Chloe Rogers is a FY1 doctor with a licence to practise, who is employed as a research assistant by GenderGP.
Chloe Rogers website, '16point6: LGBTQ Inclusive Healthcare:
Building inclusive healthcare through medical education and practice'
"Sex and gender
(extract)
The definitions of sex and gender have changed a great deal over time. Accompanied by the changing understanding of human physiology, this evolution of language has presented the medical community with a challenge: to work outside of the binary. For a long time, the medical profession has relied on the binary system (male and female, man and woman) to separate groups of people and administer certain specific treatment regimens.
Sex is composed of several differences between this systemic binary of male and female – genitals, gonads, chromosomes, internal reproductive systems, hormones, and secondary sex characteristics. This may seem simple but given the wide variation of these factors within the human population, intersex variations, apparent ‘discrepancies’ in chromosomes and external genitalia in some individuals, how can we ascribe particular importance to one factor such that it is the one which determines an M or an F on our records? CN Lester talks about this in Trans Like Me: A Journey For All Of Us (2017).
Bodies have been sexed differently over time and in different cultural contexts, thus it is impossible to say that biology is sex and this is the absolute truth. Sex is socially constructed. (continues)
The fact that neither sex nor gender are stable entities or identities or categorisations highlights a problem in relying on either as a patient marker. There is no need, medical or otherwise, to package any of the above factors defining sex to be into boxes labelled male and female. It goes without saying that sometimes trans women and cis women will require different management plans based on biology and other individual needs. This can be done by working with the patient to ensure the best health outcomes for them rather than relying on a single letter on health records, which is at best incompetent and at worse damaging to the person’s health.
These concepts are not always easy to understand and we strongly recommend doing a bit of reading for yourselves to better understand your patients. Dr Ben Vincent, PhD, has written a very informative book, Transgender Health: A Practitioner’s Guide to Binary and Non-Binary Trans Patient Care (2018), that lays out a good explanation of sex and gender with regards to healthcare in chapter 2."
16point6.wordpress.com/the-basics/
H/t thespiralquirk via Twitter