Yep. Thirty years ago I was going through an NHS GIC which was progressive by today's standards. I bought pills from overseas before they'd prescribe and then when they finally did I had to explain to them that transdermal was safer 🙄. Perimenopausal levels were offered 'just in case'...

March 02, 2026 - 18:53 UTC

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An FtM, as was the terminology then, was threatened with exclusion for not being willing to have their vulva palpated! Personal clinician interest rather then 'patient' interest dominated. They wanted to find alternate diagnosis to GD so to be able to discharge
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Their preferred alternative diagnoses then were MH or intersex conditions. If they labelled you with either you'd be discharged. They also wanted us to wear skirts or dresses to show that we were 'serious'. I had FFS much to their 'dismay' before doing either. Gatekeeping but much quicker than now
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