Wednesday, September 4, 2019

Intersex Conditions

Language
  • hermaphrodite (outdated)
  • intersex
  • disorders of sexual development (DSD)
  • differences of sexual development (DSD) 
  • use the pronouns the person prefers
Avoiding confusion
  • Intersex is a biological condition that is medically diagnosed
  • Intersex is different from trans, though someone could be both
  • Intersex is not a sexual orientation
Incidence 
  • Fausto-Sterling's estimate is 17 in 1000 (1.7%)
  • others estimate far fewer (e.g. 1 in 2000)
  • depends what is counted as an intersex condition
A few kinds of DSDs
  1. Androgen insensitivity syndrome (AIS)
  • have XY chromosomes
  • starting during fetal gestation, body produces testosterone but doesn't have normal receptors for it
  • complete androgen insensitivity syndrome (CAIS):
    • appear female externally (they have female-appearing genitals and have vaginas)
    • internally, they have testes and no female internal organs
    • not fertile
    • mainstream medicine: doctors advise raising as girls, removing inner testes
  • Partial androgen insensitivity syndrome (PAIS)
  • People with Androgen Insensitivity Syndrome
  1. Congenital adrenal hyperplasia (CAH)
  • adrenal problem that can cause intersex condition in people with XX chromosomes
  • body produces no cortisol and atypical testosterone 
  • XX baby may be born with small penis
  • cortisol problem and other issues have to be medically managed
  • can usually have children
  • mainstream medicine: doctors advise raising as girls, performing surgery
  • People  with CAH

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