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As a member of said college I was infuriated when this consultation came through. The RCOG had always remained separate from this stuff. Reading them use AFAB and AMAB is an outrage. We assign nothing at birth, it is determined at conception

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I have written in response to the consultation as follows.

Response to the consultation by RCOG on a new proposed Green Top Guidance https://r1.dotdigital-pages.com/p/15N0-YJT/tgd-peer-review

The Royal College of Obstetricians and Gynaecologists should withdraw and not publish any form of the proposed Green Top guidance "Care of Trans and Gender Diverse Adults". It panders to mental illness.

No one is "trans" except as a legal fiction created by the 2004 "Gender" "Recognition" Act. No one is "Gender Diverse" in law or in reality.

Sex is well-understood medically and in law including as a well-defined "protected characteristic" in the Equality Act 2010. I will state again, in case anyone has forgotten it, that sex is binary, immutable and real in all the trillions of cells of the human body (Prof Robert Winston - https://www.youtube.com/watch?v=xDmaPIKrC-A&t=75s) "Gender" is not defined in the GRA. "Gender dysphoria" IS defined in S25: it is a "disorder", a mental disorder.

The notion of the present "guidance" is absurd. The RCOG should push back (1) against the cult of "gender identity ideology" which underlies the postulated "transgender" "identities", and (2) against the rampant, divisive influence of Trans Radical Activists such as Stonewall (and others) who wrongly and insistently misrepresent the Equality Act to all who will listen. They are manipulating your agenda.

The Government is well aware of the explosion of the "Equality, Diversity and Inclusion" "Industry". Please read the speech by the Rt Hon Suella Braverman QC to the Policy Exchange on 10th August entitled "Equalities and rights: Conflict and the need for clarity" - https://www.gov.uk/government/speeches/equalities-and-rights-conflict-and-the-need-for-clarity (or https://www.youtube.com/watch?v=XBjiLVs5haA).

She said:

"Increasingly we see cases arising in the workplace that are symptomatic of a culture where fringe campaign groups, purporting to champion rights, have claimed a moral high ground and have adopted an attitude of intolerance. No doubt right-wingers and left-wingers will disagree on the precise causes of how we got to a place where stating the facts of biology might risk your job. In relation to the Equality Act, the main problem is that businesses and institutions are currently misinterpreting these laws and applying a perceived moral obligation to go beyond the law, when it comes to equality".

See also section 2 of her speech: "Equality, Diversity and Inclusion".

There is only one category of woman: "adult human female". Only women get pregnant, gestate, give birth and breast-feed babies. In the context of "gender" the words "cis" and "trans" are neologisms coined in 1991 by Volkmar Sigusch, a German sexologist, which have no scientifically verifiable meaning. Only those who have studied Organic Chemistry will remember that these words have another precise and verifiable meaning in Stereochemistry: the position of substituent groups on either side of a C=C double bond on the same side (cis) or on opposite sides (trans). And Latin history of the Gallic wars, of course: cis-alpine and trans-alpine.

(1) No one is "assigned" female at birth - sex is observed at birth if not well before by ultrasound

(2) Human anatomy is not based on "spare parts" surgery or on transhumanism - the belief that the human race can evolve beyond its current physical and mental limitations, especially by means of science and technology. Quite simply we ARE and are complete in our healthy bodies.

(3) The human mind arises from the body to which it is inextricably linked.

(4) The "gender neutral" paroxysms of the NHS are unwelcome victories for trans lobbyists. "Gender neutral" language is not a response to the needs and preferences of the general public. The public is mystified by the confusion and lack of simple, clear language based on sex.

(5) It is not possible to placate "Trans" Radical Activists. Their agenda is to force their unscientific cult on the rest of the world. For example they want to re-label women as "cis-women", i.e. a sub-category of their own SEX. This is female erasure. This looks very much like a Male Rights Activists' agenda.

Please read the book "Trans: when ideology meets reality" by Helen Joyce (OneWorld, 2021) for a very readable introduction to "gender critical" i.e. normal thinking.

There is a solution to "gender identity" ideology: please reject it as the unscientific nonsense that it really is.

Thank you!

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"Most genital reconstructive surgical interventions result in irreversible loss of fertility" - that would be "reconstructive" in the newspeak sense, wouldn't it? "Reconstructing" the genitals the patient is convinced (or has been persuaded) *should* have been there originally, but which never were.

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This is just mental. I’m assuming most gyns / OBs don’t actually believe this shite ?

It raises some awful questions around consent. If you’re a (female) gyn, and a man comes in and forces you to examine him as if he’s a woman, and you refuse, would you get sacked / reprimanded even though you’ve essentially been flashed and coerced sexually?

