Eunuch is a gender, says prominent pro-trans advocacy group

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Eunuch is a legitimate gender identity, a prominent pro-trans advocacy group has recommended.

The controversial World Professional Association for Transgender Health (WPATH) updated its ‘standards of care’ guidelines over the weekend.

The 260-page document includes a new chapter on caring for ‘eunuchs’.

It even advocates that medical professionals should consider castrating people who identify as such. 

The authors of the new standards, which include NHS medics and heads of UK trans charities, argue that castration could help some eunuchs better align with their ‘gender identity’. 

A eunuch is a man who has been castrated. Historically, they would be servants or slaves who had their sex organs removed against their will. 

They served religious roles and, in some cultures, engaged in espionage and clandestine work. 

Famously, the actor Conleth Hill played the eunuch spy master Lord Varys in the television series Game of Thrones. His character was forcibly castrated as a child. 

While the body’s recommendations are in no way binding, WPATH is influential.

New stands from the world’s leading body on care for transgender people state being a eunuch is a gender identity 

Famously the actor Conleth Hill played the eunuch spy master Lord Varys in the television series Game of Thrones. His character was forcibly castrated as a child

Famously the actor Conleth Hill played the eunuch spy master Lord Varys in the television series Game of Thrones. His character was forcibly castrated as a child

What is a eunuch? 

In the simplest definition of the term, eunuchs are men who have been castrated.

The first recorded practice of castration to intentionally produce eunuchs dates as far back as 2,000BC – more than 4,000 years ago –  in the ancient city of Lagash – located in what would now be modern day Iraq.

Eunuchs would usually be servants or slaves who had been castrated to make them less threatening servants.

But they have also served religious roles and in some cultures engaged in espionage and clandestine work. 

Famously the actor Conleth Hill played the eunuch spy master Lord Varys in the television series Game of Thrones. His character was forcibly castrated as a child.

In Roman times, emperors were surrounded by eunuchs for such functions as bathing, haircutting, dressing and in the Byzantium empire there were groups of eunuchs who held official functions in the city of Constantinople – now Istanbul.

In China, castration was also considered one of the five great punishments, and a means of gaining employment in the Imperial service.

Like in the Byzantium empire, eunuchs, due to their closeness to those in power, occasionally gained great influence, including the eunuch Zheng He during the Ming dynasty – who was said to have than high ranking officials.

Though castration began to phase out in many parts of the world through the Medieval period, it was still practised officially in the Ottoman empire, even up until the 20th century.

Eunuchs, in a modern sense, can include those who have been castrasted for health reasons, such as to treat cancer.

But there has been a growing number of people choosing to be castrated. 

The Nullo movement has grown in popularity in recent years. There are extreme cases where people are castrated for cannibalistic or sexual desires – but the majority remove their genitals because they don’t identify as male or female. Many opt for a ‘smoothie’ – a procedure that leaves them with a fully smooth groin.

More than half of those people use amateur ‘cutters’ – often doctors or vets – or do it themselves.

There are an estimated 10,000 to 15,000 voluntary ‘Nullos’ worldwide, though the true number is unknown. Two thirds never tell anyone they have no genitalia, including their families, a 2014 academic study found.

It counts almost 100 UK members from across the length and breadth of the UK, some in the NHS, and over 3,000 in the US. 

Some British members work in the controversial NHS gender clinic for children Tavistock, which is due to close next year, whilst another heads the charity Mermaids. 

Published in the International Journal of Transgender Health, the WPATH’s new standards argue eunuch is a gender identity, and furthermore one that can require ‘affirming treatment’. 

‘As with other gender diverse individuals, eunuchs may also seek castration to better align their bodies with their gender identity,’ they said.

‘Like other transgender and gender diverse individuals, eunuchs require access to affirming care to gain comfort with their gendered self.’

This gender-affirming care could include both chemical and surgical castration and should be considered where there is a risk the individual will attempt these acts themselves if not provided, the authors argue. 

‘There is no doubt when members of this population are denied access to quality medical treatment, they will take actions that may cause them great harm, such as bleeding and infection that may require hospital admission,’ they said.

However, the authors stop short of recommending any treatment for children who ‘identify’ as eunuchs. 

‘Due to the lack of research into the treatment of children who may identify as eunuchs, we refrain from making specific suggestions,’ they said.

It is not the first time WPATH and its advocacy for eunuch as a gender identity has caused controversy.

In June, an NHS Scotland website published documents saying that eunuchs should be recognised as a formal gender identity. 

