Trans Male Ou Femelle

This article will replace the term MTF hormones with estrogen hormone therapy. This is because MTF terminology is binary and exclusionary. Not everyone who uses estrogen-based hormone therapy may identify as male or have the goal of becoming female.

Trans Male Ou Femelle

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Those who receive estrogen hormone therapy during adolescence (around the age of 16 years or older) may avoid the development of male secondary sexual characteristics, such as a deepening voice and the growth of body hair.

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While treatment for trans people was previously relegated to specialized clinics in large cities, there has been a shift in the duty of responsibility toward community physicians. Using educational tools produced by organizations like Rainbow Health Ontario,6 family physicians have access to the resources required to initiate hormone replacement therapy (HRT) and refer patients for surgery. Despite this, in Ontario, 43.9% of trans individuals identified unmet health care needs compared with 10.7% of age-adjusted cisgender controls.7

Overall, participants reported that physician knowledge of trans identities and health care needs was lacking. Issues around providing safe trans care were common; physicians had limited understanding of appropriate interactions with trans patients, including correct use of gender pronouns. It was important to participants that their physicians understood how meaningful their trans identity was to their well-being and how far they would go to live their felt gender.

Owing to limited physician expertise about trans health needs and the many systemic barriers faced by trans individuals, a common experience for study participants was the need for substantial self-advocacy beyond what would normally be expected in the patient-physician encounter. Participants commonly reported educating their family physicians about trans health needs (Table 2, quotations 4 and 5). Many participants brought in copies of trans hormone guidelines to their physicians, or referred them to local education events. Physicians who were eager to provide care still required support from participants to manage the bureaucracy associated with transitioning. Participants sought advice from trans community members about how to speak to physicians to access the health interventions they required (quotation 6).

In general, participants felt that their primary care clinic environment was acceptable. Although few individuals spontaneously expressed specific needs, when prompted there was widespread interest in the introduction of positive-space posters and representation of the lesbian, gay, bisexual, transgender, 2-spirit, and queer (LGBT2SQ) community in office spaces (Table 2, quotations 8 and 9). Washrooms were generally not problematic, as most clinics had single-person bathrooms that were not gendered.

All participants reported discriminatory experiences while seeking health care. For some this was a rare occurrence, while others reported multiple episodes including with their family physicians. Overt discrimination was most commonly experienced through misgendering and having a physician refuse to provide care. Most episodes of misgendering were accidental missteps that were quickly remedied. Some participants, however, reported frequent misgendering that was felt to be malicious (Table 2, quotations 11 and 12). Refusal to provide care to participants was uncommon and typically rationalized by a lack of expertise in trans health, although it was often felt to be owing to underlying transphobia (quotation 13).

Participants had relatively modest expectations for their family doctors. They expect a supportive physician who provides a positive space for those with trans identities, and who is willing to learn. Participants did not expect their family physicians to have a deep understanding of trans health needs, but did hope for some basic knowledge around hormone initiation and where to access further resources (Table 2, quotation 18).

Previous studies have demonstrated that discrimination against trans people within health care is common12,13 and leads to health care avoidance.8,14 This study confirms that finding. Although many physicians were supportive of trans patients, they generally had very little knowledge of trans-specific care needs, and several participants reported negative experiences that left them reluctant to access care. Participants who had unsupportive or uneducated physicians put in considerable effort to secure health care resources they required. For many trans patients their physicians were a barrier, and patients might expend unreasonable effort to convince their physicians to provide appropriate care.

In Generation II, a Pokémon's gender is determined based solely on its physical Attack IV when compared to its gender ratio. A Pokémon is female if its physical Attack IV is less than or equal to its species' gender ratio, otherwise it is male. For species that are exclusively one gender or gender unknown, the calculation based on the physical Attack IV is ignored.

Due to this calculation, it is impossible to obtain a female Pokémon with high physical Attack, unless the Pokémon is a member of an all-female species like Jynx or Chansey. Starter Pokémon and others with a gender ratio of seven males to one female suffer the most, with the maximum physical Attack IV for a female Pokémon of those species being 1.

