ALL: Would removing "real life experience" requirements from trans healthcare benefit everyone?

submitted by ntr4ctrAdult Male with gender dysphoria from (self.GCdebatesQT)

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[–]worried19 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (13 children)

As lots of you probably know, there's a "real life experience" requirement to get genital reconstructive surgery in the US, or hormones replacement therapy in the UK

Do you have a source on that? I'm not as familiar with surgeries on natal males, but current procedure in the USA is "affirmation only" and people are able to get testosterone and mastectomies without a medical diagnosis of gender dysphoria or any sign of gender nonconformity, even as minors.

[–][deleted] 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (1 child)

Guidelines for bottom surgery in the US generally require at least a full year continuous living as your preferred gender and a letters from 2 mental health professionals as to your persistent dysphoria and need for surgery.

Surgeons are almost always extremely strict about those requirements as they are part of the Wpath standard and therefore failing to require them could expose them to malpractice claims. Shit even the Thai surgeons require it.

I can’t speak for the UK but that’s absolutely the standard in the US.

[–]worried19 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (0 children)

Thanks, circling. I appreciate the info. I'm glad they haven't gone "informed consent" for vaginoplasties the way they have for mastectomies.

[–]ntr4ctrAdult Male with gender dysphoria[S] 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (10 children)

Yeah, you're able to get an orchiectomy (testicle removal) without "real life experience", but getting GRS requires it.

or any sign of gender nonconformity

What does gender nonconformity have to do with it? I think judging people's eligibility for transition by how well they fit into gender roles is a bad idea and reinforces stereotypes.

[–]worried19 4 insightful - 1 fun4 insightful - 0 fun5 insightful - 1 fun -  (3 children)

Not every gender nonconforming person is trans (obviously), but until this past decade, nearly all trans people were extremely gender nonconforming in addition to showing signs of lifelong, severe sex and genital dysphoria.

I did not know that about natal male surgeries. I'm glad surgeons are at least taking it seriously, given that the risks for vaginoplasty are even higher than for mastectomy.

[–]ntr4ctrAdult Male with gender dysphoria[S] 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (2 children)

but until this past decade, nearly all trans people were extremely gender nonconforming in addition to showing signs of lifelong, severe sex and genital dysphoria.

What do those 2 things have to do with each other? If people can be gender conforming without having severe sex dysphoria, why can't they do the reverse?

[–]worried19 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (1 child)

It's a clinical sign of transsexuality and has been since transsexuality was first diagnosed.

[–]ntr4ctrAdult Male with gender dysphoria[S] 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (0 children)

I mean, that's a bit of a self-fulfilling prophecy, isn't it? If you dismiss anyone who has dysphoria but isn't GNC as "ROGD" and not really trans, then yeah, you'll find that 100% of the people you consider to be transsexual are GNC. But at that point, you're twisting the data to fit into the categories you decided are "legitimate", not building your categories around the data.

[–]peakingatthemomentTranssexual (natal male), HSTS 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (5 children)

What does gender nonconformity have to do with it?

If someone isn’t at all gender nonconforming, I feel like it’s kind of a red flag if they start feeling uncomfortable about their sex all of a sudden. Gender dysphoria presenting in puberty or adulthood may be happening for different reasons that someone who is nonconforming and dysphoric as a child. Many adults and teens will say they’ve had those feeling going back to childhood, but it rarely fits with how other people describe them. It seems silly to me to pretend like natural gender nonconformity and trans identity aren’t related at all.

[–]ntr4ctrAdult Male with gender dysphoria[S] 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (4 children)

I thought you GC types were the ones saying that transes just want to transition every gender nonconforming kid based on stereotypes.

[–]peakingatthemomentTranssexual (natal male), HSTS 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (3 children)

I'm not trying to be any type. I just feel like with all the ROGD cases, especially amongst teenage girls, that when it comes out of nowhere it's often either that or AGP/AAP or trauma. I don't think children should be transitioned at all, but if someone presented gender dysphoria in childhood and has been consistent and persistent about it as they grow up, that's different to me than someone who presents at 15 or 25.

[–]ntr4ctrAdult Male with gender dysphoria[S] 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (2 children)

If I can be feminine and be a man, why can't someone AFAB do the same thing?

[–]peakingatthemomentTranssexual (natal male), HSTS 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (1 child)

I don’t understand. Is there some reason they can’t be? I’m just talking about trans people.

[–]ntr4ctrAdult Male with gender dysphoria[S] 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (0 children)

Well you were the one calling trans men who weren't GNC enough "ROGD".