1. Having to, as a victim of medical FGM, dissect cadavers to get surgeons to learn anatomy known since 1844, after medical orgs and textbook editors refused to incorporate it in medical literature and curricula based on pre-existing research.
🧵
2. Trying to determine, while in the cadaver lab dissecting clitorises, whether the “G Spot” could be the internal clitoral body, as doctors still argue about this. The best way to do this is to simply reach through the vagina to the clitoral body that had been dissected.
3. Tweeting I can tell the difference between cis and trans vulvas and pointing out that protruding labia minora, common to half of women, make that identification easier. This is ironic because surgeons call them “unfeminine and embarrassing” in medical journals.
4. Circling one vulva, of 14, in particular, and saying it was “definitely trans.” It was confirmed trans. I only asked for confirmation in order to appease the bullies. I was already certain. Getting confirmation didn’t help. 🤦🏻♀️
5. Circling 10 vulvas, of the 13 remaining, and saying they were “obviously female.” Of the 3 remaining after that, I could not tell. This was not meant as shaming or as an insult to anyone who looks like those 3. It was only a reflection of my uncertainty.
6. “Shaming vulvas.” This is a bit insane considering a huge part of my advocacy is about addressing shaming and unsupported medical claims about vulvas. I have never said any vulvas are wrong or ugly. Doctors, however, say this all the time to almost no pushback.
7. Telling women claiming to look like the trans vulva that they don’t. They don’t. It’s not possible. I shared a photo of a porn star claiming that she did to demonstrate she doesn’t. Anyone can see she doesn’t. People who can’t see this aren’t paying close attention to detail.
8. Asking a porn star for a photo of her vulva in the lithotomy position to explain to her how she doesn’t look trans. I did this to save time and avoid wading through pornographic content. It is ridiculous and unserious to call this “sexual harassment.”
9. Linking to the porn star’s vulva in response to people raging at me for saying her vulva did not look like a trans cast. It doesn’t. I thought they’d see that if they looked. Regrettably, I responded to one minor. There was no way to know, and it was just a link.
10. Saying that a viral black illustration of female pelvic anatomy looks like FGM. It does look like FGM, because when the illustrator copied it from a white illustration, he purposely censored the external genitalia, which he admitted. Thus, the clitoris looks amputated.
11. Pointing out that the clitoris was illustrated as amputated by a male from Nigeria. He admitted to censoring the external clitoris on purpose “to prevent embarrassment.” Doctors claimed it was a medically accurate illustration. Some said the clitoris was a bone. 🤦🏻♀️
12. Saying that celebrating a viral illustration of FGM was like celebrating illustrations of the Holocaust. I shouldn’t have said this. However, this is not a minimization of the Holocaust. Far more people have actually died from FGM. I went over the numbers.
13. False accusations of harassment by doctors, which is why I don’t contact SM doctors anymore. In the beginning, I thought social media doctors would be interested in helping disseminate anatomy. Instead, many publicly attacked me. I’ve changed their textbooks and boards.
14. Asking what agreeing to sex you don’t want, when serious threat is not present, is about and making unpopular comments about whether or not this is rape. Sexual assertiveness is inversely correlated with SA victimization according to multiple studies.
15. Quoting a racist surgeon at John’s Hopkins in the 1980s to make a case that racism used to be worse in medicine and that it has been getting better. I deleted it. I should have censored his exact words.
16. Pointing out that surgeons train disproportionately on poor people and minorities. This is a fact. I find it strange this has been used to vilify me rather than a healthcare system that replaced practicing on dogs with practicing on indigents.
17. Various comments up to 5.5 years old, where I express frustration that surgeons are operating on women blind to anatomy, denying a problem, mutilating women, damaging sexual function, and refusing to learn. It was very traumatic to have to try and stop this as a victim.
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This wasn’t a perfect video, but how dare people say I haven’t worked hard and haven’t taken on even more trauma and sacrifice for the sake of protecting others.
I’m privileged? None of these equity people know a thing about privilege. They know even less about aptitude (780).
Because I determined in 2010 to find a way to protect others, I went through even more trauma.
I made it through college just fine but actually felt I should make a difference if I could.
But things got much worse once I dug into medical literature and advocated for change.
But I draw the line at what can be called female anatomy.
I made my point on this years ago.
I got a lot of hate for saying that trans women aren’t exactly included in my advocacy for female anatomy, even though I repeatedly affirmed they were women.
I mate this 2k+ like video private because I didn’t want to stir up anything. Today I made it public again.
I tried really hard to be as kind and inclusive as possible.
But I explained that I am an advocate for better coverage of biological female genital anatomy, which tans women don’t have.
Systemic negligence makes it nearly impossible to sue.
To have a case, it must be shown the standard of care wasn’t followed.
For decades, the standard of care has been for doctors to do surgery they weren’t trained to do on anatomy they didn’t know.
It took 7 years for me to get what happened to me officially diagnosed and in my medical record and took me teaching myself anatomy and finding an urogynecologist I could teach.
14 years after my surgery, the anatomy was still missing from OB/GYN literature.
Normally the purpose of these is to educate/raise awareness about what vulvas look like so women/girls know they are normal.
I felt trans and cosmetic surgeries should be excluded because they project a patriarchal cultural norm and result in unnatural anatomic relationships.
Imagine, for example, breast implants being included in breast diversity project in a climate where people don’t really know what breasts look like and can’t tell what implants look like.
And then imagine being a teenage girl looking at that.
There is, of course, an argument that I’m wrong and that all types of vulvas should be included, but I would still argue for the surgical vulvas to be differentiated.
Why is it that this doctor and so many others confidently blame an 18 year old girl for believing content that was published in peer reviewed medical journals?
But they don’t blame entities like @StanfordMed for calling protruding labia a “dark cloud” and misinforming?
How is it that doctors blame me for being misled as a teenager 19 years ago but say nothing when their colleagues spread blatantly false, stigmatizing claims about vulvas still?
This is a textbook. It’s also on physician websites.
I find it appalling that women are accusing me of having no empathy.
The careless willful blindness about vulvar anatomy that causes even doctors to be unable to distinguish obviously trans from female is THE SAME as that which causes doctors to gaslight mutilated women.
Do women want doctors to be capable of identifying FGM?
Research shows many don’t. They miss it.
They also miss botched vulvar surgeries that should be getting reported as mutilation.
Teenagers are getting mutilated unnoticed, How is this not something of concern?