<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec>
<h3>Background</h3>
<p>The past two decades have seen an evolving discussion as to the complexities of gender identity, particularly with respect to the healthcare needs of transgender (trans) people. The needs of those with a bleeding disorder are relatively unexplored, and there is, therefore, a significant gap in our understanding of how trans people navigate the complexities of living with and accessing care for their bleeding disorder.</p>
</sec>
<sec>
<h3>Aims</h3>
<p>This paper will seek to address this knowledge gap; telling the story of a trans man with a bleeding disorder and how this has affected their healthcare needs.</p>
</sec>
<sec>
<h3>Methods</h3>
<p>Two semistructured interviews were undertaken with a trans man to explore their lived experiences as someone with a bleeding disorder. The interviews were recorded and thematically analysed.</p>
</sec>
<sec>
<h3>Results</h3>
<p>Four intersecting themes were identified: abnormal uterine bleeding, gender incongruence, the difficulty of obtaining an accurate and timely diagnosis, and health inequality.</p>
</sec>
<sec>
<h3>Conclusions</h3>
<p>The greater visibility of trans issues over the past 20 years has highlighted the culture of healthcare, and in particular, the gendering nature of care. This case study and attendant discussion highlight that there is a need to acknowledge that modern healthcare can be exclusionary leading to delays in diagnosis and treatment, especially in already disadvantaged groups including those with bleeding disorders. Clinicians, therefore, need to re-evaluate their approaches, tailoring the services and care they offer to individuals rather than conforming to gender stereotypes.</p>
</sec>
</abstract>

Background
The past two decades have seen an evolving discussion as to the complexities of gender identity, particularly with respect to the healthcare needs of transgender (trans) people. The needs of those with a bleeding disorder are relatively unexplored, and there is, therefore, a significant gap in our understanding of how trans people navigate the complexities of living with and accessing care for their bleeding disorder.


Aims
This paper will seek to address this knowledge gap; telling the story of a trans man with a bleeding disorder and how this has affected their healthcare needs.


Methods
Two semistructured interviews were undertaken with a trans man to explore their lived experiences as someone with a bleeding disorder. The interviews were recorded and thematically analysed.


Results
Four intersecting themes were identified: abnormal uterine bleeding, gender incongruence, the difficulty of obtaining an accurate and timely diagnosis, and health inequality.


Conclusions
The greater visibility of trans issues over the past 20 years has highlighted the culture of healthcare, and in particular, the gendering nature of care. This case study and attendant discussion highlight that there is a need to acknowledge that modern healthcare can be exclusionary leading to delays in diagnosis and treatment, especially in already disadvantaged groups including those with bleeding disorders. Clinicians, therefore, need to re-evaluate their approaches, tailoring the services and care they offer to individuals rather than conforming to gender stereotypes.

(Mis)Gendering bleeding disorders care: A qualitative case study of a trans person with a bleeding disorder

The Journal of Haemophilia Practice

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Background
The past two decades have seen an evolving discussion as to the complexities of gender identity, particularly with respect to the healthcare needs...

(Mis)Gendering bleeding disorders care: A qualitative case study of a trans person with a bleeding disorder

Article Category: Case Study

Published Online: Jul 25, 2024

Page range: 84 - 91

DOI: https://doi.org/10.2478/jhp-2024-0015

Keywords
Bleeding disorders, Trans, Transgender, Case study, Health inequality, Heavy menstrual bleeding

© 2024 Simon Fletcher, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

(Mis)Gendering bleeding disorders care: A qualitative case study of a trans person with a bleeding disorder

Article Category: Case Study

Published Online: Jul 25, 2024

Page range: 84 - 91

DOI: https://doi.org/10.2478/jhp-2024-0015

KeywordsBleeding disorders, Trans, Transgender, Case study, Health inequality, Heavy menstrual bleeding

© 2024 Simon Fletcher, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
Bleeding disorders, Trans, Transgender, Case study, Health inequality, Heavy menstrual bleeding