Well now. A BBC report from November 2014 – The gay people pushed to change their gender:
Iran is one of a handful of countries where homosexual acts are punishable by death. Clerics do, however accept the idea that a person may be trapped in a body of the wrong sex. So homosexuals can be pushed into having gender reassignment surgery – and to avoid it many flee the country.
Growing up in Iran, Donya kept her hair shaved or short, and wore caps instead of headscarves. She went to a doctor for help to stop her period.
"I was so young and I didn't really understand myself," she says. "I thought if I could stop getting my periods, I would be more masculine."
If police officers asked for her ID and noticed she was a girl, she says, they would reproach her: "Why are you like this? Go and change your gender."
This became her ambition. "I was under so much pressure that I wanted to change my gender as soon as possible," she says.
For seven years Donya had hormone treatment. Her voice became deeper, and she grew facial hair. But when doctors proposed surgery, she spoke to friends who had been through it and experienced "lots of problems". She began to question whether it was right for her.
"I didn't have easy access to the internet – lots of websites are blocked. I started to research with the help of some friends who were in Sweden and Norway," she says.
It's not official government policy to force gay men or women to undergo gender reassignment but the pressure can be intense. In the 1980's the founder of the Islamic Republic, Ayatollah Khomeini, issued a fatwa allowing gender reassignment surgery – apparently after being moved by a meeting with a woman who said she was trapped in a man's body.
Shabnam – not her real name – who is a psychologist at a state-run clinic in Iran says some gay people now end up being pushed towards surgery. Doctors are told to tell gay men and women that they are "sick" and need treatment, she says. They usually refer them to clerics who tell them to strengthen their faith by saying their daily prayers properly.
But medical treatments are also offered. And because the authorities "do not know the difference between identity and sexuality", as Shabnam puts it, doctors tell the patients they need to undergo gender reassignment.
In many countries this procedure involves psychotherapy, hormone treatment and sometimes major life-changing operations – a complex process that takes many years.
"I got to know myself better… I accepted that I was a lesbian and I was happy with that."
Another case:
Marie, aged 37, is now staying in Kayseri after leaving Iran five months ago. She grew up as a boy, Iman, but was confused about her sexuality and was declared by an Iranian doctor to be 98% female.
"The doctor told me that with the surgery he could change the 2% male features in me to female features, but he could not change the 98% female features to be male," she says.
After that, she thought she needed to change her gender.
Hormone therapy seemed to bring positive changes. She grew breasts, and her body hair thinned. "It made me feel good," she says. "I felt beautiful. I felt more attractive to the kinds of partners I used to have."
But then she had the operation – and came away feeling "physically damaged".
She had a brief marriage to a man but it broke down, and any hope she had that life would be better as a woman was short-lived.
"Before the surgery people who saw me would say, 'He's so girly, he's so feminine,'" Marie says.
"After the operation whenever I wanted to feel like a woman, or behave like a woman, everybody would say, 'She looks like a man, she's manly.' It did not help reduce my problems. On the contrary, it increased my problems…
"I think now if I were in a free society, I wonder if I would have been like I am now and if I would have changed my gender," she says. "I am not sure."
Marie starts to cry.
"I am tired," she says. "I am tired of my whole life. Tired of everything."
The homophobic roots of "gender-affirming care" could hardly be spelled out with greater clarity.
Would the BBC publish something like this nowadays? Of course not. The only possible way they could present it, given their trans-friendly approach, would be on the lines of, "Iran, our latest report reveals, was years ahead of us in dealing with trans youth, and pioneered gender-affirming care" – but even they should be able to see that presenting Iran as a beacon of LGBTQ enlightenment would be a step too far.