The risky womb and the unthinkability of the pregnant man: Addressing trans masculine hysterectomy
The risky womb and the unthinkability of the pregnant man: Addressing trans masculine hysterectomy
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危险的子宫和孕妇的不可想象：解决跨男性子宫切除术
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发表时间：
2018
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通讯作者：
Michael Toze
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作者：
Michael Toze
2017年4月，欧洲人权法院裁定，要求变性人接受绝育手术以获得法律上的性别承认是违反人权的行为。在英国，法律从未要求变性人做绝育手术。然而，出于医学原因，子宫切除术和输卵管-卵巢切除术一直被强烈鼓励用于跨男性人群，尽管目前的临床证据不足。在这篇文章中，我从女权主义的角度分析了这个问题，并认为目前赞成手术干预的假设受到医学干预的历史的影响，以“修复”被认为是女性的身体，再加上对怀孕男性的强烈社会禁忌。因此，医疗和法律框架不一定能促进个人的最佳结果。我建议对这方面的做法进行严格审查，以期制定更有针对性的、以人为本的做法，并促进知情选择。
In April 2017, the European Court of Human Rights ruled that requiring trans people to undergo sterilisation in order to grant legal gender recognition was a breach of human rights. In the UK, sterilisation has never been a legal requirement for trans people. However, hysterectomy and salpingo-oopherectomy have been strongly encouraged for trans masculine people on medical grounds, although the clinical evidence for current recommendations is weak. Within this article I analyse the issue from a feminist perspective and argue that current presumptions in favour of surgical intervention are influenced by the history of medical interventions to “fix” bodies perceived as female, coupled with a strong social taboo against the pregnant man. As a consequence, medical and legal frameworks are not necessarily facilitating optimal outcomes for the individual. I suggest that practices in this regard should be critically examined, with a view to developing more tailored, person-centred practices and facilitating informed choice.