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What Does Intersex Mean? - InQueery - them.

Some intersex organizations reference "intersex people" and "intersex variations or traits" [99] while others use more medicalized language such as "people with intersex conditions", [] or people "with intersex conditions or DSDs differences of sex development " and "children born with variations of sex anatomy".

A hermaphrodite is an organism that has both male and female reproductive organs. Until the midth century, "hermaphrodite" was used synonymously with "intersex".

Currently, hermaphroditism is not to be confused with intersex, as the former refers only to a specific phenotypical presentation of sex organs and the latter to a more complex combination of phenotypical and genotypical presentation.

Using hermaphrodite to refer to intersex individuals is considered to be stigmatizing and misleading.

Members of the Lawson Wilkins Pediatric Endocrine Society and the European Society for Paediatric Endocrinology adopted this term in their "Consensus statement on management of intersex disorders".

Alternatives to categorizing intersex conditions as "disorders" have been suggested, including "variations of sex development".

Intersex can be contrasted with transgender , [] which is the condition in which one's gender identity does not match one's assigned sex.

The relationship of intersex to lesbian, gay, bisexual and trans, and queer communities is complex, [] but intersex people are often added to LGBT to create an LGBTI community.

Emi Koyama describes how inclusion of intersex in LGBTI can fail to address intersex-specific human rights issues, including creating false impressions "that intersex people's rights are protected" by laws protecting LGBT people, and failing to acknowledge that many intersex people are not LGBT.

Television works about intersex and films about intersex are scarce. Intersex peer support and advocacy organizations have existed since at least , with the establishment of the Androgen Insensitivity Syndrome Support Group Australia in Intersex Awareness Day is an internationally observed civil awareness day designed to highlight the challenges faced by intersex people, occurring annually on 26 October.

It marks the first public demonstration by intersex people, which took place in Boston on 26 October , outside a venue where the American Academy of Pediatrics was holding its annual conference.

Intersex Day of Remembrance , also known as Intersex Solidarity Day, is an internationally observed civil awareness day designed to highlight issues faced by intersex people, occurring annually on 8 November.

In Hinduism , Sangam literature uses the word pedi to refer to people born with an intersex condition; it also refers to antharlinga hijras and various other hijras.

In Judaism , the Talmud contains extensive discussion concerning the status of two intersex types in Jewish law; namely the androgynous , which exhibits both male and female external sexual organs, and the tumtum which exhibits neither.

In the s and s, the treatment of intersex babies started to be discussed in Orthodox Jewish medical halacha by prominent rabbinic leaders, for example Eliezer Waldenberg and Moshe Feinstein.

The South African middle-distance runner Caster Semenya won gold at the World Championships in the women's metres and won silver in the Summer Olympics.

The results were not released. Semenya was ruled eligible to compete. Katrina Karkazis , Rebecca Jordan-Young , Georgiann Davis and Silvia Camporesi have claimed that IAAF policies on "hyperandrogenism" in female athletes, are "significantly flawed", arguing that the policy will not protect against breaches of privacy, will require athletes to undergo unnecessary treatment in order to compete, and will intensify "gender policing".

They recommend that athletes be able to compete in accordance with their legally recognised gender. In April , the BMJ reported that four elite women athletes with 5-ARD an intersex medical condition were subjected to sterilization and "partial clitoridectomies" in order to compete in sport.

The authors noted that partial clitoridectomy was "not medically indicated" and "does not relate to real or perceived athletic 'advantage'.

Leonard Sax estimated that the prevalence of intersex was about 0. The now-defunct Intersex Society of North America stated that:. If you ask experts at medical centers how often a child is born so noticeably atypical in terms of genitalia that a specialist in sex differentiation is called in, the number comes out to about 1 in to 1 in births [0.

But a lot more people than that are born with subtler forms of sex anatomy variations, some of which won't show up until later in life. Blackless, Fausto-Sterling et al.

The figure of 1. Individuals with diagnoses of disorders of sex development DSD may or may not experience stigma and discrimination due to their sex characteristics, including sex "normalizing" interventions.

Human rights institutions have called for the de-medicalization of intersex traits, as far as possible. The following summarizes some prevalence figures of intersex traits a fuller 'List of conditions' is provided below, at the end of 'Medical classifications' :.

Population figures can vary due to genetic causes. In the Dominican Republic , 5-alpha-reductase deficiency is not uncommon in the town of Las Salinas , resulting in social acceptance of the intersex trait.

The overall incidence for the town was 1 in every 90 males were carriers, with other males either non-carriers or non-affected carriers.

The common pathway of sexual differentiation , where a productive human female has an XX chromosome pair, and a productive male has an XY pair, is relevant to the development of intersex conditions.

During fertilization, the sperm adds either an X female or a Y male chromosome to the X in the ovum. This determines the genetic sex of the embryo.