These documents were reportedly from WPATH and discussed how ‘eunuch-identified people’ should be recognised as a formal gender identity which predate the new official standards from the body.

The publication promoted alarm from women’s rights group with Susan Smith, of For Women Scotland, condemning it endorsing a ‘barbaric’ practise. 

‘We are disgusted that NHS Scotland thinks that it is appropriate to align with any organisation pushing “eunuch identity”, let alone host a paper about it on their website,’ she said. 

‘This is a barbaric practice which, for centuries, was used to demean and abuse young men and boys.’

The Scottish Government issued an apology, claiming the document had been published by mistake, and that an investigation was underway by the NHS. 

Some prominent members of WPATH include Professor Jon Arcelus, an expert in mental and transgender health at the University of Nottingham, who was one of the senior WPATH members involved in the creation of the new standards. 

Head of controversial trans charity Mermaids, Sue Green is also listed as an author.

From ‘chestfeeding’ to ‘human milk’ and ‘birthing PARENTS’: How NHS language is going woke – with women quietly being scrubbed out of ‘inclusive’ advice pages

‘Chestfeeding’ instead of breastfeeding and asking men if they are pregnant before getting a scan are just two ways NHS language has gone woke recently. 

NHS chiefs have repeatedly defended the changes, saying they want to be ‘inclusive, respectful and relevant’.

But health experts have warned de-gendering medical advice could be dangerous as it over-complicates and obscures vital health messaging. 

Here, we detail some of the ways the woke language storm has engulfed the health service.

Period page avoids ‘women’ and ‘girls’, instead uses ‘people who bleed’ 

MailOnline revealed the terms ‘women’ and ‘girls’ had been omitted from NHS backed guidance about periods.

A website funded by the Welsh Government to give advice about menstruation omitted the words ‘women’ and ‘girls’ from its information.

Instead the website, Bloody Brilliant, which cost the taxpayer £84,000, used the terms ‘people who bleed’ and ‘half of the population’. 

Medics and campaigners described the language as ‘infuriating’ and ‘confusing’, warning it would complicate much needed health messaging for vulnerable girls.

The website was set up in 2021 with the aim of ‘breaking the taboo around periods by encouraging conversation on one of the most normal, natural topics’.

MailOnline’s exposure of the issue last month led to the branch of NHS Wales responsible for the advice stating language will now be changed to include ‘women’ and ‘girls’.

Bloody Brilliant, an NHS commissioned website on periods was heavily criticised for refusing to mention 'women' and 'girls', instead referring to 'people who bleed'

Bloody Brilliant, an NHS commissioned website on periods was heavily criticised for refusing to mention ‘women’ and ‘girls’, instead referring to ‘people who bleed’

NHS removes the word ‘women’ from its MENOPAUSE page 

MailOnline revealed the NHS’s online guidance about the menopause had the terms ‘women’ and ‘woman’ removed.

The webpage used to describe the condition as ‘when a woman stops having periods and is no longer able to get pregnant naturally’.

But a new, gender-neutral description made in May, says: ‘Menopause is when your periods stop due to lower hormone levels’.

The old advice also highlighted menopause usually occurs in women between the ages of 45 and 55, but about one in 100 women experience it before 40. 

But none of this information is included in the overview section of the updated webpage.   

In total six mentions of ‘women’ and ‘woman’ have been scrubbed from the page.  

Justifying the change, NHS Digital said they wanted language to be ‘inclusive and respectful’.

Experts warned that de-sexing the menopause page meant women with low English or health literacy could miss out and not read further. 

The NHS has quietly omitted the terms 'women' and 'woman' from its webpage on menopause. Pictured here is the older version of the menopause overview page (May 16) which mentioned women six times

The NHS has quietly omitted the terms ‘women’ and ‘woman’ from its webpage on menopause. Pictured here is the older version of the menopause overview page (May 16) which mentioned women six times 

But the new version omits women from the overview entirely. Experts have warned women could be disadvantaged by de-gendered medical advice confusing health messaging

But the new version omits women from the overview entirely. Experts have warned women could be disadvantaged by de-gendered medical advice confusing health messaging

NHS midwives told that sex is ‘ASSIGNED’ at birth 

Midwives denounced claims they ‘assign’ the sex of children at birth in a row on woke language.

The wording came from the Royal College of Midwives (RCM) and Royal College of Obstetricians and Gynaecologists in an ‘inclusivity’ statement.

Their document said: ‘We recognise maternity and gynaecological services will be accessed by women, gender diverse individuals and people whose gender identity does not align with the sex they were assigned at birth.’

