People missing out on cancer screening recalls to due gender not sex being recorded.

[HidingBehindTheWallpaper]

https://www.independent.co.uk/news/uk/home-news/sex-data-gender-identity-nhs-police-review-b2718090.html

If only someone could have foreseen this!

Oh so the transman tells the HCP, I am male...

...Apart from my body (the thing relevant to the whole healthy care thingy) which is female?

Got it.

It's very clear you need to contact your GP to book an appointment if you're a trans men registered as male. How is that not covering it?

Maybe they want a secret code or dodgy hand shake. I know, you know, we all know but we won't ever actually say it. We are just meant to keep pretending.

I get you don't want trans people to exist but you sound like you also want the NHS and their healthcare providers to act as such also, and for obvious reasons, they're not going to do that.

OK, that's clear enough - if you ['one'] are female but claim to be male, including when registering with a GP, you assume the responsibility of following up on all the tests and screening you need as a female.
If you are female but claim to be male AND are accurate in stating your sex when you register with your GP, you'll be called automatically.

'Registering as you prefer' may not be lying in your way of thinking, Pombearsallday, but the whole point of this discussion is about registering facts, and facts are not preferences. Being male or female is a fact, and while one might prefer to be male rather than female, or female rather than male, that's just not possible.

Registering with a GP stating an unattainable preference rather than a biological fact is not helpful for anyone, in the long run - it adds layers of admin and bureaucracy, it falsifies stats, and may lead to the patient not getting the care they need as promptly as possible.

How much do you think it costs to type those extra words? A ballpark figure?
A lot of money is wasted on the administration for women without a cervix not being properly removed from the screening population. The article doesn't reference any transgender people or organisations complaining that they are missing out on screening.
Oh and there is no prostate screening.

"While people can legally change gender, they can't change biological sex. This means a woman who transitions to become a man may still need cervical smears and transgender women may need prostate checks."

Bloody hell. Never thought I'd see the day that was stated on the BBC!

Think I might need a little lie down.

And yes, this is exactly one of the problems we've been talking about for years. Weirdly, male and female bodies do have some pretty major differences between them, and sometimes, they do need different medical attention.

Even a transwoman who has had his penis and testicles removed, still needs to have prostate examinations. The prostate is rarely removed in gender affirming surgery, as removing it can cause incontinence, and therefore not an acceptable side effect.

Of course, research suggests almost 100% of transmen on testosterone will also become incontinent, however this is an acceptable side effect.

Record biological sex and gender identity - but the gender identity options MUST include a "I don't have a gender identity" option.

Yes, it is females in a particular age range. Quite easy to filter for and BOTH filters are necessary to identify those needing a smear test.
We don’t get to falsify the age category, so it just leaves accurate recording of sex as the problem in identifying the group.

Abolish gender.

Problem solved.

Trans lives saved.

I mean... Trans lives matter and all that.

Yep - I work in the area. Sometimes computer systems don't even allow referrals to gynae/colp services. Also seen reception staff get confused/ think transmen are in the wrong place etc. Not sure how the anti-trans are seeing this as a win?

So trans people get the healthcare they wanted and it’s putting them in danger?
If only someone could have warned that this would happen 🙄

Ok but that's not suggested in the article at all that trans people are complaining of "missing" screening..the guidelines are absolutely clear on their onus to present for screening so I'm not sure where the concern is coming from. People are entitled to make their own healthcare decisions, if they choose to register as male and not be invited automatically - so what? Lots of women also choose not to go for life saving screening that they are invited and reminded to go to - that's their choice.

Nobody is saying they don't want transpeople to get appropriate health care. They are just saying that lying to the NHS is not going to expedite that process.

They are the ones who insist on misgendering themselves.

No it's those that have a cervix, I mean even some women with a cervix are excluded from screening due to previous medical treatments that will cause screening to inaccurate

But no trans people are complaining about their access to cervical screening. Certainly not in OPs article. The article says they're not invited for screening which has been the case clearly in the guidelines for aaages. Given the DR was so concerned I'm not sure why she couldn't get some examples from trans people erroneously missing their screening cos they didn't realise they had to self present.

I want trans people to get access to correct, safe healthcare.

Trans people will not cease to exist if their sex is correctly recorded on their medical record. They could however come to harm if given incorrect treatment because they are allowed to falsify their sex on their medical records.

I worked at a Drs and there was a trans patient who had their NHS record changed to reflect their chosen gender, new NHS number etc so effectively they were a new person entirely. I think we had to manually enter their old medical information, but as it stands they wouldn’t be called for any screening relevant to their birth gender.

The whole point of sending out invitations for smears is to remind and encourage women to have test. It's to reach women who would not otherwise book an appointment of their own accord. By recording a women as male sex means they miss out on these reminders to their disadvantage.

Stop the hyperbole. Trans people exist. They continue to exist even if people don’t go along with their belief that they’re the opposite sex. When talking about bodies and healthcare, your actual biological sex matters, as does the fact you’re taking opposite sex hormones and have had surgery (if you have). The hormones put you at greater risk of some cancers and testosterone increases risk of heart disease in women.

your health records need to show all these things. If you turn up at A&E with abdominal pain the Dr needs to know if you’re female as pregnancy may be a possible explanation.

Ok but what trans people are you concerned about? Since the article doesn't reference any trans people claiming to have missed out on their healthcare due to this. If every trans man eligible for screening has attended after self presenting would you no longer be worried about how they're registered or on principal you don't want them to be able to register as they wish?

It sort of covers it for anyone who is honest with themselves about their sex, and is organised enough to remember or realise they need to do this.

It doesn’t cover it for anyone deluded enough to think they have changed sex.

It doesn’t cover the whinging that will follow when only so-called “cis” people are called for the correct screenings and trans people have to remember to initiate them without prompting.

This. Darwin Award candidates quite frankly.

It doesn’t cover the whinging that will follow when only so-called “cis” people are called for the correct screenings and trans people have to remember to initiate them without prompting

But given that's already the guidelines, where are the trans people whining they have to initiate their appts for screening?

The problem is that inviting “people with a cervix” to screening misses out a huge amount of women. Research conduct by Jo’s Trust showed 40% of women don’t know what a cervix is. It disproportionately excludes women with English as an additional language, women with learning disabilities, women with poor education and literacy. These are the actually most marginalised people, whose health is being put at risk to avoid excluding a tiny number of female people who don’t “identity” as women.