To your larger point, fertility doctors do need to get better and diagnosing and communicating the underlying issues for infertility. They need to be able to tell couples more specifically-tailored odds, and earlier in the process. However, there is not a lot of financial incentive for them to do that. It’s no…

And a masochist. If somebody wants to pretend they have a learning disability to get a free-timed test, I mean, we can’t stop that either if they are really good at pretending. But that’s not really a thing either, so maybe we should only police actual problems.

I think everyone has covered everything, however, there is a weak correlation between Intersex and Transgenderism. If you are intersex your chance of being transgender is several fold increased. The vast majority of intersex people are not transgender and vice versa. However, it’s notable because that correlation is…

Hard to talk about a specific case, but a lot of times transgender kids and adults talk about aspects of their gender expression or affinity or comfort with a gender, which stems from their identity and not the other way around. It’s still being studied, but a common theory in those that serve or are in the…

So much this. I’ll start listening to this complaining when some girl is completely shut out of competing because the entire squad is made up of transgender and intersex women that are not medically lowering there testosterone. Lots of kids get second when they would have gotten first any other year because there year…

Those that think the top priority of high school sports is strict biology and precise measurement and recording of human athletic achievement are doomed to be the jerk parents that yell at the ref and complain about their kid’s playing time to the coach.

Intersex is science dude. Women, with vaginas, can have testosterone in male range. It’s rare, but happens. Especially in high-level competitive sports because it is an advantage. Biology is messy.

Especially in the context of high school.

You are missing the intersex aspect of the story. There are women with high testosterone levels and vaginas. How’s that for blowing your small mind?

Professional sports and high school sports should have different bars.

Being transgender is not cheating. You might have legitimate concerns about an unfair advantage, but it’s not like an adolescent boy is pretending to have a rare condition to compete in women’s sports.

What’s missing from this analysis is that this is high school. High school sports are primarily about personal growth in a team context, secondarily about fitness, and lastly about pristine measurement of athletic performance. Compelling adolescents to medically alter their bodies, whether intersex or transgender, to…

It’s not all or nothing either. Most doctors do a pelvic exam as a last reasonable resort for diagnosis. If a cis person came in with the same symptoms, maybe he would have ruled out the need of the exam through questions and other tests first. Maybe being very curious about her anatomy, he was more easily able to…

1/150-300 people is uncommon, but not rare in a emergency room or urgent care setting. The majority of which will at least be on hormonal care. More and more, surgery as well.

“There is also a direct correlation between the promotion of trans and a rise in the number of people identifying as so.” Two decades ago, you could have easily replaced “trans” with “gay”.

Trans or not trans, patients should be 1) Made aware of why their vagina is being examined. 2) Not left with the feeling their vagina was unnecessarily examined. 3) Have the right to be upset or even mad as hell if 1) and 2) don’t happen, even if it stems from a misunderstanding. I dare you to ask any ciswoman if they…

If he suspected it was post op, why did he not consult the original surgeon? Quite common in these cases where there might be a problem. And if this case went to court, the doctor would have ample ability to justify the examine medically. The patient clearly thought the pelvic exam was not medically justified. If that…

It’s also routine to use your surgeon for post-op exams or a doctor with specific experience. An inexperienced doctor would consult the original surgeon about concerns. This happens  for post-op transmen that find themselves in urgent care for urinary problems. The point is that this doctor, who may have had pressing…

I think that doctor was replying to someone that suggested/thought that was standard UTI exam practice. A lot of context can be lost through Kinja threading.

So I would argue that since it is not true in general, all the more burden on the doctor to communicate to the patient in a way they are reassured it is necessary. That was not made clear to this patient, and the “compliment” by the doctor puts in doubt that curiosity did not factor in the decision. I think that is…