I'm going to go against the grain and say that his message, as shown in the image above, is unnecessarily rude and dismissive. It says:
SIR,
I am a gynaecologist and I look after real women. I am not qualified to look after MEN, even if they shave their beard and come to tell my secretary that they have become women. My GYNAECOLOGICAL examination table is not adapted for examining men. You have specialised and extremely competent services to look after men like you.
Whilst I understand the factual position that a gynaecologist works with female reproductive organs, to repeatedly refer to the client as a man, sir and so on is inflammatory and not particularly helpful to anyone.