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OnlinePoker

(5,721 posts)
Sat Jan 26, 2019, 12:25 AM Jan 2019

Transgender cancer risk

An article in the local paper today indicated that transgender people have a higher risk of some cancers due to opting out of screening programs from their former gender. I looked to see what was out there and found this article from 2015 from the Lancet and have put the most relevant passage below. Please, if you are transitioning or have already transitioned, you may still need to screen for cancers that wouldn't align with your current gender. It was something I had not heard of before.

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Transgender people are particularly vulnerable when it comes to health care, not only because of discrimination, but also because of distinct health requirements. Transgender men and women remain susceptible to cancers of reproductive organs that are no longer in alignment with their gender. For example, trans women might not recognise the persisting risk of prostate cancer. Those who have undergone sex reassignment surgery might be unaware of the continuing possibility of reproductive cancers due to residual tissue that remains after surgery. This can be complicated by the transgender people opting out of cancer screening and examinations because of emotional or physical distress associated with the discordance between their gender and their natal genitalia.

https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045%2815%2900249-1/fulltext

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Transgender cancer risk (Original Post) OnlinePoker Jan 2019 OP
The article makes important points, but is a bit blind about the cause Ms. Toad Jan 2019 #1

Ms. Toad

(34,074 posts)
1. The article makes important points, but is a bit blind about the cause
Sat Jan 26, 2019, 01:55 AM
Jan 2019

Access to health care is gendered. If your gender marker is F, insurance won't generally pay for prostate screening tests. Similarly, if your gender marker is M, your insurance won't generallly pay for a pap test.

My high school sweetheart ran into this problem - and fired her health care provider because they changed her gender marker in their records in order to be able to order and bill for prostate screening.

So - at least part of the barrier isn't outreach or discomfort with gender assigned at birth - but the inability to bill insurance for gendered care associated with a gender different from how they currently identify.

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