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I haven’t even had bottom surgery yet, but thanks to HRT my metabolism is much more in line with that of a typical woman than that of a man. Meaning that it is much more accurate to refer to me as a biological woman than as a biological man. So saying I’m the later isn’t just insulting, it is even scientifically incorrect. A trans woman who has received bottom surgery is in fact for pretty much all intents and purposes the same as a cis woman who has received a radical hysterectomy. Unless you call that kind of cis woman a biological man, doing the same to the trans woman is just as nonsensical.
And yes, this really affects pretty much everything: The treatment of things like brain tumors depends on biological sex and if you treat a trans woman like a man you are going to see the same bad outcomes that treating a cis woman like a man would have. Because again: Trans woman are (from a certain point in their transition onwards) biological women. Yes, it changes, get over it.
The reason to talk about amab/afab is specifically because they are the only terms that are reasonably consistent in all edge cases, except clerical errors.
Not really, no. I’m talking about biological sex, not gender.
For non-medical and non-biological cases: Yes, and no one say disputes that.
The thing is that there are some people who don’t believe that for the other cases. I’m pointing out that while it is indeed a bit more complicated and takes some work to fully get there, trans women can even medically/biologically be women.
Indeed. They change the biological sex, which helps affirming gender.
Which makes you biologically a woman. I really think we should hammer that point home and not let people get away with it by limiting our criticism to the choice of words, when we are scientifically in the right.