This would be the equivalent of asking a dental hygienist to do a root canal. Transgender surgery is a VERY extreme surgery and has results and potential complications your average vagina simply does not. You need a specialist.
Oof I just reread what I wrote, and that doesn’t read like what I meant. I meant to say if a person has gone completely through bottom surgery shouldn’t they be able to go to a gynaecologist since they would the essentially have a vagina? I mean obviously they’d have more nuisanced problems but some of the issues would still be the same (like STDs)
Jokur... at first I understood what you meant, and idk the details or have any info othen than I'm a woman (born a woman) and yes they check your vagina and that is something they can now make transgender look like they have one. However I do not know if gynecologists are the appropriate professionals to check the health of the area since they are trained to check it as part of a system which includes ovaries, uterus.... but im sure someone has to check everything is going ok there. Pribably a general dr that specializes in thansgenders? Because after a surgeon have discharged a patient they probably wom't keep checking
I’m not a gynecologist or a specialist in gender reassignment/conversion surgery. So far it seems none of us are- and really we’d need a whole panel to make any real determination. We have som assumptions and unanswered questions.
But I think, hope, we could all agree on the simple fact that wether a person should be able to see a gynecologist should be based on medical and scientific practicalities- not an emotional or political or ideological stance. A good friend worked in urology for years and saw nasty things. So the question of wether a doctor WANTS to is morally aligned to serve a patient isn’t a factor- doctors must save the lives of child rapists- it’s central to our system and their position in society just as lawyers must defend those they find disgusting. The patient- well...
Same deal. A doctor doesn’t HAVE to see a patient because they patient wants to be seen, wants that doctor or that type of doctor. A patient is entitled to needs based care as available. So as long as needs based care isn’t being withheld directly or through subversion- if a trans patient doesn’t NEED a gynecologist, or the gyno isn’t comfortable in their ability to provide care... the patient doesn’t have a right to receive services. If you want a cast and don’t need one- a doctor doesn’t have to give it to you. Same for an MRI or even a tummy tuck- the distinction is simply wether a quality of care is there and a medical need. So we’d need to answer the question of what a gyno could and couldn’t do for a trans patient- and if not them than who would be the referred specialty.
I realize you're arguing the hypothetical, but just for posterity's sake: the person in the pic has a penis and testicles. A gynecologist could not help them at all, with anything, ever.
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I don't honestly think it's reasonable to expect gynecologists to work on transgender. Pre-surgery you need a therapist who will prepare you mentally, a specialist who will help you with the proper hormones and consultations, and a surgeon who knows what the hell they're doing.
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Post surgery you will likely still need a therapist and a specialist. If a gynecologist can do all that then holy Hades more power to them. But I don't think it should be a requirement for gynecologist to learn this above and beyond what they're already taught. It comes across to me as having every teacher in the world learn to read and write Braille on the off chance a blind child comes through their class.
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Supposedly gynos CAN help with things like yeast infections for trans though
That said, if they CAN treat them, they shouldn't be turning post-op trans away. Pre-op is a bit more hazy
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And, because this is stupidly necessary on the internet today, no I'm not saying transgenderism is a disability. I'm saying it's not extremely common, and has unique requirements to work around
It seems we largely agree. Now- I do not have the medical authority to say what exactly services or knowledge of anatomy a gynecologist can apply to a post op trans (M>F or F>M) and the genitals and anatomy of either is certainly different than that of a born biological person of the same type.
There are also variations in HOW the surgeries are done- an older style M>F surgery created a sort of cervix- those individuals should likely receive Pap smears. Individuals with newer style surgery may still need vault smears. HPV is still a concern for M>F trans as well. So there are certainly things a post op trans could need a gyno for- and a post op F>M may still have some of their vagina or reproductive system as well- so they also can still likely use services often provided by a gyno or OBGYN.
But to your point- who should be the one who does it? We have specialists because you can’t teach everyone everything- a GP can do most things but often isn’t as skilled or experienced at certain things right? But... if an M>F transgender needs a pap smear- should it be required for the surgeon who does reassignments to learn how to do it? Surgeons aren’t usually general practitioners who do routine care- that somewhat defeats the purpose of specialties right?
Should their former GP have to be able to do Pap smears? I dunnoh. I’m not saying one way or another- I’m just saying that to your point- it kinda makes sense to refer whatever needs done to whatever specialist already does that thing, versus forcing it into the required tool kit for another specialty or general study which doesn’t usually or often do such things.
