Gender Matters: Insights from a Physician

This episode explores the ethical failure behind the closure of gender affirming care clinics and what happens when patients are left without continuity of care. Through a medical ethics lens, it explains why abruptly discontinuing treatment places transgender and gender diverse youth at risk regardless of personal or political beliefs.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Why do some people share their pronouns while others hesitate? And how do you know what’s right for you? In this episode, I break down why pronoun sharing should never be mandatory, and why it still carries real meaning. We’ll look at how sharing pronouns can signal safety, why it can put some people in difficult positions, and what it communicates when you choose to include them.If you're a provider or someone who wants to create a more inclusive environment, this episode offers a grounded, practical way to think about pronouns and their role in helping people feel safe.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Language shifts long before most people notice it, and when one word keeps resurfacing, it’s worth asking why. In this episode, I walk through a single term that’s showing up more often in conversations about gender and what its resurgence might be telling us about the moment we’re living in.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

On July 9th, the Department of Justice issued subpoenas to clinics, doctors, and even drug manufacturers connected to gender-affirming care. These subpoenas appear to include private patient information.In this episode of Gender Matters: Insights from a Physician, I explain why this affects far more than transgender patients. From patient trust to access to standard treatments like puberty blockers or hormones for non-trans conditions, this action has ripple effects across healthcare.What happens when fear replaces trust in medicine?Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

What happens when legal decisions about healthcare don’t align with medical reasoning?In this episode, A Physician’s Response to U.S. v. Skrmetti, I invite you to consider the recent court ruling through a medical lens. I walk through why some of the legal distinctions made in the case do not reflect how medicine works and how the decision departs from the way we provide care in similar situations.If you believe these laws are about protecting kids, I hope you’ll listen with curiosity. At the end, I offer a simple way to reflect on whether your concerns are truly about the care itself or whether something else may be at play.Listen now and share with someone who is open to hearing the medical perspective on gender-affirming care.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

In this episode of Gender Matters: Insights from a Physician, Dr. Shannon and Bandit kick off a new series in response to "The Protocol," The New York Times' limited podcast on gender-affirming care.This first conversation centers on Episode 1, which explores the origin of youth medical transition. As a physician and longtime gender educator, Dr. Shannon dissects subtle moments of bias that might go unnoticed to most, but matter deeply in how the public understands transgender healthcare. Bandit brings a thoughtful outside perspective, asking the questions many listeners may be wondering themselves.Whether you’ve already listened to The Protocol or you’re just curious what all the discussion is about, join us as we explore what’s said, what’s implied, and what’s missing.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

If you’ve ever wondered, “What if they change their mind?”—you’re not alone. This episode breaks down the newest data on how often trans youth stop hormone therapy and retransition to a cisgender identity.We walk through a 2025 study of over 1,000 adolescents and explore what it really tells us—about numbers, nuance, and how we think about gender-affirming care.📚 Citation: Boskey ER, Scheffey KL, Pilcher S, et al. A Retrospective Cohort Study of Transgender Adolescents' Gender-Affirming Hormone Discontinuation. J Adolesc Health. 2025;76(4):584–591. doi:10.1016/j.jadohealth.2024.11.002Olson KR, Durwood L, Horton R, Gallagher NM, Devor A. Gender Identity 5 Years After Social Transition. Pediatrics. 2022;150(2):e2021056082. doi:10.1542/peds.2021-056082van der Loos MATC, Hannema SE, Klink DT, den Heijer M, Wiepjes CM. Continuation of gender-affirming hormones in transgender people starting puberty suppression in adolescence: a cohort study in the Netherlands. Lancet Child Adolesc Health. 2022;6(12):869-875. doi:10.1016/S2352-4642(22)00254-1Roberts CM, Klein DA, Adirim TA, Schvey NA, Hisle-Gorman E. Continuation of Gender-affirming Hormones Among Transgender Adolescents and Adults. J Clin Endocrinol Metab. 2022;107(9):e3937-e3943. doi:10.1210/clinem/dgac251Gupta P, Patterson BC, Chu L, et al. Adherence to Gender Affirming Hormone Therapy in Transgender Adolescents and Adults: A Retrospective Cohort Study. J Clin Endocrinol Metab. 2023;108(11):e1236-e1244. doi:10.1210/clinem/dgad306Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Bandit is back!This time to talk through Utah’s newly released findings on gender-affirming care for youth. In this episode, we break down what the report actually says, why it matters, and why it’s being ignored.One of us is a physician. The other? A thoughtful outsider with no personal stake in the issue—just honest questions shaped by headlines and algorithms.Together, we explore what gender-affirming care really includes, how misinformation spreads, and what it means when good science is excluded from political decisions.Real conversation still matters, and this one doesn’t shy away.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

