The French doctor admitted he didn't have the training or knowledge to treat trans patients - as experts say there's no need for a trans woman to visit a gynaecologist at all.
So this doctor is a complete douchbag and should not be practicing medicine. But he’s also not entirely wrong. Medically speaking what your gender is is irrelevant most of the time. Of course it applies to any procedures you may be undergoing or medications you may be taking to alter your body to match your gender but that’s about it. Any competent doctor will of course respect your gender identity because understanding and having a good relationship with the patient is important. But medically speaking they care more about whether you are at risk for prostate cancer or uterine cysts and your biological sex (alongside your medical history) is a much better indicator of that (outside of relatively rare exceptions). If you are a trans woman who has had bottom surgery then not every gyno is going to have the skillset to help you because that just isn’t what many of them are trained for. I’ve definitely had my doctor tell me I need to see someone else for certain issues because they just didn’t have the skillset to help. Of course there are far better ways to say that than how this “doctor” chose to do so, but him not providing care that he wasn’t trained to provide isn’t the issue here. His douchbag attitude and him not providing a referal to a doctor who could help is the issue.
So this doctor is a complete douchbag and should not be practicing medicine. But he’s also not entirely wrong. Medically speaking what your gender is is irrelevant most of the time. Of course it applies to any procedures you may be undergoing or medications you may be taking to alter your body to match your gender but that’s about it. Any competent doctor will of course respect your gender identity because understanding and having a good relationship with the patient is important. But medically speaking they care more about whether you are at risk for prostate cancer or uterine cysts and your biological sex (alongside your medical history) is a much better indicator of that (outside of relatively rare exceptions). If you are a trans woman who has had bottom surgery then not every gyno is going to have the skillset to help you because that just isn’t what many of them are trained for. I’ve definitely had my doctor tell me I need to see someone else for certain issues because they just didn’t have the skillset to help. Of course there are far better ways to say that than how this “doctor” chose to do so, but him not providing care that he wasn’t trained to provide isn’t the issue here. His douchbag attitude and him not providing a referal to a doctor who could help is the issue.