But some midwives hit back at the colleges, arguing that they merely ‘observe’ the reality of a baby’s sex at birth — as opposed to deciding it themselves.

Jo Gould, a midwife in Sussex, said she was ‘ashamed’ of her representative body and that the statement was ‘nonsense’ and ‘offensive’.

But the RCM said the phrase ‘sex assigned at birth’ was used correctly arguing it is the UK government’s Office for National Statistics legal terminology for the sex observed at birth and then recorded on the birth certificate.

A statement on inclusivity from the Royal College of Midwives and Royal College of Obstetricians and Gynaecologists has provoked outrage from some midwives on social media for using the term 'sex assigned at birth'

A statement on inclusivity from the Royal College of Midwives and Royal College of Obstetricians and Gynaecologists has provoked outrage from some midwives on social media for using the term ‘sex assigned at birth’

NHS pregnancy advice refers to ‘chestfeeding’ and refuses to mention breasts

The NHS was criticised over ‘ideological’ new advice for trans parents that failed to mention the word ‘breast’.

A page titled ‘chestfeeding if you’re trans or non-binary’ makes no mention of breasts and refers to breast reduction operations as ‘top surgery’.  

It was also accused of ‘normalising’ a potentially dangerous chest-binding technique.

The guidance also encourages people to keep taking hormone transitioning drugs when they ‘chestfeed’, despite admitting ‘it is unclear what effect this could have on your baby’.

The advice was written a year prior to publication but was only issued online after nearly 12 months of internal NHS wrangling.

It provoked concern among nurses and maternity experts, who said the advice fails to warn people about health risks of such practices to both parents and babies. 

The term chestfeeding is used throughout the page with the term 'breast' omitted. Breastmilk likewise has been replaced with 'milk from the chest'

The term chestfeeding is used throughout the page with the term ‘breast’ omitted. Breastmilk likewise has been replaced with ‘milk from the chest’

The page also says testosterone can pass through breast milk to babies but adds it is 'unclear' what affect passing the hormone on to a baby could have

The page also says testosterone can pass through breast milk to babies but adds it is ‘unclear’ what affect passing the hormone on to a baby could have 

Critics of the page have said it normalises a potentially dangerous 'binding' technique used to make breasts smaller using fabric and which can cause a variety of health problems

Critics of the page have said it normalises a potentially dangerous ‘binding’ technique used to make breasts smaller using fabric and which can cause a variety of health problems

NHS bosses removed term ‘WOMEN’ on ovarian and womb cancer advice pages

Official NHS advice pages about ovarian, womb, vaginal and cervix cancers were found to have quietly scrubbed the word ‘women’ from their webpages earlier this year.

The term was missing from the landing pages of three sections explaining the cancers, which are only found in biological women.

For example, the original version of the ovarian NHS cancer page featured the line: ‘Ovarian cancer, or cancer of the ovaries, is one of the most common types of cancer in women.’

Another line read: ‘Ovarian cancer mainly affects women who have been through the menopause (usually over the age of 50), but it can sometimes affect younger women.’

However, in an update sneaked out in January — these were removed with the page now saying: ‘Anyone with ovaries can get ovarian cancer, but it mostly affects those over 50.’

The changes were made late in 2021 and early 2022 but only came to light in May.

NHS ovarian cancer page as of December 2021, featuring two mentions of women

The new page, updated in January omits the word women

The old version of the NHS ovarian cancer page as of December 30 2021 (left) mentions women specifically twice, whereas the new version (right) omits them 

NHS reinstates the word ‘women’ in its miscarriage advice 

In June, the health service added the word ‘women’ back to its miscarriage page following backlash.

The health service replaced ‘women who know they’re pregnant’ with ‘people who know they are pregnant’.  

Another line on the page was also criticised for saying miscarriage ‘only affects about one in 100 people’ instead of women.

Despite amending one of the sentences to state that having three consecutive miscarriages ‘only affects about one in 100 women’, other pages in the NHS guidance make no mention of women at all. 

A section called ‘aftermath’ refers to ‘people’ seven times but not once to women, including in its sub-paragraph about the emotional impact of a miscarriage.

Another section titled ’causes’ does mention women several times when attributing their age as a factor on their pregnancy, with one in ten expectant women under 30 having a miscarriage compared to five in ten over 45.

NHS Digital has now partially amended the webpage to include the word 'women' once at the end

NHS Digital has now partially amended the webpage to include the word ‘women’ once at the end

NHS-backed guidance states transwomen can breastfeed

Experts warned newborn babies could be harmed by woke NHS-backed guidance stating biologically born men can breastfeed.