Then there is of course- quality of care. Your heart surgeon had to take the same classes as your family doctor- but they don’t deal with the things your doctor does all day- they lack the same level of experience in many of these things because it isn’t something they do as often. So by shoe horning trans into the “wrong” doctor, or shoehorning skills into doctors tool kits which will see little or no use to them- we compromise quality of care for everyone- the trans getting less skilled care and the other patients who’s doctor had to use time to learn and keep a set of skills that they don’t use as opposed to polishing or learning ones they will regularly apply.
So as I said before- I don’t have the answers in detail. I can’t say if a gyno should or shouldn’t see post op trans. Where the need for care and the existing skill set to provide that care overlap- that’s probably who should provide the care- just as a practical matter. But quality of care is important- access to care is important. Wether they are blind or trans- the medical establishment seeks to grow to meet the demands for care of those who need it, and adapt to changes in the types of care needed while improving overall access and quality. We don’t need to reinvent the wheel- we just need to take a practical look at who can provide the services needed by the trans community and leverage existing assets to provide that care.
Just a mandatory reminder that this is Yaniv, the person very invested in suing women of color into the ground, having access to womens' change rooms to see boobs and vaginas, believes children should be naked at all times, has allegedly solicited minors for sex on the internet, and is VERY interested in helping underage girls insert tampons.
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They also hide behind their status as a "trans" and have successfully used it as a delay tactic in the past to avoid being held accountable for their disgusting behaviour.
-They've never been convicted of pedophilia, but at least one minor has accused them of trying to solicit sex from them online
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-Most of Yaniv's comments have been made to adults
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-They pretend to be Trans so they are protected. No, not an exaggeration. I don't care who this pisses off. A lot of people have actually tried to help and encourage Yaniv to come into womens' dressing rooms. Yaniv used their status as a trans to try and force women at female wax salons to wax his testicles, and when they refused, he labelled them all hate crimes and phobes. He tried to sue many of them iirc. And at first everyone was going along with it, until the numbers started piling up and people realized, no no no, they aren't the bigots. Yaniv is deliberately targeting women of color. Several of them have since sued Yaniv.
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-people are more interested in protecting feelings than in protecting children
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-Yaniv WAS arrested (or going to be) for an altercation with a reporter
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-welcome to Canada.
But I think, hope, we could all agree on the simple fact that wether a person should be able to see a gynecologist should be based on medical and scientific practicalities- not an emotional or political or ideological stance. A good friend worked in urology for years and saw nasty things. So the question of wether a doctor WANTS to is morally aligned to serve a patient isn’t a factor- doctors must save the lives of child rapists- it’s central to our system and their position in society just as lawyers must defend those they find disgusting. The patient- well...
.
I don't honestly think it's reasonable to expect gynecologists to work on transgender. Pre-surgery you need a therapist who will prepare you mentally, a specialist who will help you with the proper hormones and consultations, and a surgeon who knows what the hell they're doing.
.
Post surgery you will likely still need a therapist and a specialist. If a gynecologist can do all that then holy Hades more power to them. But I don't think it should be a requirement for gynecologist to learn this above and beyond what they're already taught. It comes across to me as having every teacher in the world learn to read and write Braille on the off chance a blind child comes through their class.
.
Supposedly gynos CAN help with things like yeast infections for trans though
.
And, because this is stupidly necessary on the internet today, no I'm not saying transgenderism is a disability. I'm saying it's not extremely common, and has unique requirements to work around
.
They also hide behind their status as a "trans" and have successfully used it as a delay tactic in the past to avoid being held accountable for their disgusting behaviour.
.
-Most of Yaniv's comments have been made to adults
.
-They pretend to be Trans so they are protected. No, not an exaggeration. I don't care who this pisses off. A lot of people have actually tried to help and encourage Yaniv to come into womens' dressing rooms. Yaniv used their status as a trans to try and force women at female wax salons to wax his testicles, and when they refused, he labelled them all hate crimes and phobes. He tried to sue many of them iirc. And at first everyone was going along with it, until the numbers started piling up and people realized, no no no, they aren't the bigots. Yaniv is deliberately targeting women of color. Several of them have since sued Yaniv.
.
-people are more interested in protecting feelings than in protecting children
.
-Yaniv WAS arrested (or going to be) for an altercation with a reporter
.
-welcome to Canada.