The gonads, in a "bipotential state", may develop into either testes the male gonads or ovaries the female gonads , depending on the consequent events.

At around eight weeks of gestation, the gonads of an XY embryo differentiate into functional testes, secreting testosterone.

Ovarian differentiation, for XX embryos, does not occur until approximately week 12 of gestation. In typical female differentiation, the Müllerian duct system develops into the uterus , Fallopian tubes , and inner third of the vagina.

In males, the Müllerian duct-inhibiting hormone MIH causes this duct system to regress. Next, androgens cause the development of the Wolffian duct system , which develops into the vas deferens , seminal vesicles, and ejaculatory ducts.

There are a variety of symptoms that can occur. Ambiguous genitalia being the most common sign, there can be micropenis , clitoromegaly , partial labial fusion , electrolyte abnormalities, delayed or absent puberty, unexpected changes at puberty, hypospadias, labial or inguinal groin masses which may turn out to be testes in girls and undescended testes which may turn out to be ovaries in boys.

Ambiguous genitalia may appear as a large clitoris or as a small penis. Because there is variation in all of the processes of the development of the sex organs , a child can be born with a sexual anatomy that is typically female or feminine in appearance with a larger-than-average clitoris clitoral hypertrophy or typically male or masculine in appearance with a smaller-than-average penis that is open along the underside.

The appearance may be quite ambiguous, describable as female genitals with a very large clitoris and partially fused labia, or as male genitals with a very small penis, completely open along the midline " hypospadic " , and empty scrotum.

Fertility is variable. The orchidometer is a medical instrument to measure the volume of the testicles. It was developed by Swiss pediatric endocrinologist Andrea Prader.

The Prader scale [] and Quigley scale are visual rating systems that measure genital appearance. In order to help in classification, methods other than a genitalia inspection can be performed.

For instance, a karyotype display of a tissue sample may determine which of the causes of intersex is prevalent in the case.

Additionally, electrolyte tests, endoscopic exam, ultrasound and hormone stimulation tests can be done. Intersex can be divided into four categories which are: 46, XX intersex; 46, XY intersex; true gonadal intersex; and complex or undetermined intersex.

This condition used to be called "female pseudohermaphroditism ". Persons with this condition have female internal genitalia and karyotype XX and various degree of external genitalia virilization.

The labia fuse, and the clitoris enlarges to appear like a penis. The causes of this can be male hormones taken during pregnancy, congenital adrenal hyperplasia, male-hormone-producing tumors in the mother and aromatase deficiency.

This condition used to be called "male pseudohermaphroditism". This is defined as incomplete masculinization of the external genitalia. Some people lack the enzyme needed to convert testosterone to dihydrotestosterone , which is a cause of 5-alpha-reductase deficiency.

This condition used to be called " true hermaphroditism ". This is defined as having asymmetrical gonads with ovarian and testicular differentiation on either sides separately or combined as ovotestis.

This is the condition of having any chromosome configurations rather than 46, XX or 46, XY intersex. There are a variety of opinions on what conditions or traits are and are not intersex, dependent on the definition of intersex that is used.

Current human rights based definitions stress a broad diversity of sex characteristics that differ from expectations for male or female bodies.

Meta-analysis of the studies supporting the use of dexamethasone on CAH at-risk fetuses found "less than one half of one percent of published 'studies' of this intervention were regarded as being of high enough quality to provide meaningful data for a meta-analysis.

Even these four studies were of low quality" In XX-females, this can range from partial masculinization that produces a large clitoris, to virilization and male appearance.

The latter applies in particular to congenital adrenal hyperplasia due to hydroxylase deficiency , which is the most common form of CAH.

Cases with typically female appearance and genitalia are said to have complete androgen insensitivity syndrome CAIS.

People with CAIS have a vagina and no uterus , cervix , or ovaries , and are infertile. The vagina may be shorter than usual, and, in some cases, is nearly absent.

Instead of female internal reproductive organs, a person with CAIS has undescended or partially descended testes, of which the person may not even be aware.

In mild and partial androgen insensitivity syndrome MAIS and PAIS , the body is partially receptive to androgens, so there is virilization to varying degrees.

PAIS can result in genital ambiguity, due to limited metabolization of the androgens produced by the testes.

Ambiguous genitalia may present as a large clitoris, known as clitoromegaly , or a small penis, which is called micropenis or microphallus; hypospadias and cryptorchidism may also be present, with one or both testes undescended, and hypospadias appearing just below the glans on an otherwise typical male penis, or at the base of the shaft, or at the perineum and including a bifid or cleft scrotum.

In alternative fashion, it is simply a mixture between XX and XY, and does not have to involve any less-common genotypes in individual cells.

This, too, can occur both as chimerism and as a result of one sex chromosome having mutated into the other. Mosaicism and chimerism may involve chromosomes other than the sex chromosomes, and not result in intersex traits.

