If I may, I'd like to discuss tubal pregnancies a little more.
For those who aren't already fully aware, perhaps because the information has never been relevant to their bodies, a tubal pregnancy happens when a fertilized egg implants (gets permanently stuck) in the fallopian tube — the passage twixt ovary and uterus — instead of completing the journey to the uterus. Approximately 2% of pregnancies are tubal pregnancies.
An ectopic pregnancy can't proceed normally. The fertilized egg can't survive, and the growing tissue may cause life-threatening bleeding, if left untreated.
You may not notice any symptoms at first. But as the fertilized egg grows in the improper place, the signs and symptoms become more noticeable.
Often, the first warning signs of an ectopic pregnancy are light vaginal bleeding and pelvic pain. If blood leaks from the fallopian tube, you may feel shoulder pain or an urge to have a bowel movement. The specific symptoms depend on where the blood collects and which nerves are irritated.
If the fertilized egg continues to grow in the fallopian tube, it can cause the tube to rupture. Heavy bleeding inside the abdomen is likely. Symptoms of this life-threatening event include extreme lightheadedness, fainting and shock.
Women should always seek emergency medical help if we have any signs or symptoms of an ectopic pregnancy, including:
Severe abdominal or pelvic pain accompanied by vaginal bleeding
Extreme lightheadedness or fainting
Shoulder pain
If untreated, tubal pregnancies can be fatal, which isn't surprising - body parts in your torso rupturing is generally bad for one's health. Googling just now told me that "bleeding from ectopic pregnancy causes 10% of all pregnancy-related deaths, and it's the leading cause of first-trimester maternal death."
But in Malta, once you have got to the hospital, and your tubal pregnancy has been spotted, a salpingectomy — the surgical removal of a fallopian tube — is subject to medical gatekeeping, and the procedure must be authorised, as discussed in my previous post. Isn't that horrendous?
But let us revisit the article in Prospect Magazine, and this segment from Robin White.
Yes. The 2004 Gender Recognition Act (GRA) provides for a medically-based, panel-assessed gender recognition process. It is almost two decades old, and means that we are falling behind other liberal western democracies. Putting the process online and reducing the fee as the government has pledged to do are all very well—except that those on low incomes were already exempt. The UK process still requires expensive medical reports and extensive data-gathering. Malta, France and Ireland have self-declaration and make it work perfectly well.
If I am parsing this right, Malta is being held up here as a liberal western democracy for not requiring any medical reports. The republic that has more stringent gatekeeping for female people requiring lifesaving operations than it does on male people wishing to access female spaces.
I think my phrasing would have been "misogynistic western republic"...
Another interesting thing to note is that here on MN, we are often accused of allying with the religious right for knowing that mammals, including humans, are male or female and cannot change sex.
What, pray tell, is Malta? It's hardly secular. As you may have guessed from its legislation, it is a very religious country. According to surveys, 90% of residents are Catholic and the official state religion (!) is Roman Catholicism! In fact, until 2011, you couldn't get divorced in Malta. You had to go abroad (divorces obtained abroad were recognised in Malta) or seek a church annulment of your marriage, in the style of Henry VIII of England. (And we should all know how frustrating he found the process of having to obtain church permission to divorce.)
But they have self-ID now?