Transhealth – how to talk to patients about pronouns

Transgender authors share their experiences of healthcare and the important messages they’d like doctors to know

Two articles published on the bmj aim to help doctors treat patients who request support with their gender identity.

Firstly a practice pointer on how to refer to gender clinic, and secondly a What Your Patient Is Thinking article about trans people’s experiences in the healthcare system.

In this podcast, two of the authors of that patient experience article, Emma-Ben and Reubs, join us to discuss identity, pronouns and what genderqueer means.

More information

Lesbian, gay, bisexual, transgender content on reproductive endocrinology and infertility clinic websites

Fertility and Sterility, Sexuality, Volume 108, Issue 1, July 2017

2017 Study Abstract

Objective
To assess geographical distribution and practice characteristics of fertility clinics inclusive of lesbian, gay, bisexual, and transgender (LGBT) patients.

Design
Cross-sectional analysis.

Main Outcome Measure(s)

Lesbian, gay, bisexual, transgender content on reproductive endocrinology and infertility clinic websites, Fertility and Sterility, Sexuality, Volume 108, Issue 1, dx.doi.org/10.1016/j.fertnstert.2017.05.011, July 2017.

Rainbow flag credit CJF20.

Prevalence and geographical distribution of fertility clinic websites with LGBT-specific content, indicated by keywords and home page cues specific to the LGBT patient population. Assessment of relationship between LGBT-specific content and clinic characteristics, including U.S. region, clinic size, private versus academic setting, and state-mandated fertility insurance coverage.

Result(s)
Of 379 websites analyzed, 201 (53%) contained LGBT content. Clinics with the highest proportion of LGBT website content were in the Northeast (59/82, 72%) and West (63/96, 66%), while the lowest proportion was in the Midwest (29/74, 39%) and South (50/127, 39%). Most frequently used terms included lesbian (72%), LGBT/LGBTQ (69%), and gay (68%), while less used terms included trans/transgender (32%) and bisexual (15%). Larger clinic size was associated with LGBT-specific website content (odds ratio, 4.42; 95% confidence interval, 2.07–9.67). Practice type and state-mandated fertility insurance coverage were not associated with a clinic website having LGBT content.

Conclusion(s)
Over half of Society for Assisted Reproductive Technology member fertility clinics included LGBT content on their websites, yet those in the Midwest and South were significantly less likely to do so. Predictive factors for having LGBT website content included location in northeastern and western regions and increasing clinic size. Further studies are needed to evaluate whether inclusion of LGBT content on clinic websites impacts use of reproductive services by the LGBT patient population.

Environmental Endocrine Disruption Crisis of Epidemic Proportions

AutismOne Conference 2017

Presented by Leslie Carol Botha, WHE,
uploaded on SlideShare. Watch it full screen.

Endocrine Disruptors

Trans Day of Remembrance

80% of trans people have experienced domestic violence abuse

November 20th is the Transgender Day of Remembrance. We remember all who have lost their lives from acts of transphobic violence.

This event serves as a memorial, a protest, an opportunity for reflection and a chance to see old friends and meet new ones.

MORE INFORMATION

Transgender Men Can Face Fighting Breast Cancer Too

The medical world has blind spots in its understanding of how to take care of trans men and women

A transgender man, is somebody who is born female, and then takes male hormones to change gender. Many transgender people switch gender without having surgery to change their body.

… ” Zil Goldstein, a nurse practitioner and program director at Mount Sinai’s transgender center, said that while she had concerns about the long-term safety of transgender hormones, she worried more about the possible harm from not prescribing them – researchers report that 41 percent of transgender people attempt suicide.” …

…  “trans men with breast cancer were often urged to stop taking testosterone. One reason is that the body converts some testosterone to estrogen, which can speed the growth of many breast tumors. And some breast cancers may also be stimulated by testosterone, … “

Nonbinary: now a legal gender in the United States

US Court Allows a Person to Choose Neither Sex

On June 10, 2016, a Multnomah County Circuit Court Judge for the State of Oregon granted Jamie Shupe’s petition to change the legal sex/gender marker from female to nonbinary. This is understood to be the first order from a United States state court to recognize “non-binary” as a legal gender/sex identifier as part of a legal sex change procedure.

