Question 2 - Remi

phoenix

 

Remi  is a 27-yr old University student who was assigned female at birth. They identify as non-binary and have changed their name via deed poll, but their social transition has been difficult. Although toilets on campus are gender neutral, navigating elsewhere in a binary world has been tough.

 They will soon undergo bilateral mastectomy to create a flat chest as binding is proving very restrictive and uncomfortable. They found breast development distressing through puberty, and this has not abated. They have no interest in cross-sex hormone therapy. They are having trouble persuading the surgery reception staff to change their primary care record to display their new name, title and a neutral gender marker, so they book an appointment to see you about it.

 

Regarding patients with a non-binary gender identity:

A

there is often an underlying intersex condition

B

he/him or she/her pronouns are used interchangeably

C

chest or “top” surgery cannot precede testosterone therapy

D

“unspecified” or “unknown” can be used as a gender marker on the medical record

E

‘X’ is a valid gender category in the UK

F

they are able to acquire a UK Gender Recognition Certificate (GRC) denoting their non-binary gender


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