surgery

 

Less than 50 physicians worldwide are willing to provide transgender surgical “sex reassignment” or “sex change” procedures, and as the few existing practitioners retire, no one is replacing them.  Modern cosmetic and reconstructive surgeons at large are opting not to do these procedures, even when they are state mandated and funded.

Now, insurers are struggling to fulfill state mandates covering transgender surgical procedures for men that are excluded for women based on sex discrimination. Transgender state medical mandates pushed by lobbyists insist that procedures such as breast implants and “face lifts” are medically necessary for men who wish to look more like women, while denying coverage for those same procedures to actual women. Transgender advocates have successfully lobbied for such government provided “care” on the grounds that without such procedures men may become depressed or abuse alcohol or other substances, and that such men have a state-protected right to avoid being mocked or socially ostracized for their appearance. Males must declare a “transgender identity” to receive coverage.

From the Boston Herald:

 

Insurers unsure on transgender care

Meanwhile patients unable to find docs for procedures

Thursday, October 30, 2014

Marie Szaniszlo

 

 Four months after the state Division of Insurance put health plans on notice that denying medically necessary treatment to transgender people is prohibited sex discrimination, insurers are still grappling with what constitutes medical necessity, and patients are struggling to find doctors who’ll treat them.

In a state world-renowned for its medical talent, no Massachusetts physician performs genital gender reassignment surgery, said Elizabeth M. Murphy of the Massachusetts Association of Health Plans.

“We were concerned people were having to go all over the country for this surgery,” Dr. Joel Rubenstein of Harvard Pilgrim Health Care said yesterday at a Division of Insurance informational session. “We’re hopeful somebody would step up to put together the surgical piece so it could all be in one place.”

Under state law, health plans are required to develop evidence-based medical necessity guidelines for such procedures.

“We are determined to … not exclude treatment for this condition,” Rubenstein said.

On the other hand, he said, Harvard Pilgrim does not want to approve procedures such as facial feminization for transgender people if those procedures would be considered merely cosmetic for other people.

“If we cover them for transgender patients, we would be being reverse-discriminatory,” said Dr. Robert Nierman, medical director at Tufts Health Plan.

But Ruben Hopwood of Fenway Health said facial feminization is not about wanting a “cuter nose.” A transgender person’s appearance is more likely to be the difference between getting a job or not getting one, and walking down the street unafraid or being attacked, Hopwood said.

Getting the proper treatment also can save money that might otherwise be spent on treatment for alcohol or substance abuse or depression, said Pam Klein, a nurse at Boston Health Care for the Homeless.

 

[bolding by me-GM]

 

 Dr. Sherman Leis hugs a child whose healthy reproductive system and genitals were surgically removed at the age of 16 [Philadelphia Inquirer]


Dr. Sherman Leis hugs a child whose healthy reproductive system and genitals were surgically removed at the age of 16 [Philadelphia Inquirer]

In the UK, Children as young as three years of age are now being admitted to state medical clinics for “corrective treatment” of sex-role noncompliance, with the aim of upholding social norms of gender and to prevent the development of “visibly transgendered” adults. Such treatments involve administration of drugs which halt normal child development (“Puberty Blockers”) followed by the lifetime administration of cross-sex hormones, resulting in sterilization. In the US, the first federally-funded state eugenics program in over thirty years will be launched in Oregon on October 1, 2014, specifically targeting pre-pubertal children deemed by parents and providers to be “transgender”. Surgeons now routinely perform complete “Sexual Reassignment Surgeries”: removing the genitals and reproductive systems of children as young as sixteen.

 

The following are excerpts from an interview featured in this month’s issue of LGBT Health Journal, discussing the “Current Practice and Future Possibilities” of sterilized transgender children:

 

Dr. Eyler: So there are treatments for trans adults who want to become parents. Would the two of you like to discuss the needs of transgender youth, particularly children who may not complete pubertal development in the natal sex, and possibilities for future fertility for them?

Dr. Pang: My experience has been only with postpubertal individuals. The youngest transgender person whom I have treated was 22 years old, so I do not have any experience with children who are either early postpubertal or prepubertal. I think that more transgender young people are becoming interested in potentially being parents. Last year, I was contacted by the mother of a transgender teenager, a 15-year-old transgender son. Her son is interested in fertility preservation; they had questions so I explained to them what it would involve. The technologies that I have to offer are useful only for postpubertal youth, such as someone his age, but I am sure that you, Anderson, might have ideas about how to help prepubertal children.

