dignity, such as keeping them covered up as much as possible. I think these principles should apply to all patients, not just trans people.