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Being "masculine enough" to healthcare workers.

Started by JeffJefftyJeff, July 19, 2015, 04:06:37 AM

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JeffJefftyJeff

So... first post about actual "stuff" here. Woo, hey guys.

I know the title's probably not the best way to describe the thing I've been grappling with lately, but I'm not sure of a better way. Prior to reading some reviews of local health care providers, I'd always kind of assumed that if/when I did decide to transition, that doctors would/might understand that I wouldn't necessarily be easily read as masculine prior to actual HRT (and/or having a binder). However, over the last week or two I've read a few people (not here, on places like Tumblr and whatnot) talking about going to therapists or endocrinologists and being criticized or having their identity questioned because they didn't appear "masculine enough," or as though they were... Dunno. Really trying hard enough to pass.

I'm familiar with the new WPATH standards and the whole incorporating non-binary gender identities thing... but I'm wondering if any other guys have run into this in their experience with transitioning. Have healthcare providers who were specifically there to help with trans health stuff ever been skeptical about your gender presentation? Have you  felt like you needed to "practice" what you were going to say/how you were going to explain your identity and needing T (or surgery, or whatever) to people? I'm going to an informed consent place this Wednesday and while I've heard they're great, I also know I don't have the ripped/buff body shape a lot of guys do that already lends to easier binding/more masculine presentation pre-T, so... little nervous over here.
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Ms Grace

I think it can vary a lot depending on the attitude and training of the health care provider. It shouldn't matter how masculine you present to them as - part of the reason you're seeing them is for help with that process after all. Unfortunately some practitioners can be judgemental and behind the times. Not all cis men are hyper masculine so there's no need for you to be either, especially if that's not how you identify.
Grace
----------------------------------------------
Transition 1.0 (Julie): HRT 1989-91
Self-denial: 1991-2013
Transition 2.0 (Grace): HRT June 24 2013
Full-time: March 24, 2014 :D
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Lady Smith

Quote from: Ms Grace on July 19, 2015, 04:44:42 AM
I think it can vary a lot depending on the attitude and training of the health care provider. It shouldn't matter how masculine you present to them as - part of the reason you're seeing them is for help with that process after all. Unfortunately some practitioners can be judgemental and behind the times. Not all cis men are hyper masculine so there's no need for you to be either, especially if that's not how you identify.

This +1

Having just watched several episodes of 'United States of Tara' and having seen how Toni Collette (Tara) played the part of her alternate personality 'Buck' I can't help but smile a little at the thought of having to present as masculine enough to satisfy some behind the times health care workers.  I hope I haven't offended anyone by mentioning that.
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blink

Quote from: ThatElliotGuy on July 19, 2015, 04:06:37 AM
I also know I don't have the ripped/buff body shape a lot of guys do that already lends to easier binding/more masculine presentation pre-T, so... little nervous over here.
If they turn you away because you don't already look like you're on T, there's something very wrong with that place.
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JeffJefftyJeff

Quote from: blink on July 19, 2015, 09:22:29 AM
If they turn you away because you don't already look like you're on T, there's something very wrong with that place.

I hope that's the case (or rather... I hope it *doesn't* happen). I've mostly heard good things about the place that I'm going, but I'm still nervous - unlike a lot of guys I see on here, my build isn't superbuff (I'm a big guy but... you know, not super burly muscle-wise), and I'm not even sure my binder will be here before I go to talk to the doctor. It *is* an informed consent clinic, but I guess there's still that worry that somehow they'll see me and decide I'm not man enough or that I'm not making enough of an effort to pass yet.  :-\  I appreciate the feedback, though - it's definitely reassuring.

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FriendsCallMeChris

I worried about the same thing before I started therapy.  I don't look masculine at all, no matter whether I try or not.   T will have to do it's job for a while.  :(   And, to tell the truth, I wasn't sure how masculine was supposed to feel.  I guess I project it, though. I've been through three therapists (I've moved a lot in the last few months).  I've told them I'm worried about no one taking me seriously (and at first, I worried that I was big-time deluding myself) and they all concur that I'm definitely trans* masculine.  So, I guess I'm showing more male vibes than I think I am.   
Chris
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sam1234

Unfortunately, not all health care professionals have had any experience with transgenders. I don't know if they receive training in school on the anatomical differences of surgically transitioned transgenders, and if they do, it is probably a very small amount. The same goes for those in the mental health profession.

Have you ever read the inserts on a medication you are going on? They list quite a few side effects that could occur. That doesn't mean that all of them will. Just because transgenders are supposed to act like a,b and c doesn't mean that they will. If a healthcare worker is going by the book, then chances are they will want to see all of the signs of a transgender rather than using their heads and realizing that only some of the signs will be present.

Two memorable incidents with health professionals come to mind when I was going through transition. The first was a gynecological surgeon who told me that he  was doing the surgery only because the hospital was making him do it. He didn't "believe in treating mental illness with surgery". The second was a nurse who despite my telling her several times that my urethra did not pass through my penis and to just cath. me as if I were a female, kept trying to get a urinary catheter to go through the penis. At the time, the hookup was too dangerous. I practically had to cath myself.

If you take it personally, it can really get to you. In the cis world, not all guys are macho and not all women are girly. You shouldn't have to prove you are the gender your brain tells you that you are, but at this time, you do. People are not all one way or another. There are shades of gray in gender, and just because you don't play football or have an interest in car engines that doesn't make you any less a man.

sam1234
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FTMax

Full disclosure: I was fairly masculine and gendered as male at least half the time pre-T. Thanks PCOS  ::)

I have never had any professional act skeptical about my desire to transition. I went the informed consent route for HRT, and my doctor has always been knowledgeable, friendly, and affirming from the get-go. My therapist who referred me for top surgery was also very affirming. My surgeon and her staff were also great.

I'm on Tumblr a lot more than here, and I would strongly encourage you to take anything said there with a grain of salt unless you're very familiar with the person sharing the anecdote. I'm not saying this sort of thing doesn't happen, I'm sure it does with regularity, but if there is one platform that loves to exaggerate and tell tall tales, it's Tumblr.
T: 12/5/2014 | Top: 4/21/2015 | Hysto: 2/6/2016 | Meta: 3/21/2017

I don't come here anymore, so if you need to get in touch send an email: maxdoeswork AT protonmail.com
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