The Scottish Mail on Sunday

THE TRANS TRAP

Born a woman but identify as male? You won’t be offered routine NHS breast cancer screening Born a man but identify as female? You will be offered routine smear tests DON’T BELIEVE IT? IT’S ALL IN THIS OFFICIAL REPORT

- By Sanchez Manning and Stephen Adams

WOMEN who believe they are men are not being offered routine NHS screening for breast and cervical cancer amid fears that it might offend them.

But astonishin­gly, an official guidebook states that men living as women are being invited for cervical smear tests – even though they do not have a cervix.

The advice, spelt out in a 24-page booklet published by public health officials, was last night described as politicall­y correct ‘lunacy’ which was putting lives at risk.

Cervical cancer claims the lives of 900 women a year in Britain. But without the NHS screening programme, the number would be four times higher.

meanwhile, breast cancer screening is thought to save 1,300 lives annually, according to an independen­t review of the NHS mammogram programme.

Screening saves lives by spotting cancer early, when it is possible to treat the disease successful­ly. Those not screened are more likely to go on to develop advanced cancer, which is almost always fatal.

The PHE booklet, NHS Screening Programmes – Informatio­n For Trans People, ‘explains who we invite for screening’.

Trans people who register with their GP as being their birth sex will automatica­lly be invited to screening appropriat­e to that. But if they register as their ‘new’ gender, they will not be.

So if a trans man – who was born female – registers as male, he ‘won’t be invited for breast screening’ at 50. Likewise, it tells those born as girls: ‘If you are registered with a GP as male, you won’t be invited for cervical screening.’

most trans men do not have their wombs removed – only a small number have full sex-change surgery. However, if a trans woman – born male – ‘registers as female, you will be routinely invited for cervical screening’.

Trans health adviser Aedan Wol- ton, who features in a related NHS video, said that smear tests could be uncomforta­ble for ‘trans masculine people’ – born female – as it challenged how they perceived themselves.

‘This is unsurprisi­ng as the experience is often a very gendered one; from the waiting room, to the words used during the smear, it is often a procedure designed for women,’ he writes in an accompanyi­ng blog.

Conservati­ve MP David Davies, who has campaigned against Government plans to let people legally ‘self-identify’ their own gender, said: ‘This NHS effort to be politicall­y correct is putting the lives of women who claim to be men at risk.’ It was also ‘wasting the time of men who claim to be women by offering them tests for organs they do not have’.

Women’s campaigner Laura Perrins said: ‘We’ve now got to the point where state collusion with this transgende­r agenda is endangerin­g the health of women. It’s a ludicrous use of NHS resources to invite men for a cervical smear test, while it’s immoral and dangerous not to invite women.’

The NHS booklet is the latest in a series of official documents that cast aside normal biological definition­s apparently to avoid offending transgende­r individual­s.

Last year, The mail on Sunday told how the British medical Associatio­n had advised its 160,000 members not to call pregnant women ‘expectant mothers’, but ‘pregnant people’ instead.

It is not just trans men who could miss out under the screening protocol. men living as women will not be invited to a vital screening test, too. When they reach 65, all men should be asked to attend an ultrasound scan to check if they are developing a blood vessel defect called an abdominal aortic aneurysm (AAA).

AAAs are six times as common in older men than older women. If left untreated the artery can rupture, with fatal consequenc­es.

The booklet warns: ‘Any trans woman [born male] will have the same risk as a man and should consider accessing screening.’

But it goes on to say: ‘If you are a trans woman aged 65 who is registered with a GP as female, you won’t be invited for screening.’

By contrast, trans men – born female – who identify as male will be invited, even though they do not have a raised risk of AAA.

What is biological­ly suitable, in terms of screening, is not always straightfo­rward. Trans men who have had their uterus and cervix removed do not need smear tests; while trans women who have grown breast tissue after taking hormone therapy will need mammograms.

Public health officials last night said that screening invitation­s were automatica­lly sent by computer, based on patients’ registered age and sex.

Director of screening Anne mackie added: ‘Following engagement with the LGBT community, we produced a guide to help trans people understand what screening is available.’

Bernard Reed, of support group Gender Identity Research and Education Society (GIRES), praised the NHS, saying that its booklet ‘provides valuable guidance’.

THE rush to adapt our laws to meet the needs of the transgende­r community is throwing up anomalies on a regular basis. However, our report today about new cancer screening guidelines is the first to reveal an actual risk to life.

The edict, under which men who believe they are women will be invited for smear tests even though they do not have a womb, sets the bar for bone-headed political correctnes­s at a new high; the obverse means that women will no longer be offered routine screenings for breast and cervical cancer if they ‘self-define’ as men – even if they are biological­ly at risk of the conditions. This is manifestly absurd: mammograms alone save more than 1,300 lives a year.

It is entirely understand­able that officialdo­m should want to react to the fastchangi­ng landscape of ‘gender identity’. What is not tolerable, however, is a mad unthinking rush to lay down new laws which are illogical – and dangerous.

 ??  ?? ‘LUDICROUS’: Mammograms will not be offered to trans men born female if they registered as male. Left: The NHS booklet
‘LUDICROUS’: Mammograms will not be offered to trans men born female if they registered as male. Left: The NHS booklet
 ??  ?? EXCLUSIVE: Our report last year
EXCLUSIVE: Our report last year

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