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Feminism: Sex and gender discussions

Doctors set out medical guidelines for trans men giving birth - Times

139 replies

Igneococcus · 27/07/2022 06:49

Can't see this shared yet:

www.thetimes.co.uk/article/1471a020-0d2c-11ed-a4af-79eb4b98fc31?shareToken=6ca0e34c47283d9e0ec2cb0554eafa64

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caringcarer · 27/07/2022 11:27

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

JellySaurus · 27/07/2022 11:27

ItsAnOvaryAction · 27/07/2022 11:20

Final point for MN before I attempt to write to the college -

The document states, of the Equality Act (2010):
The definition of ‘gender reassignment’ in the Act includes people who have not yet undergone any medical interventions and those who are making a social gender transition without any intention to undergo medical interventions. Protection under the Equality Act does not require a gender recognition certificate.

If this is indeed true then should it have a caveat? The paper does not mention inclusion of trans identifying males (transwomen) on women’s wards thankfully, but I know first hand that transwomen have been placed on womens gynaecology wards without the consent of those women.

This is incorrect.

Doctors set out medical guidelines for trans men giving birth - Times
Doctors set out medical guidelines for trans men giving birth - Times
LovinglifeAF · 27/07/2022 11:31

Whatiswrongwithmyknee · 27/07/2022 07:43

They have assumed that women who don't say they'e trans are cis. Highly disrespectful.

I agree

what absolute nonsense

FannyCann · 27/07/2022 11:31

To understand the full extent of policy capture in the NHS take a look at this FOI.
The Rainbow Badge scheme is funded by NHS England (£220k this financial year, £70k last fy) and administered by the LGBT Foundation.
40 NHS trusts are signed up this year, 10 in the pilot scheme last year.

Senior management need to demonstrate their rainbow credentials at interview.
Patient information needs to be gender neutral. There is much more that has been dug out by someone.

https://www.whatdotheyknow.com/request/rainbowbadgeeaccreditation25

Doctors set out medical guidelines for trans men giving birth - Times
Doctors set out medical guidelines for trans men giving birth - Times
Doctors set out medical guidelines for trans men giving birth - Times
FannyCann · 27/07/2022 11:34

And I am VERY keen to see the response to this excellent FOI which is now overdue.

https://www.whatdotheyknow.com/request/definitionoffwomangenderrsex#incoming-2065542

Doctors set out medical guidelines for trans men giving birth - Times
LemonSwan · 27/07/2022 11:35

I find the chest feeding thing so sinister. There’s a million words you could call it that don’t make it male centered.

Whats wrong with nursing ffs. Thats already a used word and actually the standard term in lots of countries.

Makes me think it’s not really about making it more inclusive. It seems to be about taking words away from women and making them male.

caringcarer · 27/07/2022 11:36

@fannycann, and all this money wasted on woke wording is making an the NHS not have an enough funding for essential treatments, or doctors and nurses. Can't help feeling the world has gone mad to accommodate what is less than 1 percent of population.

Dalekjastninerels · 27/07/2022 11:41

Why would a Transman want to give birth?

Surely they would not want to being a man in their eyes?!

It makes no sense.

Justme56 · 27/07/2022 11:45

"The paper does not mention inclusion of trans identifying males (transwomen) on women’s wards thankfully"

It does on the page 7 table.

"Gender diverse people should be allocated in-patient accommodation in line with their gender presentation, unless there is a significant reason (e.g. the individual care needs that cannot safely be provided in other settings). If there is a reason to depart from this, this should be discussed and agreed with the individual."

DameHelena · 27/07/2022 11:47

ItsAnOvaryAction · 27/07/2022 11:15

I have read the document and I will be writing to the college shortly. I have a few thoughts so far but I am still in too much disbelief to write a coherent response to the college. They tend to ignore their own members and fellows anyway (who pay millions in membership fees) but evidently they listen to Stonewall (which is where those membership fees appear to be going):