What if the thing you’ve been told is a fact… is actually just an assumption?In this episode of Gender Matters: Insights from a Physician, we take a closer look at fertility and gender-affirming care for youth. From social and medical transition to puberty blockers and hormones, we break down what we know, what we don’t, and what we’re still trying to learn.If fertility concerns are shaping your views on gender-affirming care, this episode offers a clear, data-informed foundation—free from hype, fear, or assumption.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

In this follow-up episode, I answer honest gender questions from a friend in a space grounded in curiosity, not debate. We talk about student names, parental rights, and how to handle pronoun mistakes with care. A practical, thoughtful conversation for anyone still learning and wanting to understand more.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

"Rapid onset gender dysphoria" sounds urgent, but is it even real? In this episode of Gender Matters: Insights from a Physician, I trace the origins of the term, explore why it resonates with some parents, and explain why the science does not support it.We look at how the idea caught on, what is missing from the research, and what is actually happening when teens come out. Spoiler: it is not rapid, and it is definitely not simple.Whether you are a provider, a parent, or just curious, this episode will help you move beyond headlines and toward understanding.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

This week’s episode is a little different.I invited a friend I’ve known since high school onto the podcast to ask me anything about gender. He describes himself as curious but unfamiliar with the topic, and while he’s never felt personally connected to the conversation, he’s been wondering why so many others care deeply.He didn’t tell me his questions ahead of time. This is an unscripted, honest exchange between two friends. One is trying to understand what all the noise is about, and the other is trying to make it less noisy.If you’ve ever felt unsure how to start learning about gender or how to talk to someone who is, this episode might give you a way in.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Transgender rights are often mislabeled as a "far-left" issue, but that framing erases the humanity at the center of the conversation. In this episode, I call out the confusion between political strategies and basic human rights, and why it's crucial to remember we're talking about people, not politics.I also share a list of memoirs and stories to deepen your understanding, including:Sissy by Jacob TobiaPageboy by Elliot PageRedefining Realness by Janet MockTomorrow Will Be Different by Sarah McBrideAll Boys Aren't Blue by George M. JohnsonBecoming Nicole by Amy Ellis NuttLove Wins Out by Dr. Rizi N.B. TimaneLetters for My Brothers by Megan Rohrer and Zander KeigCorrection: In the episode, I mistakenly said Love Wins Out was written by Dr. Rizi N.B. Nutt. The correct author is Dr. Rizi N.B. Timane.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Everyone says they’re protecting kids. But what does real protection look like?Inspired by elephants during a San Diego earthquake, this episode offers a five-part “elephant test” for adults on all sides of the gender-affirming care debate. Whether you're supporting or opposing care, are you truly protecting the children you claim to defend?Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Why is gender-affirming care expected to be flawless when no other area of medicine is? In this episode, we unpack what “perfection” really means in this context—the idea that even one bad outcome is treated not as an individual case to learn from, but as evidence that the entire system is broken.In most areas of medicine, unusual outcomes are examined as outliers. But with gender-affirming care, those rare exceptions often overshadow the thousands of positive, life-saving experiences. We explore how that double standard fuels feEnjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

The common misuse of the term “Spanish” to describe any Spanish-speaking patient stuck with me—and years later, it became the perfect analogy for a much deeper misunderstanding: the difference between sex and gender. In this episode, I explore why definitions matter and how neither public opinion nor executive orders change the biological and social realities these terms represent.What happens when the facts stay the same, but the language—and the laws—don’t?Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