Dr. Clark: In the trans community, more and more trans youth are being treated at younger ages, such as at Dr. Norman Spack’s clinic at Children’s Hospital in Boston. Some gender variant children are treated with puberty suspending medications, GnRH analogs, similar to the treatment of children who are experiencing precocious puberty. This keeps them from going through the full puberty of the birth sex, spares them from developing secondary sex characteristics that are misaligned with their psychological gender, and gives them some time to mature.

Dr. Eyler: Cognitively and emotionally.

Dr. Clark: Yes, to be able to decide, when they get older, whether they want to medically transition. Some gender variant children are not actually transsexual or transgender as such, and will eventually decide to stop treatment and experience the puberty of the birth sex. Others, with the support of their parents and clinical team, find that they need cross-sex hormone treatments to proceed with the puberty that is aligned with their gender.

The Endocrine Society Guidelines1 support puberty-suppressing treatment beginning as early as Tanner (sexual maturity rating) stage 2, so this can precede significant hormonal and sexual development. Some adolescents, therefore, don’t develop the ability to produce viable gametes (eggs and sperm). Adolescent trans girls may lose fertility from estrogen treatment, even if they developed the ability to produce sperm before this was started. When they reach the age of majority, trans youth may also proceed with gender-affirming surgery that includes removal of the gonads.

For children and young adolescents, it is often the parents who are thinking about future reproductive capacity, because they would like the possibility of grandchildren, and because they are looking after the future interests of their children. When I speak at community conferences, they often come to ask about reproductive options for their children.

Dr. Eyler: Yes, and as a biologist, you are prepared to discuss the significance of the gametes not maturing and what future reproduction might involve.

Dr. Clark: Yes. The most applicable research has been performed on behalf of children who are treated for cancer and are rendered infertile. The Society for the Preservation of Fertility focuses on the needs of both postpubertal and prepubertal youth who may experience sterility from cancer treatments.

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srs male

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"It’s time for a bit more pride, and time for phone calls seeking validation based on brain sex to stop." - OII

“It’s time for a bit more pride, and time for phone calls seeking validation based on brain sex to stop.” – OII

 

By Morgan Carpenter, new Director of Organization Intersex International Australia:

 

Intersex, brain differences, and the transgender tipping point

5 June 2014.

Over a decade ago, intersex and trans activist Raven Kaldera wrote that trans people seeking classification as intersex might be seeking legitimisation, as if a physical cause is necessary to obtain social or familial validation. He said that trans people using brain sex theories to claim intersex status were basing a political stance on unproven science and damaging the intersex community’s ability to organise.

We might hope that times have changed, with the amazing Laverne Cox appearing on the cover of Time magazine, as it declares The Transgender Tipping Point. This is great news (also, we can’t wait for the next series of Orange is the New Black) but, sadly, a high proportion of enquiries that we get at OII Australia, a national intersex organisation, are still from trans folk seeking biological validation for their identity.

Intersex is a term for innate physical differences in sex characteristics, known controversially to medicine as “Disorders of Sex Development” and historically as hermaphroditism. At least 30 or 40 genetic differences causing intersex traits are known to science. Intersex is not defined as a gender identity. Intersex people have all sorts of gender identities, just like trans and other people. Some intersex people have non-binary gender identities, just like some trans people, but most intersex people are men or women.

Correlations between brain sex differences and same sex attraction in men, and trans gender identities in women, have been widely reported over a long period of time – yet there’s still controversy even regarding the notion that men and women have different brains. Given the known biological basis of many intersex variations, much of the research on causes of homosexuality has been carried out on live foetuses and infants with intersex traits.

Late last year, a neuroscience study inspired headlines proclaiming, “hardwired difference between male and female brains could explain why men are “better at map reading” (And why women are “better at remembering a conversation”)”. Cordelia Fine writing at The Conversation shows how the reporting and the study itself, of nearly 1,000 people, inflated very modest differences into something “tediously predictable“. In reality:

In an larger earlier study … the same research team compellingly demonstrated that the sex differences in the psychological skills they measured – executive control, memory, reasoning, spatial processing, sensorimotor skills, and social cognition – are almost all trivially small…

the social phenomenon of gender means that a person’s biological sex has a significant impact on the experiences (including social, material, physical, and mental) she or he encounters which will, in turn, leave neurological traces.

The more research that is conducted, the more clear is the evidence that brains are plastic. Differences are often over-stated, especially where results fit social preconceptions, but brain structures change according to circumstance and repeated activities.

Studies in recent years have found that a short eight-week mindfulness meditation program changed the brain structures of 16 participants, while other studies have found brain differences in active longer-term meditators. Scientific American has collected some good links.

More recently, a study in Israel has found that parenting rewires the male brain, particularly those of gay men: “the experience of hands-on parenting, with no female mother anywhere in the picture, can configure a caregiver’s brain in the same way that pregnancy and childbirth do“. In heterosexual men, brain differences were “proportional to the amount of time they spent with the baby“.