  1. Why is the pseudoscientific term “assigned [sex] at birth” used throughout this document? Sex is not assigned at birth, it is observed. Sex is determined at conception.
  2. Why is the term “cis” used at all when it comes from a belief system that many (or indeed most) women do not subscribe to and therefore do not identify with and may find hateful?
  3. Why does this document detail surgical and medical treatment for transgender identifying males? Certainly the issue of surgery is a urological one and would therefore be better addressed by the royal college of surgeons.
  4. The term “cis-sexism” is defined in the document to mean “prejudice in favour of ‘cis gender’ people.” Why is there no defined term to mean “prejudice in favour or transgender people at the expense of ‘cis gender’ women”? There are already numerous examples of this occurring in the NHS with regards to sexual assault of women by trans identifying males and the difficulties that these vulnerable have had in accessing support.
  5. Hysterectomy and bilateral salpingo-oopherectomy: the document details the risk of prolapse of neovagina in trans identifying males (an operation which would not be done by a gynaecologist anyway) but in its recommendation for hysterectomy and bilateral salpingo-oooherectomy in female patients there is no mention of the much much higher risk of pelvic organ prolapse (40% vs 2.8% for males), osteoporosis, menopausal symptoms, heart disease, depression, anxiety and memory problems to name a view. Naming the complications for male patients who the college members don’t even treat but not naming the complications for female patients is sexist, negligent and patriarchal. I see women almost every month in my own clinical practice who have life changing symptoms of pelvic organ prolapse following hysterectomy and were not appropriately consented prior to their operation.
  6. Why is the term “chest-feeding” used as a default term throughout the document, with no mention whatsoever of “breast feeding” in the context of “cis women”? Have “cis women”, who make up over 99% of OBGYN patients, been consulted on this change in language? Language appropriate to patient preferences is essential. Do not change to “chest feeding” as the default when many women prefer “breast feeding.” Use “chest feeding” when it is appropriate to the patient and what they prefer. I am a doctor and a mother. I have never and will never “chest feed” and am horrified at its increasingly common usage. I breastfed my babies and would have struggled to engage with any “chest feeding” support meaningfully, and I have no doubt that use of the term “chest feeding” (or indeed “cis woman”) would have left me feeling alienated and alone as a new mother.

I share every one of your concerns and thoughts (maybe not those where the medical terminology is beyond me as a lay person!).
I would be very interested, if you'd be willing to share it, to see what the College says when (if?) they respond to you.

Oh, and I love your username 😄

Whatwouldscullydo · 27/07/2022 11:49

Dalekjastninerels · 27/07/2022 11:41

Why would a Transman want to give birth?

Surely they would not want to being a man in their eyes?!

It makes no sense.

And if it became official men could give birth then surely companies could hire all men and then use that to prove they dont discriminate on the basis of maternity. And where would that leave maternity leave? Could it be argued that as men can give birth and none of the men employed have taken maternity leave then clearly its not something that's needed.

Turkeys voting fir Xmas

namechange7654 · 27/07/2022 11:57

I don't get the specific problem here. I absolutely don't agree with removing the word "women" from standard guidance/literature, but surely it makes sense to have separate guidance for this very small minority group?

As for all the "I just don't understand WHHYYYY" comments- people do all kinds of stuff I don't understand all the time. Individual decisions that don't affect anyone else are not really not an issue for society as a whole are they?

Justme56 · 27/07/2022 11:58

I found this interesting. I am sure I read that the The Scottish NHS has recently told GPs to prescribe 'bridging hormones' to patients who have not yet been seen at a gender identity clinic.

"Prescribing endocrine treatment with the intention of changing sex-specific characteristics may have profound social and psychological consequences. Clinicians must recognise and work within the limits of their competence. Prescribers who do not have specific expertise/experience in the prescribing and monitoring of endocrine treatment for gender dysphoria should work with clinical supervision from an experienced gender specialist (described by the GMC as having, “evidence of relevant training and at least two years' experience working in a specialised gender dysphoria practice such as a National Health Service Gender Identity Clinic”)."

ItsAnOvaryAction · 27/07/2022 11:58

Thank you @Justme56, that had completely slipped my notice! Admittedly reading that whole awful document felt mind melting in its thoughtlessness and lack of scientific rigour.

@Whatwouldscullydo I agree. Some may think that scenario is too dystopian but I think that we are already through the looking glass (eg assault of women in only recently mixed sex private spaces) and the posts on the long thread of “it will never happen.” The Venn diagram of trans rights activists and mens rights activists is not yet a perfect circle but it’s getting closer every week.

viques · 27/07/2022 11:58

“Some patients identifying as women retain male sex organs”

When you replace the word some with the word most which more accurately reflects the situation , then the anxiety that vunerable women lying in a hospital ward feel becomes a lot easier to understand doesn’t it?