In this special episode, I step away from my usual format to share a personal story that lives at the intersection of visibility, history, and love.What does it mean for a young transgender person to see themselves reflected in the world? And how can families, even those who don’t share the same identity, offer connection through shared learning?Join me at my computer—literally—where years ago, I sat with someone I love and explored the lives of transgender pioneers. This quiet act became a powerful bridge between past and future, between uncertainty and pride.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

We all know numbers can be misleading—but what happens when distorted facts are used to justify taking away people’s rights?In this episode, I break down some of the most common narratives used to stir fear and confusion about transgender people—from bathrooms to sports to military service. Many of these stories aren’t just misleading—they’re factually incorrect. Still, they continue to shape public opinion and policy.Rather than offer quick answers, this episode invites you to look more critically at how information is presented. Because when it comes to transgender rights, the truth often gets buried beneath sensational headlines and selective storytelling.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

A recent change to Homeland Security policy has raised serious concerns for transgender individuals and their families. In this episode, we explore how the removal of gender identity from protected categories could impact privacy, safety, and trust—both in society and within medical spaces.For healthcare providers, this shift isn’t just political—it directly affects patient relationships and the information patients feel safe disclosing. We’ll discuss what physicians need to know, how past policies have already harmed transgender patients, and what you can do to maintain trust in your practice.Are you thinking differently about medical privacy after this episode? Listen now and share your thoughts.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

When discussing transgender girls in sports, accuracy matters. No matter your stance, one correction is essential: transgender girls are not "boys playing girls’ sports." This distinction isn't just about respect—it’s about scientific accuracy.In this episode, I break down why this mislabeling is biologically incorrect and how it has fueled broad bans on transgender athletes. I also discuss recent research on physical differences among transgender and cisgender athletes and why precise language is crucial in both science and policy.📝 Correction: The study mentioned in this episode was published in April 2024, not October 2024 as stated.📖 Referenced Study: Hamilton B, Brown A, Montagner-Moraes S, et al. Strength, power and aerobic capacity of transgender athletes: a cross-sectional study. British Journal of Sports Medicine. 2024;58:586-597.Listen now and share with colleagues—because integrity in medicine starts with getting the facts right.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Does Your Hospital System Need to Reassess?Sex markers are everywhere in healthcare—from ID bracelets to patient boards—but does their constant presence actually help deliver better care? Or does it do more harm than good? In this episode, I challenge the assumption that displaying sex everywhere improves patient care. You’ll learn how this overlooked detail leads to misgendering, incorrect assumptions about anatomy, and discomfort for many patients—cis and trans alike.It’s time for a reassessment. What would happen if we only displayed sex where it’s truly needed? Listen in to explore how a simple change could improve patient experience and medical excellence.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Think your department has gender competency covered? What if the very confidence that you're "good" is the biggest red flag?In this episode, I break down the common pitfalls of assuming gender competency is a one-and-done achievement. How do you measure real progress? What’s missing when your efforts aren’t reflected in patient experiences—or even on your website?Listen in to challenge assumptions, adopt a growth mindset, and discover how improving gender competency benefits all patients. Because medical excellence requires continuous learning.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

When an executive order threatens gender-affirming care, emotions run high—for patients, families, and providers alike. It’s easy to feel frustrated, villainized, or even ready to walk away. But how do you stay committed to your values when the system makes it harder to do so?Whether you directly provide gender-affirming care or simply support those who do, this episode offers insight into navigating frustration, staying grounded, and continuing to advocate for transgender and nonbinary patients. I also share a helpful resource: the Mindful Healers Podcast with Jessie Mahoney, MD (https://www.jessiemahoneymd.com/mindful-healers-podcast).Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