Laverne Cox said in that Time interview (via The Guardian):

If someone needs to express their gender in a way that is different, that is OK, and they should not be denied healthcare. They should not be bullied. They don’t deserve to be victims of violence … That’s what people need to understand, that it’s okay and that if you are uncomfortable with it, then you need to look at yourself.

It’s time for a bit more pride, and time for phone calls seeking validation based on brain sex to stop.

Biological validation doesn’t improve access or quality of healthcare. Testing for biological differences creates its own risks. Basing a human rights campaign on being “born that way“, or not being able to help being different is undeniably seductive, but we all deserve human rights whether we’re born a particular way or not. It shouldn’t depend on your genetics or your brain structure any more than your gender expression or what you choose to wear.

References

 

[Bolding by me. Images added by me.-GM]

 

images

ColoVag Complications

January 3, 2014

This post is dedicated to the deluded autogynephiles featured in the previous post.

.

GLAAD -formerly the Gay and Lesbian Alliance Against Defamation- is now an organization headed by heterosexual male Jennifer Finney Boylan and representing the medicalization of social sex roles or “Transgenderism”. GLAAD, who have removed “gay” and “lesbian” from their name and now wish to be known by the stand-alone acronym only, has issued the following video in an attempt to persuade New York State to provide Medicaid coverage for “gender treatments” designed to disguise the sex of individuals who would like to appear as the opposite sex, or who would like to use medicine and/or surgery to modify their secondary sex characteristics in some way.

 

Stephen Ira, the daughter of Annette Benning and Warren Beatty, appears in the video. Stephen Ira is known for her activism against lesbians and feminists, having publicly organized against the rights of women to hold radical feminist conferences, at one point even publishing on her blog that she often thinks about shooting feminists. Stephen Ira is a heterosexual woman who identifies as and calls herself a female “fag”.

The following is a partial list of some of the treatments and procedures identified as “medically necessary” by WPATH, the World Professional Association of Transgender Health:

 

Hormone antagonists

Pituitary suppressants

Synthetic Cross-sex hormones

Minoxidil

Viagra

facial feminization surgery

brow reduction

chin reduction

Nose job,

tracheal shave,

laryngoplasty

Mastectomy.

Breast implants

Nipple resection

Hip implants,

liposuction,

gluteal implants

Hysterectomy.

Vaginectomy.

Bilateral oophorectomy

Metoidioplasty.

Phalloplasty.

Scrotoplasty,

Urethral resection,

Colon resection,

Testicular implants,

Penile prostesis

Penectomy.

Orchidectomy.

Vaginoplasty,

ColoVaginoplasty,

Labioplasty,

Laser hair removal,

Electrolysis,

Vocal Training

 

surgeon-with-scalpel-page

No male can get pregnant

No male can get pregnant

Much discussion has occurred on this and other feminist sites on the attempts by the trans politic to erase female reality under patriarchy by destabilizing the fact that reproductively female humans actually exist, as a class, and are oppressed as a class on the basis of our sex. The trans politic, in part, adopts this tact disingenuously as a strategy to confer authenticity on their gender-based personas, totally disregarding the effect of such a politic on the lives of actual females, which are both unfathomable and unimportant to the men promoting our erasure. In private, among themselves, such men- many fathers and husbands- tend to freely acknowledge, even celebrate, their maleness in male-only groups and seminars and gatherings.

Not surprisingly, very few female transgenders make these claims. Very few females convey a sense of ownership over and entitlement to possessing a male body, even those females who have undergone extensive body mods to “pass” as male. Unlike men, women have always lived in “the background” of women’s lives. Indeed, they were raised into it. They know firsthand the systemic social, political, psychological, and violent warfare conducted against female humans by males based on our reproductive sex.  Even the most kool-aid drinking transgender F2T fantasist seldom forwards the idea that humans are not a sexually dimorphic species. F2T drive the “genderqueer” and “agender” and “not 100% a man exactly” arms of the transgender movement. They are the “Zirs” and Zies”. One F2T pioneer described her penis to me in correspondence as “a slab of flesh from my forearm sewn onto my crotch”. I have never, ever seen a F2T insisting her phalloplasty was an actual penis, or claiming that she has a prostate. Females know all too well that they are oppressed on the basis of their reproductive sex, and that there is no way to fully escape from this.

The experience of males- including males that fancy themselves to be actually female- is quite different. These men were raised with the expectation that women exist to serve them and care for them. Even gay boys grow up assuming they will someday own a woman, if they want one. M2T, like all men, are raised as members of the overlord class with little consciousness or interest in the lives and experiences of the underclass which exists only to serve them.

