It seems very odd that the condition of Munhausen Syndrome by Proxy or Fabricated Illness as it's now known appears to have passed the activists medics by at GIDS when they look at so many parents of 3 / 4 / 5 years olds claiming their little children are the opposite sex? Although MSP is a rare occurrence, yet again we see the lack of professional curiosity at GIDS and the repeated downplaying of safeguarding red flags.
Here's the first definition from google - others are available:
"Munchausen syndrome by proxy (MSP) or Munchausen by proxy is a psychological disorder marked by attention-seeking behavior by a caregiver through those who are in their care.
MSP is a relatively rare behavioral disorder. It affects a primary caretaker, often the mother. The person with MSP gains attention by seeking medical help for exaggerated or made-up symptoms of a child in their care. As health care providers strive to identify what's causing the child's symptoms, the deliberate actions of the parent or caretaker can often make the symptoms worse.
The person with MSP does not seem to be motivated by a desire for any type of material gain. While health care providers are often unable to identify the specific cause of the child's illness, they may not suspect the parent or caretaker of doing anything to harm the child. In fact the caregiver often appears to be very loving and caring and extremely distraught over their child's illness.
People with MSP may create or exaggerate a child's symptoms in several ways. They may simply lie about symptoms, alter tests (such as contaminating a urine sample), falsify medical records, or they may actually induce symptoms through various means, such as poisoning, suffocating, starving, and causing infection........"
https://www.webmd.com/mental-health/munchausen-by-proxy