As federal websites erase mentions of “transgender,” how can medical professionals ensure all patients remain visible? In this episode, Dr. Shannon breaks down the critical role providers play in upholding medical accuracy—not just for ethical care, but for scientific integrity.She explains why distinguishing between sex and gender isn’t just inclusive—it’s essential for accurate medical practice. From ultrasound terminology to patient forms, she shares practical ways to ensure all sexes and all genders are recognized in healthcare.Visibility isn’t political—it’s science. And it starts with the language we use every day.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Creating a more welcoming environment for transgender and nonbinary patients doesn’t have to be complicated—or require board approval. In this episode, I share five small but meaningful changes any physician can make to signal awareness and reduce assumptions. While these steps don’t create true safety, they can help patients feel a bit more at ease and consider building trust with their provider.Think you don’t have time for this? Think again. These “winks” take no extra time, but they might just make all the difference.Challenge for the week: Choose one wink to adopt and put into practice with all your patients.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Early gender-affirming care can reduce the need for surgery later in life, but how many people realize this? In this episode, we uncover the overlooked truths about gender-affirming surgery, including why most surgeries in minors are actually performed on cisgender teens. If you’ve hesitated to support gender-affirming care for transgender youth, this conversation will challenge your assumptions and provide a clearer understanding of what’s really at stake.Don’t keep these insights to yourself—share this episode with someone who has questions about gender-affirming care!The study mentioned in this episode:Dai D, Charlton BM, Boskey ER, et al. Prevalence of Gender-Affirming Surgical Procedures Among Minors and Adults in the US. JAMA Netw Open. 2024;7(6):e2418814. Published 2024 Jun 3.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

This unscheduled episode of Gender Matters: Insights from a Physician offers a medical perspective on the recent executive order redefining sex. I break down the order’s use of gendered language, omission of intersex individuals, and rejection of gender diversity, explaining why its claims conflict with scientific understanding.Designed for healthcare providers, this episode fosters empathy and clarity on these important issues.References:Executive Order: Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government2017 Police Study: Gender-Inclusive Bathroom Policies and Sexual Assault IncidenceEnjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

This episode explores the growing group of transgender patients who socially transitioned in childhood and pursue medical transition in adolescence. Decisions around medical transition are thoughtful and deliberate, and early affirmation provides unique advantages.Understanding this journey is critical, even for adult providers, to better serve patients who began transitioning as children. A provider’s confidence in these matters strengthens patient relationships, improves satisfaction scores, and supports medical excellence.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

What does social transition really mean for transgender children, and why does it matter? In this episode, I break down the realities of social transition—what it is, what it isn’t, and why it benefits transgender kids. With firsthand stories and research-backed insights, I address common questions and misconceptions, including how children understand their gender and whether social transition is reversible.This episode is the first in a series designed to help healthcare providers understand the full journey of transgender patients who transitioned before puberty. Future episodes will explore medical and surgical transition, giving providers a clearer picture of the patients they will encounter in adulthood.How does understanding social transition shape the way you support transgender patients and their families?References & Resources:Olson KR, Durwood L, DeMeules M, McLaughlin KA. Mental Health of Transgender Children Who Are Supported in Their Identities. Pediatrics. 2016 Mar;137(3):e20153223. doi: 10.1542/peds.2015-3223.Reimagine Gender: Developmental Stages of Gender in Young ChildrenOlson KR, Durwood L, Horton R, Gallagher NM, Devor A. Gender Identity 5 Years After Social Transition. Pediatrics. 2022 Aug 1;150(2):e2021056082. doi: 10.1542/peds.2021-056082.Durwood L, Kuvalanka KA, Kahn-Samuelson S, Jordan AE, Rubin JD, Schnelzer P, Devor AH, Olson KR. Retransitioning: The Experiences of Youth Who Socially Transition Genders More Than Once. Int J Transgend Health. 2022 Jun 29;23(4):409-427. doi: 10.1080/26895269.2022.2085224.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Are you prepared to treat transgender adults who transitioned before puberty?Most conversations about transgender healthcare focus on those who transition after puberty—but what about those who transition earlier in life? The first generation of transgender people who transitioned in childhood are now adults, yet many medical providers have never considered how their experiences and healthcare needs might differ.In this episode, we begin a critical conversation about this often-overlooked perspective. What does it mean for a patient to have lived their entire adolescent and adult life in alignment with their gender? How might their medical, social, and psychological experiences differ from those who transition later? And why is it so important for providers to understand these differences?This episode kicks off a multi-part series exploring the unique aspects of transitioning in childhood—covering social, medical, and surgical considerations. If you want to be fully prepared to provide informed, inclusive care, make sure to subscribe so you don’t miss the upcoming episodes.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Learning new names and pronouns can feel daunting at first—but why is it so hard? In this encore episode, we dive into the brain’s role in learning and why it takes conscious effort to create new habits. You’ll gain a deeper understanding of the challenges involved and find encouragement to keep going, knowing it will get easier.Along the way, I’ll share practical strategies to help you disrupt old patterns and build new ones, all while reminding you that the work is worth it—for everyone involved.Listen now and join the journey…because pronouns matter.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Congress is doing something unprecedented—legislating healthcare coverage for TRICARE in a way it never has before. In this episode, I discuss H.R. 5009, the National Defense Authorization Act (NDAA), which includes a political amendment in Section 708 that directly affects patient care. This amendment, buried within a crucial bill funding our nation’s military defense, prohibits TRICARE from covering specific gender-affirming care for minors.What does this mean for military families? And what are the broader implications for healthcare and patient rights when political amendments shape medical decisions? These questions weigh heavily on my mind as I explore the language of the bill, the medical concerns it raises, and the precedent it sets for future legislation.I challenge you to step outside your comfort zone and explore a perspective you might not fully agree with. It’s okay to disagree—what matters is staying curious and open enough to listen without immediately shutting it down. Let’s commit to understanding, even if just for a moment, a different way of thinking.Take the challenge. Share the episode. And let’s stay curious—because awareness matters.If you want to read the bill, you can find it here. Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Start your journey toward inclusivity! This week, explore the School for Engendering Inclusivity—your resource for gender education, live office hours, and practical tools. With the holidays near, it’s the perfect time to prepare for meaningful conversations or a New Year’s resolution to be a better ally.Plus, don’t miss our favorite episodes packed with actionable insights and a teaser for January’s unique series on pre-puberty transitions—essential knowledge for all physicians.Learn more at engenderlove.com/courses!Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

