I'd like to talk about this a bit. For the purposes of this thread we will assume this story is true (which is itself debatable but bear with me).

As we know, trans women don't get periods. They may have various side effects from hormone replacement; that is not a period.
Trans women who claim to have menstrual symptoms do not understand what a period is. A period is a complex hypothalamic-pituitary-ovarian-mediated event caused by hormonal cycling that transwomen do not experience. Continuous HRT will never produce a period, even in women.
That's why you stop having your period when you're on continuous hormonal contraception. Even in contraception with a break for your period, the bleed is not a period but a "withdrawal bleed," because technically you aren't experiencing a "menstrual cycle" on birth control.
Women's health is culturally downplayed. Many women aren't taught what a menstrual cycle is and what causes it. Trans women often don't understand & think any periodic abdominal discomfort is a "period" if they're on estrogen, even though continuous estrogen *stops* menstruation.
Again: people buy into this shit because we are, worldwide, so undereducated on menstruation - a normal bodily process that happens monthly to 50+% of the global population - that large numbers of people will believe total nonsense about it. That's structural misogyny.
Now on to the event in question. The patient claims the NP "believed" they had a period & prescribed muscle relaxants. Muscle relaxants do not work on the smooth muscle of the uterus, as it's completely different from the skeletal muscle tissue that's susceptible to muscle spasm.
Literally, skeletal muscle relaxants simply don't have any effect whatsoever on the uterus. That's why you've never been offered them for cramps. Ibuprofen continues to be the best and most effective medication for smooth muscle cramps.
So this NP didn't really "believe" the patient, because they prescribed a medication with no effect on actual menstruation. But they validated the patient's misunderstanding of periods & their own symptoms, performed no patient education, & prescribed a med that wasn't indicated.
This may have been because they were afraid the patient would cause a scene. But do you think they did the patient any favors by continuing to let them believe pseudoscientific nonsense? Do you think that helps us understand the symptoms trans women actually experience?
Also, if you're a woman, do you remember any time a clinician prescribed you a medication to appease you - or were you more likely to keep on struggling with untreated pain for a long period of time? (Structural misogyny!)
Anyway, my points are: 1) Validating this stuff doesn't help trans people and the burgeoning field of trans care. 2) Structural misogyny runs so deep people have no idea what periods are, and we have a long way to go in socially prioritizing women's health.

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More from @angryskelleton

21 Jul
I know I primarily talk about trans issues, but I'm a radfem. The reason I'm prioritizing trans stuff is because I see the inappropriate medical treatment of people with gender dysphoria, & the misogynistic, sexist efforts of gender ideologues as current and pressing threats.
It's also because I feel I'm competent to speak on this in a way that I'm not as competent to speak on other things, since I have personal experience in the field and both myself and my partner were harmed in different ways by gender ideology.
That being said, there are definitely other timely threats we should speak up on, such as the growing and horrible cultural normalization of cosmetic surgery. I'm going to try to keep that in mind and balance my efforts.
Read 4 tweets
21 Jul
Women are already broadly neglected in medical research. They are underrepresented in many clinical trials, so pharmaceutical dosing is based on male bodies despite our knowledge that females metabolize certain compounds differently. And female medical issues are not prioritized.
Systematic neglect of female bodies by the medical establishment is why it takes women so long to be diagnosed with common disorders, why surgeons aren't educated about clitoral anatomy, why women with chronic pain are dismissed and told to "lose weight" by clinicians.
We need much, much more attention paid to sex differences in medicine, not less. It is beyond ignorant as well as misogynistic to suggest that we do away with the meager understanding of clinical sex differences that we have been able to achieve. It means worse care for everyone.
Read 5 tweets
20 Jul
J.K. Rowling is not a fascist. Feminism has nothing in common ideologically with white supremacy or fascism. In every manifestation, fascism explicitly deemphasizes the political role of women. The two things are dissimilar in basically every way.
Gender ideology DOES have prominent commonalities with fascism (science denial, homophobia, & promotion of traditional gender roles among them). Yet feminists somehow manage to avoid calling every trans person & trans activist a fascist, because they simply aren't.
The motive behind fashjacketing people who have shown no identifiable fascist tendencies is simply 1) to try to shut them up, 2) to have an excuse to avoid engaging with their critiques, & 3) to make other people shun them.
Read 6 tweets
10 May
When we talk about "trans people" as a monolithic cohort, we are lumping together groups of people who really don't have much in common and shouldn't be grouped together.
Because we are dealing with people with many varying needs and (usually) only one symptom in common, viewing them as a monolith impedes our ability to treat every patient's needs individually. Not every patient will benefit from actual transition. Some will, but many won't.
It also makes it hard to have competent societal/legal conversations when we talk about one group ("trans people") where there are actually many groups under that umbrella who may need different considerations.
Read 27 tweets

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