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this post was submitted on 20 Aug 2025
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Transfem
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The medical system lost its privilege to know everything about me at all times long ago. It's positively lousy with conservative quacks, who not only lose all sense of professionalism when it comes to gender minorities but downplay cis womens' medical issues too.
Do you understand this is a global problem?
how is it vital medical information? what difference does it make?
Just another cis guy speaking confidently over minorities
sure, but the real sin is being confidently wrong, lol
there seems to be real confusion, the main misunderstanding being that trans people really are their assigned sex, it betrays a kind of persistent essentialist thinking
it's a complicated topic, so I prefer to just invite that nuance - what are the differences? If they're right and I'm wrong, I'm sure that can be demonstrated - the worst case for me is that I learn something and grow.
These conversations are especially absurd given the fact that women weren't even included in clinical trials until the 90s, and for the most part medicine still doesn't even differentiate cis women, let alone intersex and trans people.
What it feels like is like a line is being crossed with cis people when I am a woman in a medical context. They were maybe willing to tolerate I am a woman socially, but the idea that I'm a woman "biologically" is like a third rail somehow, it's dangerous and against truth, etc.
Consistently I'm told it's important to disclose being trans for medical reasons, but I have yet to hear why, I never get an explaination that makes sense.
My doctors aren't even telling me this. Instead I think it's a kind of acceptable and anxious expression of latent transphobia, a desire to maintain a boundary between the social gender which has been expanded and made open to trans possibilities, and the "biological reality" which must remain fixed.
This is the same anxiety that lead universities to stop karyotype testing as an exercise for students, because so many find out they are intersex who perviously thought they were "normal". There is incredible anxiety around sex and gender and a desire to see things a certain way, and trans and intersex people complicate that way of seeing.
Telling trans people that disclosing their trans status in medical contexts on the surface seems defensible, but it seems to me that it may be more motivated by a desire to reduce trans people to their assigned sex in medical contexts, which in the end is less about good medicine and more about cis-sexist norms.
Yeah. I've yet to have a medical professional gender me correctly in reports. I'm a man who thinks he's a woman to them. They all seem so pleasant until I read their reports and see what they were actually thinking.
Edit: This is Jorunn btw :P just with my lemmy account
https://piefed.blahaj.zone/post/236212#comment_1057480
Edit: Besides, it's nuanced. Disclose if necessary. Don't disclose otherwise. It can cause us a lot of harm as others have gone into detail on to always disclose that we are trans. You don't know what you are talking about.
Edit: What I have to do in one of those countries you blindly assume is a-okay with trans people is I have to specifically look for doctors and medical professionals that are known for not mistreating queer or trans people. This is stuff we talk about and share with each other all the time. I'm not an isolated case.
absolutely, I have to find everything through the trans community - what dentist to see, my hairdresser, etc. Doctors are some of the most important to be vetted by the trans community first.