I dive into the medical arguments behind United States vs. Skrmetti—what’s said, what’s left unclear, and how subjective terms like “new” and “experimental” shape perceptions. You’ll hear why banning gender-affirming care for minors contradicts established medical practices and why these treatments deserve thoughtful understanding, not sweeping legislation.If you’ve ever wondered how words influence decisions in healthcare debates, this episode is for you.Listen now and follow the podcast for more insights at the intersection of gender and medicine.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

In this episode of Gender Matters: Insights from a Physician, we explore a challenge many face today: how to critically evaluate what we hear about gender from people we assume are “experts.” Just because someone holds a specific title or shares a personal connection to the topic doesn’t mean their perspective is comprehensive—or even accurate.Join me as I share a fascinating story from a transgender conference that illustrates why one perspective isn’t universal, and learn how to ask the right questions to uncover where someone’s expertise truly lies. We'll also tackle the common human tendency to embrace voices that affirm our beliefs without fully understanding their background.This episode challenges listeners to think critically and offers actionable steps for navigating expertise—without giving away too much.Listen now to gain a better understanding of how to evaluate "experts" critically.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Representative Sarah McBride’s historic election should be a moment of progress, yet it’s met with a wave of anti-trans bathroom bills. These laws claim to protect, but who—or what—are they really protecting against?In this episode, we unpack the myths fueling this legislation, examine the real safety statistics, and challenge you to reflect: What do you think is unsafe, and why?Join us as we explore the truth behind the rhetoric and ask the question: Who’s really at risk?Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Providing gender-inclusive care aligns with the very foundation of medicine, honoring each patient as a unique individual. In this episode, we reveal how inclusive language goes beyond serving a few—it’s an essential part of patient-centered care that elevates care for all. Join us to see how small changes in language can strengthen trust, foster connection, and fulfill our highest responsibilities as providers. Special thanks to Trudi Lebron, CEO of the Institute of Equity-Centered Coaching, for the inspiring elevator analogy that illustrates how inclusive practices benefit everyone.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