Guidance from the La Leche’s charity — linked to on the NHS’s controversial ‘chestfeeding’ advice page — states biological men who swap sex can stimulate milk supply using the Newman-Goldfarb protocol.

But the procedure, which involves taking a powerful drug called domperidone, has been mired in controversy and is effectively banned in the US because of its side effects. 

NHS bosses only recommend it to women struggling to produce milk in some cases because domperidone carries a risk of giving a baby an irregular heartbeat. 

Experts told MailOnline how scientists have ‘no idea about the implications’, of breastfeeding in men and that the NHS should focus on improving access to breastfeeding rates for women.

An NHS England spokesperson said the link to La Leche’s advice on the chestfeeding guidance page was to an ‘independent, non-profit support site’ and added does not reflect NHS policy.

Hospitals asking men if they are pregnant before scans 

In March, it was revealed that men were being asked if they are or could be pregnant before given radiotherapy by some NHS trusts. 

Male cancer patients, as well as those having X-rays and MRI scans, were asked if they were expecting a baby, because the word ‘female’ was replaced by ‘individuals’ for medical procedures.  

For example, the Walton Centre NHS in Liverpool now asks ‘all patients under the age of 60, regardless of how you may identify your gender’ whether they could be having a baby.

The dangers that radiotherapy, diagnostic imaging and nuclear medicine pose to an unborn child mean medics must find out if biologically female patients are pregnant before carrying out the procedures.

But campaigners warned the move could spark the beginning of a ‘clinically dangerous’ move to record only gender, and not sex, on medical records.

Patients and their families have also complained of ‘unnecessary confusion and agitation’ for vulnerable patients.

Student midwives being taught how to help biological MEN give birth

In May this year, it was revealed that midwifery students at Edinburgh Napier University were being taught biological men could get pregnant and trans men could give birth even if they have a penis.

In a coursebook that has since been revised, trainee midwives were given detailed instructions on how to treat a male-to-female trans person during childbirth. 

The book’s introduction stated: ‘You may be caring for a pregnant or birthing person who is transitioning from male to female and may still have external male genitalia.’

Another section with photo demonstrations detailed how to fit a catheter in a person with a penis and scrotum during labour.

The book also included special instructions for people with prostate glands — which are exclusive to biological men — who may feel particular ‘discomfort’.

Several experts criticised the university, describing the woke material as ‘remarkably ignorant about basic biology, sex and anatomy’.

Bosses at the university have now changed the wording to say, ‘people transitioning from female to male’ rather than ‘male to female’, following the uproar.

NHS told to use inclusive birth terms to avoid offending transgender people

NHS services were told to use ‘inclusive’ terms like ‘chestfeeding’ so trans pregnant people aren’t offended by a Government-funded report published in April. 

Produced by charity the LGBT Foundation other suggestions of language change was avoiding terms like ‘vaginal birth’, recommending ‘frontal’ or ‘lower birth’ instead.

The charity also says some trans and non-binary people would benefit from having a private space in hospitals to give birth, so that they are not made uncomfortable by seeing women. 

It detailed the experience of one trans person, who said: ‘I didn’t have to go to a ward full of women after giving birth, I was actually provided with a private room for me and baby which was very helpful and accommodating for me and my gender identity.’ 

The report was based on a survey 121 trans Britons on their experience of pregnancy.

It was commissioned by the Health & Wellbeing Alliance, a partnership between charities and the NHS, which is managed jointly by the Department of Health and Social Care and Office for Health Improvement and Disparities.

NHS hospital tells staff to say ‘birthing parents’ and ‘human milk’ 

In February last year Brighton and Sussex Hospitals NHS Trust unveiled ‘gender inclusive’ phrases it wanted its staff to use.

These included terms like ‘birthing parents’ and ‘human milk’ rather than ‘mothers’ and ‘breast milk’ to avoid offending transgender people.

The Trust said using ‘gender inclusive’ phrases was part of a drive to stamp out ‘mainstream transphobia’.

Other changes include replacing the use of the word ‘woman’ with the phrase ‘woman or person’, and the term ‘father’ with ‘parent’, ‘co-parent’ or ‘second biological parent’, depending on the circumstances. 

The new terms will be used for documents, protocols and Trust-wide communication.

The move was welcomed by inclusivity campaigners at the time, with the group TransActual tweeted: ‘This is fantastic, well done. Let’s hope many more trusts follow suit. Everybody deserves to be treated with dignity and respect.’ 

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