Oregon Court Allows a Person to Choose Neither Sex, nytimes, JUNE 13, 2016.

Oregon law does not specifically limit gender choices to male or female. Instead, the law allows a judge to order a legal change of sex and enter a judgment indicating the change of sex of a person if the court determines that the individual has undergone surgical, hormonal or other treatment appropriate for that individual for the purpose of gender transition and that sexual reassignment has been completed.

Other countries already federally recognize genders other than male and female—including Australia, Denmark, Nepal, and New Zealand.

DiEthylStilbestrol Gender Identity Controversy

“a very good possibility that DES is was caused me to be trans…”

Video published on 11 June 2016 by DES Daugther Network channel via Dion Lim 5/6/11pm weeknight anchor/reporter at WTSP/CBS .

It was a pill meant to prevent miscarriages…

Can a drug manipulate gender identity, cause people to be trans, asks Dion Lim?
Well, I know many DES sons who can confirm that yes, it did happen.

More DES DiEthylStilbestrol Resources

Why is Gender Identity so Important?

Treat everyone with dignity and respect asks Rikki Arundel

This talk, published on 25 Feb 2015, was given at a TEDx event using the TEDx Talks conference format but independently organized by a local community.

  • Why is my Gender Identity so important? Think for a moment about how you might describe someone.
  • Now what if you didn’t know their
    gender?

    • How would that change your description?
    • How would it change their identity?

Rikki Arundel takes us on a journey into the world between genders to explore how we can break from the prison of gender identity.

More Information

  • In 2002, after a life long struggle with her gender identity, Rikki Arundel decided to change her gender, a decision that brought her successful speaking career in financial services technology to an abrupt halt. Faced with considerable discrimination, she changed her field of expertise, completing a masters degree in Gender Research at Hull University and establishing herself as a diversity expert. She has spent the past decade delivering transgender awareness and other gender related training to mostly public sector organisations, and developing her website: GenderShift.
  • DES studies on gender identity and psychological health.
  • For DES support and community engagement, join the group “DES: Society of Sons and Daughters (So Sad) on Facebook.
  • Watch our interviews and trailers video playlist on YouTube.

As a male, I was prenatally exposed to medically prescribed hormones…

Real Talk with The Cummings and Hugh Easton, 2016

Video published on 12 Apr 2016 by REALTALK W/The Cummings channel with DES Son Hugh Easton.

Can a drug manipulate gender identity?

Listen to what Hugh Easton has to say. We know many DES sons who can confirm that yes, it did happen.

” Among my first discoveries were that I have a type of body structure that’s usually associated with intersex conditions, and that I have symptoms of acute hypogonadism. Basically, my body doesn’t make enough testosterone. Then, I came across a passage in the book “Brain Sex”, about a pattern of very shy, socially withdrawn behaviour that was often seen in teenaged boys who’d been prenatally exposed to an artificial estrogen called DES. It was virtually a perfect match for my own teenage years.

Shortly after that, I joined an online group of DES sons. It was like walking into a disaster zone, with everyone in the group appearing to suffer from health problems of various kinds, including hypogonadism, and various intersex-related abnormalities. One of the first things I noticed was that it was supposed to be a group for DES sons, yet most of the people posting stuff were using women’s names! I later discovered that these people had actually been assigned male at birth… “

More DES DiEthylStilbestrol Resources

Can a Drug manipulate Gender Identity?

Certain doctors and researchers and those in the community believe the DES drug can make a person transgender

Video published on 24 May 2016 by DES Daugther Network channel via Dion Lim 5/6/11pm weeknight anchor/reporter at WTSP/CBS .

It was a pill meant to prevent miscarriages…

Can a drug manipulate gender identity asks Dion Lim?
Well, I know many DES sons who can confirm that yes, it did happen.

More DES DiEthylStilbestrol Resources