In the wake of the recent presidential election, many transgender and nonbinary patients—and their families—are grappling with renewed uncertainty and concerns for their safety, respect, and access to care. As physicians, we have an opportunity to play a key role in addressing these fears and providing the support our patients need now more than ever.In this episode, I share insights on what I’m hearing from patients and families, the common questions and concerns they bring, and why these worries matter for every healthcare provider. We’ll explore responses that help, approaches that don’t, and practical steps that strengthen reassurance in your practice, no matter your specialty.Are you prepared to address the concerns your transgender and nonbinary patients may bring to the exam room? Listen in to explore how you can be a reliable source of support in these uncertain times.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Why do we accept a 97% success rate as a gold standard for cardiac care yet question it for transgender youth who receive gender-affirming care? In this episode, Dr. Panszi explores a pivotal new study from JAMA Pediatrics that examines satisfaction, regret, and continuation of care rates among transgender youth who received their gender-affirming care at the start of puberty.At 97%, the continuation rate mirrors the outcome for cardiac patients who experience improved quality of life after surgery. Yet, while cardiac patients face a 3% mortality rate, those receiving gender-affirming care simply discontinue care. The distinction raises essential questions about how we view and measure success in healthcare, especially when the patient population is young and transgender.Listen in to understand the facts behind these numbers, the factors contributing to quality of life improvements, and how this evidence can empower healthcare providers to better support and counsel their patients.Citations:Olson KR, Raber GF, Gallagher NM. Levels of Satisfaction and Regret With Gender-Affirming Medical Care in Adolescence. JAMA Pediatr. 2024 Oct 21. doi: 10.1001/jamapediatrics.2024.4527. Epub ahead of print. PMID: 39432272.Shroyer AL, Coombs LP, Peterson ED, et al. The Society of Thoracic Surgeons: 30-day operative mortality and morbidity risk models. Ann Thorac Surg. 2003 Jun;75(6):1856-64; discussion 1864-5. doi: 10.1016/s0003-4975(03)00179-6. PMID: 12822628.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

As physicians, we know there’s an unwritten rule: don’t discuss politics or religion with patients. But when it comes to correcting misinformation, especially about gender-affirming care, this is not a political act—it’s our responsibility. In this episode, I explore why some providers shy away from addressing myths and misconceptions, how this confusion is affecting our practice, and why it’s time to step up.When misinformation spreads unchecked, it shapes public perception, and ultimately, legislation that restricts our ability to deliver the best care. We already debunk myths daily about medications, treatments, and health conditions—so why treat gender care any differently?Listen in to learn why facts matter, what role we can play, and how to shift the narrative, empowering patients and society with accurate, reliable information.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

What’s the harm in making a joke about pronouns? In this episode, Dr. Shannon Panszi examines why casual humor around pronouns can undermine the experiences of transgender and nonbinary individuals, even when shared by well-meaning allies.Have you encountered jokes about pronouns, or maybe even shared one yourself? Listen in, reflect, and consider how you can contribute to a more respectful and supportive community.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Do you know what to do if someone is misgendered? Are you concerned about responding the 'wrong' way? In this episode, we dive into the complexities of addressing misgendering, using a scene from the documentary Will & Harper as a guide. Discover practical strategies for offering support and the crucial conversations that can make a difference. Join us as we explore the courage it takes to step in—and when it’s best to step back.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Ever assumed someone’s gender by how they look? Think again. In this episode, we explore the difference between gender identity and gender expression and why our visual assumptions often miss the mark. Join us for a deep dive into how shifting our approach can create a more inclusive and welcoming environment for all patients—no matter how they present. This episode is your invitation to reflect and refine your practice.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

In this episode, I reflect on the long journey toward gender inclusivity in healthcare, focusing on how small steps can gradually move us toward meaningful change. It’s easy to feel overwhelmed by the enormity of the task, but each small action matters in the greater picture.Join me as I explore how learning about gender diversity benefits not only transgender and nonbinary patients but improves care for everyone. Along the way, I’ll share personal stories and experiences, encouraging you to keep your focus on the progress already made and the steps still ahead.Are you ready to take your first step toward more inclusive care?Related Episodes:Episode 2: Gender Unraveled: Understanding Identity, Expression, and Biological TraitsEpisode 25: From Disorder to Diversity: Evolution of Medical Views on Gender IdentityEnjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

In this episode, Dr. Shannon Panszi addresses the discomfort some feel when shifting away from referring to OB/GYN care as ‘women’s health.’ She validates these feelings while exploring how inclusive language ultimately benefits everyone—without erasing anyone’s identity. Dr. Panszi shares responses from listeners, including those who felt threatened by the change and those who found empowerment in it.Tune in to discover how inclusive language can improve patient care, foster belonging, and help us see our patients as they are, not just through the lens of gender. Whether you’ve questioned this change or are looking for ways to implement it, this episode provides clarity and compassion.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

