For cis men and women, nothing changes. But when dealing with a trans patient you need nuance. Are we talking reproductive system, endocrinology, fat distribution, psychology, etc. The real answer here would be to have a more nuanced intake form or proper discussion with the patient since reducing our biology to what we were assigned at birth can mask all sorts of issues. ESPECIALLY for those of us who have been transitioning for a lifetime.

To give a personal example, I know for a fact that my blood levels are closest to those of a cis woman. I know this because my old endo used to send my bloodwork in with a M marker against my wishes. Unsurprisingly, my labs came back with more red flags than a UN meeting. The moment I got a better endo to send it in with F, the red flags went away.

As yet another example, it’s commonly known that cis men and cis women experience heart attacks differently, but there’s been virtually no research on how trans people experience it. Hormones affect virtually every part of our body, so who’s to say heart attacks present as our sex at birth? If an EMT were to see M on a form, they might overlook the female symptoms