FA-2025-000058 - [2025] EWHC 2685 (Fam)

Dr. Barrett’s first report dated 23^rd August 2019

Dr. Barrett is a Consultant Psychiatrist specialising in Gender Dysphoria Medicine, Lead Clinician at the Gender Identity Clinic of the Tavistock and Portman NHS Foundation Trust (“the Tavistock Clinic”). He recorded (“Presenting Issues and Concerns”) that “[W] was enthusiastic to commence treatment with testosterone and, ultimately, to have a bilateral mastectomy and male chest reconstruction”. He stated (“Medical History”) that W had “now abandoned any attempt at assisted fertility”. Ms Sarathy submits that this reflected the Applicant’s view at the time of the meeting with Dr. Barrett that, after several failed attempts, he had abandoned hope of obtaining IVF on the NHS. Dr. Barrett’s summary of the Applicant’s condition was that he was “much more settled in a male role and [were it not for a medical issue that does not require to be mentioned] it would be very reasonable for treatment with testosterone to commence.” For the avoidance of doubt, I do not consider that the Panel is suggesting that the Applicant has attempted to conceal his wish to become pregnant. In any event, such a conclusion cannot be supported by the evidence, which is suffused with the Applicant’s candour. Dr. Barrett referred the Applicant to local fertility services because he considered that the Applicant was likely to lose his natural fertility as a result of treatment and was eligible for fertility preservation by means of gamete storage.