diff --git a/Source/Genes/Gender/GenderUtility.cs b/Source/Genes/Gender/GenderUtility.cs
index ea0e1d6..3297a0b 100644
--- a/Source/Genes/Gender/GenderUtility.cs
+++ b/Source/Genes/Gender/GenderUtility.cs
@@ -1,9 +1,10 @@
 using Verse;
 using rjw;
 using RimWorld;
-using System.Collections;
 using System.Linq;
 using System;
+using System.Collections.Generic;
+using HarmonyLib;
 
 namespace RJW_Genes
 {
@@ -69,5 +70,29 @@ namespace RJW_Genes
             // Force Redraw at the spot
             pawn.Drawer.renderer.graphics.SetAllGraphicsDirty();
         }
+
+        // Fetch these once at load time because they don't change inside RJW
+        private static readonly List<HediffDef> wasSexThoughts = Traverse.Create(typeof(GenderHelper)).Field("old_sex_list").GetValue<List<HediffDef>>();
+        private static readonly List<HediffDef> sexChangeThoughts = Traverse.Create(typeof(GenderHelper)).Field("SexChangeThoughts").GetValue<List<HediffDef>>();
+
+        public static void RemoveAllSexChangeThoughts(Pawn pawn)
+        {
+            // Shouldn't ever be true in the normal case, but this stops someone from calling this with an incorrect setup
+            if (pawn?.health == null)
+                return;
+
+            if(wasSexThoughts == null || sexChangeThoughts == null || !wasSexThoughts.Any() || !sexChangeThoughts.Any())
+            {
+                Log.Error($"Couldn't get values from RJW.\nold_sex_list: {wasSexThoughts.ToStringSafeEnumerable()}\nSexChangeThoughts: {sexChangeThoughts.ToStringSafeEnumerable()}");
+                return;
+            }
+
+            foreach(var def in wasSexThoughts.Concat(sexChangeThoughts))
+            {
+                var hediff = pawn.health.hediffSet.GetFirstHediffOfDef(def);
+                if (hediff != null)
+                    pawn.health.RemoveHediff(hediff);
+            }
+        }
     }
 }