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Sep 5, 2022·edited Sep 5, 2022

FFS we have urgent NHS problems - why do 'trans' people think they would be irrepairably harmed by going to the their sex-specific specialist? If you have cancer of the prostate now we have to call it uterine cancer because it might upset em? How about the money was spent in helping both those services and who cares what you 'identify' as? A person with dysmorphia needs psychological/philosophical help. If you call uterine cancer prostrate cancer you're not helping. What a waste of resources.

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That is utterly, fucking, terrifying.

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Captured language, WPATH, Yogia-karta and the (webpage) Trans Journalists Association Style Guide propaganda have been indoctrinating the doctors for decades. This is why I do not use the term "gender" but instead call it the cross-sex ideology. Jennifer Bilek calls it the synthetic sex movement.

What about women, whose ranks are swelling, ex-wives of these men in magic lipstick? I haven't been in for an annual gyn exam for something like 8 years. I don't want to bump into these f**ckers in the waiting room. They have the gall to make appointments with doctors who are trained specifically to treat women? No. If you need your prostate checked, you go to that kind of doctor.

Does the medical profession understand how they've be-clowned themselves? Girls who think they want to be boys are a separate category and need specific study, female-centered therapies. The appropriation of these girls by men who can't grow up, to justify their masquerade, and the collusion of the medical profession in this is beyond ghastly.

All this, because they allow the cross-sex narcissists to manipulate them with the suicide narrative.

How about, "I am sorry, your life matters to many people, who will feel punished if you do that. You will also traumatize whoever finds your body. But, we have old people, cancer cases and cleft palate to repair, & btw, we need to figure out how to feed the world. Take a walk & figure out who traumatized you in childhood and how to recover, to save your body, your intact body, which you are fortunate to have."

More ranty than usual, but I've taught kids who had cancer and had to sacrifice a leg. Or had cerebral palsy. Or their father died of a brain tumor. For real.

Ute Heggen, author, In the Curated Woods, True Tales from a Grass Widow (iuniverse, 2022)

uteheggengrasswidow.wordpress.com

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"The WPATH standards of care, which are available online, reflect international consensus on medical

interventions related to gender incongruence. [Evidence level 4]" There's no consensus between WPATH and Sweden, Finland or even the UK- "There is lack of consensus and open discussion about the nature of gender dysphoria and therefore about the appropriate clinical response"- Cass Review.

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RCOG unwittingly arguing that transwomen are men and that transmen are women.

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Gender is a social construct but we still need those penises inverted, testicles removed, female breasts chopped off, phony 'phalluses' built, wannabe 'vaginas' created, wombs removed, endocrine systems flooded. But, it's a social construct. Explain that to us like we're five years old, because we're still not getting it.

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I am related to a female obstetrician who has totally drunk the gender kool-aid, I am totally astounded by it and fairly upset.

People wonder how the likes of Josef Mengele and Unit 731 could ever happen, this is how. There should be no ideology in medicine.

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Nice to know they think trans men should have easy access to hysterectomies. Obviously if you're a woman that has severe endometriosis then apparently that's just too bad (https://www.bbc.co.uk/news/uk-northern-ireland-56737353).

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I didn't have time to address specific comments, but I made quite a long general one at the end and made the point about it coming from the perspective of a professional developmental biologist. All the hideous gender ideology made me mad, but I decided to ignore that and focus on writing something neutral, scientific and dispassionate focused on health outcomes. So I addressed (1) use of puberty blockers (dangerous, unsupported by evidence, minors cannot meaningfully consent, should use watchful waiting), (2) care of trans men in pregnancy - concern of health impacts on developing foetus, known effects of testosterone on raising risk of developmental defects and (3) care of transwomen - not appropriate for obs and gynae as not femle, should be under specialist services for cross-sex treatment, and urology for things like prostate stuff. I can post the whole thing if people are interested. Unfortunately I didn't have time to cite sources either because I'm an overworked academic, but hey, did my best.

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I bunged a comment in.Thanks for drawing attention to it.

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I’m waiting for the start of the ‘piggyback’ operations, where the unwanted womb of the transman is surgically transplanted into the transwomen, and the penis and testicals from the transwomen attached to the transman! Has this already been contemplated and is this the future?

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https://www.ucl.ac.uk/global-health/events/2022/mar/aint-i-woman-exploring-taboos-around-menstruation-and-its-absence Last speaker down really sets out the level of his influence on medical care. Remember this individual has zero medical qualifications or even the most basic qualification for talking about women's issues!

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