Can someone, anyone , explain why the feelings of one person who has made choices in their life are seen as more important than the feelings of other people who have not even been asked what their choices are?

You would assume that a hospital of all places was a bit more clued up on what bodily attributes constitute a persons sexual identity.

Whatwouldscullydo · 27/07/2022 12:01

It does effect everyone else though.

Because indulging this for one person means that they are accepting that men and women are nothing more than a collection of undefined feelings inside someone's head. Medical care deals with sex bodies and should be based in facts/science. If we see that the nhs dont even know what sex is then how can anyone trust them with life and death decisions

Dalekjastninerels · 27/07/2022 12:02

Whatwouldscullydo · 27/07/2022 11:49

And if it became official men could give birth then surely companies could hire all men and then use that to prove they dont discriminate on the basis of maternity. And where would that leave maternity leave? Could it be argued that as men can give birth and none of the men employed have taken maternity leave then clearly its not something that's needed.

Turkeys voting fir Xmas

Excellent point.

I do not understand being Transgender at all. It seems like extreme stereotypes to me on both sides (except apparently for men wanting a baby) I am a woman I like frills and lace, but wear minimal makeup and have no intention of taking on the emotional load in a relationship- a grown man ought to know how to feed himself for example. On the other hand I am not into manly stuff like cars etc. I look after my car but that is all.

I would never be unkind to a trans person as they are obviously going through what makes no sense to me.

Maybe I am Non Binary and haven't worked it out ( I thought sarcastically)

HoppingPavlova · 27/07/2022 12:02

I just don’t understand why, if you firmly reject being a woman (which is fine, everyone has a choice), you would then want to have a baby which is not part of being a man which they say they identify with instead. Just hurts my brain.

Dalekjastninerels · 27/07/2022 12:05

HoppingPavlova · 27/07/2022 12:02

I just don’t understand why, if you firmly reject being a woman (which is fine, everyone has a choice), you would then want to have a baby which is not part of being a man which they say they identify with instead. Just hurts my brain.

Precisely; exactly what I said.

I makes no sense at all.

JellySaurus · 27/07/2022 12:06

namechange7654 · 27/07/2022 11:57

I don't get the specific problem here. I absolutely don't agree with removing the word "women" from standard guidance/literature, but surely it makes sense to have separate guidance for this very small minority group?

As for all the "I just don't understand WHHYYYY" comments- people do all kinds of stuff I don't understand all the time. Individual decisions that don't affect anyone else are not really not an issue for society as a whole are they?

Individual decisions that don't affect anyone else are not really not an issue for society as a whole are they?

The effect of compliance with (submission to!) this ideology is to impose the that individual's personal choices upon everyone else, regardless of others' beliefs or needs, and regardless of the consequences to others.

JellySaurus · 27/07/2022 12:08

and regardless of the consequences to that individual, too!

Why should trans-identified people get substandard care? Because that's what unclear language is in medical - substandard.

Dalekjastninerels · 27/07/2022 12:08

FFS
It makes no sense.

Sorry Mumsnet you need an edit button

namechange7654 · 27/07/2022 12:16

JellySaurus · 27/07/2022 12:06

Individual decisions that don't affect anyone else are not really not an issue for society as a whole are they?

The effect of compliance with (submission to!) this ideology is to impose the that individual's personal choices upon everyone else, regardless of others' beliefs or needs, and regardless of the consequences to others.

Yes I agree. I very much reject the move to referring to all mothers as "birthing parents" etc. This very clearly has a huge impact on society as a whole.

But having specific guidance for a specific group of people makes sense to me. If they want to call their own mammary glands their "chest" then that really makes no odds with me.

Whatwouldscullydo · 27/07/2022 12:20

JellySaurus · 27/07/2022 12:08

and regardless of the consequences to that individual, too!

Why should trans-identified people get substandard care? Because that's what unclear language is in medical - substandard.

Gives the hospital an out too.

1 man recorded as a man dying in childbirth would be negligible in stats. If it was 100 percent of transmen at that time or the death that would trigger a review if included with women it could be dismissed...

More harm for women and transmen

IcakethereforeIam · 27/07/2022 12:22

I'm sure I read somewhere that trans identifying females who are taking testosterone are at increased risk of certain cancers. Does anyone know anything about this or did I imagine it?

Is there a consensus in the comments under the Times article?

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