As a member of the LGBTQ+ community, finding quality, inclusive heath care can be be a challenge. Sadly, for trans, non-binary, and gender non-confirming individuals discrimination in healthcare is all-too-common. According to Lambda Legal's "When Health Care Isn't Caring" study, 70% of trans and gender non-conforming patients surveyed have experienced discrimination in healthcare because of their LGBTQ status.This trans patient's story shows just how crucial it can be to find a knowledgeable doctor and an inclusive practice.
A History of Missed Diagnoses: Drake's Story
Let me start off by introducing myself. My name is Drake Oliver Athey, and I am a 31-year-old transgender male from a small town in western Nebraska. I am a PCOS patient, and this is my story.
Flashback to 2012 – after suffering a few debilitating panic attacks, involving multiple trips to the emergency room thinking I was having a heart attack, I knew something wasn’t right. The only way I can explain what I was experiencing is that my body didn’t “feel right.” Looking back now, I am sure the doctor and nurses on duty thought I was insane, but in my mind all I knew was that something felt wrong with me, and that I needed to find out what it was. These panic attacks happened 5 times in the span of a couple weeks – at the same time, I was seeing a doctor for some other health issues.
After 6 months of going to my regular doctor and getting a barrage of tests done, I was diagnosed with Gastroparesis - but they couldn’t tell me why. My doctor then told me that she didn’t know what was wrong with me and sent me to a surgeon. That surgeon put me on some medication to help with the stomach issues, but they didn’t help with that feeling that “something was wrong with me.” At that point, I had physically and mentally given up. I was anxious, depressed, and couldn’t get work because I couldn’t get out of bed and live a normal life.
A Glimmer of Hope
In 2013, after months of no improvement, my boss recommended to me a doctor she had been seeing herself. She said that this doctor was knowledgeable, trusted, and that maybe she could help me figure out what was going on with my own health. I was reluctant, but the next day I called and got an appointment for the same day. She performed the usual tests: checked my vitals, weight, etc., and then did a bunch of bloodwork. I was on my way shortly after.
At my next appointment, the first words out of her mouth were, “I know what’s wrong, and why you are having so many health issues.” I just started bawling – that was the only emotion I could possibly feel after the last two years of literal hell. I finally calmed down and said, “Lay it on me doc.”
She said, “You have Polycystic Ovarian Syndrome.”
“What is that?” I asked with a confused look on my face. She explained what it is, and I was in complete shock – even at the age of 21, I had never heard of this syndrome that affects so many people.
I say “people” because many individuals and the PCOS community at large link this syndrome to women – but not all people who have PCOS identify as female.
PCOS also affects many transgender men.
Personally, while I identify as transgender and have not medically transitioned, I do identify as male and yet still have some of the same PCOS issues as many cisgender women. I believe representation of the PCOS community should not just be tied solely to cisgender females, in order to be fully inclusive.
Even at 31, after being diagnosed nearly 11 years ago, I still struggle to understand PCOS – the syndrome is mind-boggling. I don’t feel that I have many of the “normal symptoms” related to PCOS. I am obese, but that is nearly the only PCOS symptom I actually have – which may have contributed to the time it took me to get an accurate diagnosis. I wish more research was being done, as all of us who have been diagnosed deserve answers when it comes to this sometimes-debilitating disease.
Doctor's Note | Dr. Ilana Ressler, RMA of CT PCOS Team
PCOS can manifest itself in many different ways, and be different for each individual. A person must have 2 of the following 3 criteria to be diagnosed with PCOS (in exclusion of other diseases, ruled out by simple blood tests).
Oligo-ovulation or anovulation: not having a period, or having long or irregular cycles
Hyperandrogenism: higher levels of testosterone, which can show up either in bloodwork, or through physical markers such as acne or excess hair growth in specific places
Polycystic ovaries: (which may show up on ultrasound) - when ovaries are enlarged and contain many small follicles.
More Challenges For Trans Patients With PCOS
It is clear to me that many doctors are highly uneducated about PCOS. If you have a few missed periods, they prescribe birth control and never really talk about it again as long as your periods are on track (Editor’s note: Irregular periods are a common symptom of PCOS, and birth control can be one treatment for this disorder – but we need to do more to support each patient holistically, as each case can present differently.) In reality, PCOS poses many more threats then just a few missed periods. We deserve health care that is actually going to improve our prognosis. We shouldn’t have to fight so hard for quality healthcare.
As a member of the LGBTQIA+ community, I know it is hard enough to get any type of health care. A new doctor appointment involves constant worrying whether the doctor is going to be accepting or discriminatory, or even knowledgeable about the health issues we may be experiencing. Personally, every time I see a different doctor, I’m full of anxiety and panic. It’s hard enough going in as a transgender male, and it makes it even worse when you go in stating you have a syndrome primarily linked to cisgender women. I want to walk into a doctor’s office, confident my health needs are going to be met – no matter my gender and sexual preference!
Sometimes there are no words to describe how PCOS can affect our lives, but no matter how we identify, we are all in this together to find answers and support. Stay positive, keep your head held high, and never let the world tell you what you’re capable of.
Choosing an LGBTQ+ inclusive practice can make all the difference when it comes to your care and treatment. Learn more about picking the right practice for you.