In a Pokémon species' data structure, there is a value called the gender threshold, a byte with a value ranging from 0 to 255. With the exception of a few special cases, pgender is compared to the gender threshold to determine if the Pokémon is male or female.

If the gender threshold is not a special value (0, 254, or 255), pgender is compared to the gender threshold. If pgender is greater than or equal to the gender threshold, the Pokémon is male, otherwise it is female. Because the comparison to determine gender is greater than or equal, Pokémon are slightly more likely to be male than they would be according to the ideal ratios.

Generation IV premiered minimal differences in sprite between two Pokémon of the same species. For example, a male Raichu will have the full tail seen in previous games, while the female is missing the very tip of it. Generations V and VI would introduce Pokémon with more drastic differences in appearance.

The male Meowstic has Prankster and the female Meowstic has Competitive as its Hidden Ability. At certain levels, they learn different moves from one another: the male Meowstic learns status moves, while the female Meowstic learns special moves. In Generations VI and VII, female Meowstic learned one gender-exclusive status move, Me First.

Indeedee differs more drastically by gender than Meowstic, with male and female Indeedee having slightly different base stats as well as learnsets. Male Indeedee have higher Attack, Special Attack, and Speed, while female Indeedee have higher Defense, Special Defense, and HP. While male Indeedee can learn the TM and TR moves Power Swap, Trick Room, Magic Room, Wonder Room, Tri Attack, and Encore, female Indeedee can learn Light Screen, Reflect, Safeguard, Guard Swap, and Baton Pass. The Egg Move Extrasensory is exclusive to male Indeedee while the Egg Moves Psycho Shift and Heal Pulse are exclusive to female Indeedee.

The male Oinkologne has access to the Ability Lingering Aroma, while the female has access to Aroma Veil. Male Oinkologne have higher Attack and Defense, while female Oinkologne have higher HP and Special Defense.

The following is a list of all Pokémon that are either 100% male or 100% female and have not been mentioned in an above section. In particular, these Pokémon have no explicit relation to a Pokémon of the opposite gender through evolution or breeding, although some of them may have a counterpart such as with Grimmsnarl and Hatterene.

In Pokémon Mystery Dungeon: Explorers of Time and Explorers of Darkness and Pokémon Mystery Dungeon: Explorers of Sky, male Pokémon, as well as gender-unknown Pokémon (such as Magnemite), have a 1.5x bonus applied to move's base critical rate before other modifiers are applied, and at the same time all moves that target them have 263/256 (1.03x) accuracy multiplier if no other accuracy or evasion modifiers are in effect. Barring those that are gender-locked, Pokémon encountered on odd dungeon floors will always be male, and Pokémon encountered on even floors will always be female.

Some Trainer classes have male and female variants, such as Swimmers, while others appear to be counterparts, such as Campers and Picnickers. Others, such as Kimono Girls, have no opposite-gender counterpart.

Certain in-game events may differ depending on the player character's gender. For example, in Pokémon Black 2 and White 2, Curtis will be encountered if the player is female, and Yancy if the player is male. In Pokémon X and Y and Generation VII, availability of different clothing is gender-specific. Also, only the female player character has the option of changing their lip color using lipstick stored in a Makeup Bag in Generation VII.

Outside of battle facilities, the gender of a non-playable character often determines the default gender of their Pokémon. If the Pokémon's species has an even 1:1 gender ratio, then its gender will match its Trainer's; if the gender ratio is skewed, then the more common gender of the species will be used. Prior to Generation VII, Trainer classes for Double Battles are treated as male, even if both Trainers are female.

For some Trainers, especially Gym Leaders and the Elite Four since Generation V, the default genders have been overridden to give their teams a more balanced gender distribution. Oddly, the Elite Four in FireRed and LeafGreen and Gym Leaders in Emerald all use male-dominant teams in rematches, even though the female Trainers use all-female teams in their initial battles. In HeartGold and SoulSilver, Bugsy uses all-female teams despite being male. 2ff7e9595c