When she is a female Intersex or Transsexual person and lives in Australia, apparently.
I got this story via Kate Bornstein on Twitter. It sounds too crazy to be true. (Kate had doubts at first as well.) But I have been checking it out and it looks real. Here’s the story.
A common issue for both some Intersex people and male-to-female Transsexuals is suppression of male hormones. For Intersex people who identify as female this can help avoid the masculinizing effects that their unusual biology forces upon them. So someone like Caster Semenya, who has grown up female and identifies as such, may take pills to stop the excess of male hormones in her body making her look too much like a bloke.
For male-to-female Transsexuals such therapies are very important in the crucial period between being accepted for treatment and surgery. Most countries require MtFs to live as women for a few years to show that they can cope in their new gender role before allowing them to undergo surgery. That task is much more difficult for them if their bodies are still pumping out male hormones unchecked. Just think facial hair. Most FtMs can stop taking these treatments after a few years, but some, either through choice or because of medical conditions, are unable to have surgery.
A commonly used drug for these purposes is Androcur (the trade name of cyproterone acetate). It is even, as this site notes, prescribed to people who are raised female with no obvious intersex condition but who develop a problem with facial hair.
But not in Australia. Because in Australia, under this regulation, you can only be prescribed Androcur if you have prostate cancer or if you are a male sex offender who is being treated to reduce your sex drive.
As a result, doctors treating Intersex people and MtF Transsexuals in Australia — in the absence of a cancer diagnosis — have to register them as “sexual deviants” who are receiving treatment for dangerous behavior. Understandably some people in Australia are not too happy about this.
As I said earlier, this is so bizarre than both Kate and I were initially skeptical. However, I have since found this report by the Australian Human Rights Commission which clearly states:
the health system is not inclusive of people who are sex and gender diverse. Several responses mentioned that in order to receive specific hormone treatment a person must be labeled a sexual deviant.
I’m currently trying to find out exactly what the consequences are of this labeling, and whether the patients are necessarily aware of being so labeled. The explanation that I currently have suggests that the records in question are kept by a body called the Therapeutic Goods Administration, and they may go no further than that, but on the other hand they could be searchable by potential employers. I’m also interested in when the regulations came into effect. The information I have so far suggests 1995 or 1996.
If anyone in Australia has more information on this I’d be delighted to hear from them.
Update: More information here from Caitlin Ate who is a prominent Australian blogger and therefore hopefully won’t get accused of being anti-Australian for discussing the issue.
Update 2: More information on this comes from Zoe Brain. Two rather bizarre pieces of information. Firstly people in Australia can apparently be prevented from seeing their own medical records on “privacy” grounds. And secondly the list of “male” sex offenders kept by the TGA is apparently so discredited that being on it is no barrier to getting security clearance, especially if you happen to be a woman. Isn’t bureaucracy wonderful?