In this episode, Dr. Shannon Panszi continues the conversation on the language we use in obstetrics and gynecology and why it’s time to stop referring to it as "women’s health." Picking up from the first part, which asked listeners to reflect on their use of gendered language, Dr. Panszi now shares her decisions about avoiding "women’s health."Dr. Panszi also addresses the common objections she hears, such as fears of "erasing women," and offers a thoughtful response that reframes the issue: this isn’t about erasure but about lifting everyone up by making healthcare spaces more inclusive. She challenges listeners to rethink our assumptions about patients based on language.Tune in to hear how expanding our language can expand the reach of care—and why it's essential for a more inclusive medical practice.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

Episode Title: Stop Calling Ob/Gyn 'Women's Health'In this episode of Engender Love Podcast, Dr. Shannon Panszi challenges healthcare providers to move beyond binary language in obstetrics and gynecology.Highlights:Language Evolution: Reflect on the progress from avoiding assumptions about marital status and partner gender to adopting terms like “partner” and “spouse.”Embrace Inclusivity: Learn why switching from binary terms like “women” and “moms” to gender-neutral terms like “patients” and “parents” is essential for inclusivity.Actionable Tips: Get practical advice on using inclusive language and the singular “they” for patient privacy and practice.Join the Conversation: How are you making your language more inclusive? Share your experiences and reach out for support if needed.Links and Resources:EngenderLove.comSubscribe to the podcast for more insightsConnect with Us:Instagram: @engender_love_spLinkedIn: Shannon Panszi MDEnjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

In this episode, Dr. Shannon Panszi reflects on the recent cancellation of a crucial conference for transgender and nonbinary families, highlighting the urgent need for protective spaces for these children. She shares a compelling exercise encouraging listeners to consider their own actions in safeguarding children and emphasizes the importance of learning, educating, and speaking up to ensure all children feel safe and supported as their authentic selves. Now is the time to act with empathy and advocacy to protect and uplift every child.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

In this episode, I reflect on the process of creating my previous podcast, Episode 30, "Should Transgender Women Athletes Be Allowed to Compete in Women's Sports?" I share my struggles in finding equitable solutions for transgender athletes within a flawed system and discuss the insights I gained. Join me as I explore the complexities and how I worked through them to reach my conclusions on this challenging issue.Enjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music. 

I explore the complex question of whether transgender women athletes should compete in women's sports, from recreational leagues to the Olympics. Discover diverse perspectives, current regulations in sports organizations, and the historical context of transgender athletes in the Olympics. I also discuss the definitions of how we currently define the categories, fairness in sports, and propose solutions to these challenges. Tune in until the end for my answer to this question. This episode is perfect for those interested in gender nuances, sports fairness, and inclusion.* History of transgender athletes in the Olympics: https://www.transathlete.com/olympics* Research study looking at testosterone in elite athletes (Sönksen PH, Holt RIG, Böhning W, Guha N, Cowan DA, Bartlett C, Böhning D. Why do endocrine profiles in elite athletes differ between sports? Clin Diabetes Endocrinol. 2018 Feb 7;4:3. doi: 10.1186/s40842-017-0050-3. PMID: 29445518; PMCID: PMC5804043.): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804043/*NCAA stats: https://www.nfhs.org/media/886012/recruiting-fact-sheet-web.pdf00:00 Introduction: The Complex Question of Transgender Women in Sports01:05 Diverse Perspectives and Regulations02:04 Scientific Uncertainties and Fairness03:53 Historical Context of Transgender Athletes in the Olympics09:14 Defining Fairness in Sports20:11 The Goals of Sports at Different Levels24:31 Proposed Solutions and Final ThoughtsEnjoyed this episode? Share it on social media or send the link to a colleague or a friend who’s curious about learning more about gender. For more insights, visit engenderlove.com and join our mailing list. Don’t forget to rate or review the podcast—your support helps more people discover and learn with us.Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music.