Trans Health, Women’s Health, and Inclusion


Considering the recent discussion prompted by FWHC’s Trans Health Initiative (this article gives a good summary of the issues and historical context), how “trans inclusive” at a women’s health center means inclusion for trans men, means the provision of care no woman needs for trans men, and does not mean that trans women are welcome (usually we are not), it is necessary to examine how things should be.

In our cisnormative society, certain body parts are associated with women, and others with men. In our patriarchal society, men dominate spaces where they are welcomed at the expense of women’s comfort and, at times, safety. In our patriarchal society, health care for men is prioritized and normalized over health care for women. The feminist response to this has involved the creation of women’s clinics and health centers, which provide medical care specifically for women in an anti-misogynist safe space.

Because of cisnormativity and the history of feminism actively creating cis-only women’s spaces (whether by the creation of new spaces or the expulsion of trans women from existing inclusive spaces), these clinics are created to only serve cis women. Because of feminism’s cissexism, and history of turning a blind eye to the male privilege possessed by trans men, such spaces have not only welcomed trans men, but changed themselves to accommodate trans men (de-gendering themselves while still excluding trans women and training people in providing care for trans men, including care no woman needs).

Including trans men in a women’s space, of any kind, while excluding trans women, is an act of transmisogyny. De-gendering a women’s space while keeping it DFAB-only, is an act of transmisogyny. Claiming a women’s space is “trans-inclusive”, as these places do, while excluding women who are known to be trans, is an act of transmisogyny.

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