This is how a man who proclaims himself to be female after a lifetime of male-privilege, fatherhood and marriage can not only remain completely ignorant of female reality, but position himself as an authority on it, with the wisdom from “on high” to correct women from making the “silly mistake” in recognizing our sex-based oppression, or even our sex itself.

An example of such a man would be Dana Beyer, the “executive director” of Gender Rights Maryland, a designation and an org of his own invention. In an essay blogged last week on the Huffington Post, Dana describes the women who fail to reject the reality of human sexual dimorphism as “Radical Lesbian Separatist[s]”.  I am a gender-critical lesbian feminist, and even I don’t personally know any radical lesbian separatists. I assure you, neither does Dana. But that is how he genuinely perceives actual women that are not serving him. Further, this: “Even the radical lesbians, who base their feminism on their panic deriving from the potential to be forcibly impregnated by men, feed off this male anxiety about those who willingly surrender their male bodies and male privilege.” Our panic! Our sudden, uncontrollable fear or anxiety often causing wild unthinking behavior! The cwazy cwazy reaction women have to fending off violent sexual slavery for their entire lives in a history of reproductive mayhem perpetuated against females for the whole of human history. Now, now, ladies! Don’t panic! Base feminism on something else!

Remember: this perspective on the reproductive caste system (nothing to panic about ladies!) is coming from a man who actually believes himself “to be” female. Oh, and “surrender” your male privilege by calling yourself female and wearing a dress? That is not how things work sir. People only treat you as female if they perceive you to be female, not because you think of yourself as one. No one has ever perceived Dana as being female. No one gets to “choose” their oppression based on their own thoughts and feelings. But men like Dana have been raised with such entitlement that they regard oppression as a series of choices that one can opt into, or “surrender” themselves to by their will alone. Just as female transitioners know all too well that there is no escape from the sex caste, male members of the over-caste see reproductive oppression as completely irrelevant to their lives as men, except perhaps as a palette of life experiences they can tally with, tourist like, as just another of life’s many options.

The reality of female oppression does not exist for men like Dana, except as an inconvenient interruption of his male needs: his gender fantasies. Men like Dana will say and do anything to sustain their fantasies about women -and women better not have a damn thing to say about it. Ironically, this includes female transgenders and males who are trying to come to terms with gender dysphoria in a reality-based way.

Here is retired eye surgeon Dana Beyer MD’s definition of sex as a medical doctor:

“”Sex” includes the cellular materials that make up the sexual anatomy and physiology of a human being, including:

         Chromosomes

         Genes

         The cellular machinery for controlling the genetic material and its expression   as RNA and protein

         Gonads

         Genitals

         Other reproductive organs

         Hormones

         Hormone receptors

         Secondary sexual characteristics, such as breasts and facial hair

         Brain (the most important factor) “

The brain is the most important factor!

Completely brain-dead women kept alive on mechanical life-support have successfully reproduced with no brain function whatsoever. So no, doctor. What this transgender physician means is that his desire to inhabit a series of cultural sex-based stereotypes enforced violently upon women is more “real” than the objective reproductive reality experienced by females and exploited by men like him. So much so that he is willing to “surrender” his medical reputation.

Another transgender physician posted an eerily similar essay on Huffington Post last month, in this case the highly positioned David/Danielle Kaufman, Md, Chief of Radiology at Kaiser Permanente. The essay is titled “Male Organ or Not, This Really Is a Female Body”.

An excerpt:

“…I’m convinced, a year out from my trans-woman awakening, that this really is a female body. It may have been a male body once, but I’ve made a lot of changes already, and I haven’t finished. My beard, as well as my chest and abdomen hair, are mostly gone. I’ve had extensive surgery to feminize my face. I’m on estrogen; my body now runs on this female hormone, with testosterone blocked. As a result of the estrogen, I’m growing breasts. About a year into estrogen, my natural breasts are only about an A cup size, but they’re growing; they’re real women’s breasts, and I’ve had my first mammogram. There is real glandular breast tissue in there. Estrogen has shifted fat from my abdomen to my upper thighs and buttocks. I now have thunder thighs. They rub together no matter how I walk, and I’m afraid to go into the woods during the dry season for fear that I’ll start a fire.

So no, penis or not, this is a female body now, if for no other reason than that I’m female and it’s my body.”[*]

Women (“Radical Lesbian Separatist” or not) know that sex-deniers are harmful to those of us struggling against a violent sex-caste system. It is past time for the transgender movement – especially the medical providers who are inextricably attached to it-  drop this denialist tact, which is an exercise in delusion and madness.

[* Sadly, Dr. Kaufman committed suicide after the publication of his essay]

Female reproduction

Female reproduction

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