Rex Kerr
1 min readApr 11, 2022

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As someone who spends a lot of time thinking about user error, I have to say this is a terrible idea. The medically important context ought to be up-front. Every category other than "standard male morphology and health issues" and "standard female morphology and health issues" is rare. Unless the differences are so minor as to be irrelevant, the very first thing the doctor should know is "get out of autopilot here--things are not the usual way".

It's super-important that people who are busy and tired and with a lot of experience not coast along on their experience on this one. The "sex" column should always be "nonbinary" if you're anything but normal cis male / cis female.

Assumptions can be deadly. You can be as gender-affirming as you want when your health isn't on the line. Good medical staff under good conditions ought to get things right anyway. But the reality is that this isn't always how things are. The first thing anyone sees should be the equivalent of: "Wake up!!"

After the "wake up", you can go down the checkboxes that explain the details. Identify as male, check. Has uterus, check. Typical progesterone levels such-and-so, check.

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Rex Kerr
Rex Kerr

Written by Rex Kerr

One who rejoices when everything is made as simple as possible, but no simpler. Sayer of things that may be wrong, but not so bad that they're not even wrong.

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