Over in the abortion thread, the topic of birth control has come up, and a few quips have been made about women in same-sex relationships having to explain their “birth control” to their doctors. Of course, it may be fair to point out that simply saying your birth control is having a girlfriend might not be enough for your doctor these days, because your girlfriend could have a fully-functioning penis and all the other parts necessary to knock you up.
Kind of reminds me of that old riddle about the father and son getting in an accident and the doctor saying “I can’t operate; this is my son.” Once upon a time, that was considered a head-scratcher because people assumed the doctor would be a man, and the father was in the accident too. Now, you don’t even need to assume the doctor is the kid’s mother, because the kid could have two dads.
Anyway, the answer here is easy. Doctor asks woman about birth control. Woman says her birth control is her girlfriend. Doctor asks if girlfriend is a cis woman. If the answer is yes, end of discussion. If the answer is no, doctor asks some follow-up questions to ascertain girlfriend’s ability or lack thereof to impregnate the patient. Perhaps it would be handy to have simple terms for “people who can get pregnant” (a smaller group, incidentally, than people with naturally-occurring vaginas, and perhaps someday not even limited to that group), and “people who can impregnate people” (again, not all males, nor all men, nor even all cis men, and perhaps someday not even limited to men). But I suspect that, even if such terms existed, doctors would still need to ask more questions–some people are mistaken about their own fertility–and nosy bystanders might still have to be satisfied with less information than they’d like.
I went to law school with a trans man who has since married another man and given birth. It’s none of my business how he got knocked up, but I assumed his husband is a cis man and they did it more or less the old-fashioned way. (I do know it was planned; he’s written about how he went off testosterone in order to get pregnant). Others in my circle who follow him on social media have assumed that his husband was also trans, or at least that they did IVF for whatever reason. Again, we’re not entitled to the details, but do you see how easy it is for us to speculate? We can imagine and describe any number of possibilities regarding the genitals of the parties involved without an undue burden despite not having a single word that means exactly, no more and no less, what everyone used to think “woman” means.
Part of our social progress is peeling back layers of assumptions. It may make some people uncomfortable, like hearing “para Español, oprima numero uno” on the phone, but frankly their discomfort is not as important as the people who have been harmed or excluded by those assumptions.