Medical interventions take place to address physical health concerns and psychosocial risks. Both types of rationale are the subject of debate, particularly as the consequences of surgical and many hormonal interventions are lifelong and irreversible.

Questions regarding physical health include accurately assessing risk levels, necessity, and timing. Psychosocial rationales are particularly susceptible to questions of necessity as they reflect social and cultural concerns.

There remains no clinical consensus about an evidence base, surgical timing, necessity, type of surgical intervention, and degree of difference warranting intervention.

In the cases where gonads may pose a cancer risk, as in some cases of androgen insensitivity syndrome , [] concern has been expressed that treatment rationales and decision-making regarding cancer risk may encapsulate decisions around a desire for surgical "normalization".

Media related to Intersex at Wikimedia Commons. From Wikipedia, the free encyclopedia. This is the latest accepted revision , reviewed on 10 October Uncommon congenital variations of sex-associated characteristics.

Human rights and legal issues. Compulsory sterilization Discrimination Human rights reports Legal recognition Malta declaration Medical interventions Sex assignment Sex characteristics legal term Yogyakarta Principles.

Medicine and biology. Society and culture. History and events. Rights by country. See also. Main articles: Intersex in history , Timeline of intersex history , and History of intersex surgery.

Further information: Intersex rights by country. Legal prohibition of non-consensual medical interventions.

Regulatory suspension of non-consensual medical interventions. Main articles: Intersex human rights and Intersex medical interventions.

Explicit protection on grounds of sex characteristics. Explicit protection on grounds of intersex status. Explicit protection on grounds of intersex within attribute of sex.

Main article: Discrimination against intersex people. Main article: Intersex human rights. Main article: Legal recognition of intersex people.

Main article: Hermaphrodite. Main article: Disorders of sex development. Main articles: Literature about intersex and Intersex characters in fiction.

Main article: Intersex civil society organizations. Main article: Intersex people and religion. Main article: Sex verification in sports. Main article: Sexual differentiation.

Further information: disorders of sex development. Main article: Intersex medical interventions. Further information: History of intersex surgery.

Archived PDF from the original on 4 March Retrieved 28 March The Guardian. Archived from the original on 2 September Retrieved 11 June Lowry March Annual Review of Sex Research.

Journal of Pediatric Endocrinology and Metabolism. Archived from the original on 29 August Retrieved 5 February Contesting Intersex: The Dubious Diagnosis.

New York University Press. Archived from the original on 3 May Retrieved 15 May Archived from the original on 15 May Archived from the original on 26 March April Retrieved 11 December The New York Times.

Archived from the original on 12 January Retrieved 9 February Involuntary or coerced sterilisation of intersex people in Australia.

Australian Senate. Archived from the original on 23 September On the management of differences of sex development. Ethical issues relating to "intersexuality".

Opinion No. Archived from the original PDF on 23 April Retrieved 24 July Archived from the original on 15 January Hermaphrodites and the Medical Invention of Sex.

Organisation Intersex International Australia. Retrieved 18 August Archived from the original on 5 January Retrieved 27 December Archived from the original on 4 April Retrieved 29 August Star Observer.

Archived from the original on 14 August Cengage Learning. Intersex Society of North America. Archived from the original on 10 November Retrieved 18 November Library of History Book IV.

Loeb Classical Library Volumes and C H Oldfather trans. Archived from the original on 27 September Archived from the original on 20 December A History of Women and Ordination.

Scarecrow Press. Arizona Law Review. Wenner-Gren Foundation for Anthropological Research. Retrieved 26 April Archived from the original on 15 April Transformations Journal 8.

Archived PDF from the original on 16 April Retrieved 28 December Mauro Cabral , Morgan Carpenter eds. Archived PDF from the original on 11 August July Journal of Pediatric Surgery.

Archives of Disease in Childhood. The Hastings Center Report. Archived from the original on 18 July Archived from the original on 24 November Archived from the original on 25 April Retrieved 1 October Reviews in Endocrine and Metabolic Disorders.

Berlin: Heinrich-Böll-Stiftung. Archived PDF from the original on 23 September Retrieved 16 April Health and Human Rights.

June Seminars in Perinatology. McGeorge Law Review. Archived from the original on 18 December Retrieved 15 November Archived from the original on 20 February Retrieved 2 December Archived from the original on 12 November Retrieved 12 November Global Action for Trans Equality.

Archived from the original on 4 July Retrieved 3 July This is a landmark case for intersex rights within European law reform".

Archived from the original on 22 May Archived from the original on 3 November Retrieved 4 July Archived from the original on 5 July Retrieved 20 July Archived from the original on 15 February Retrieved 15 February Archived from the original on 11 May Retrieved 21 December Retrieved 1 August Archived from the original on 5 March Archived from the original on 26 June Intersex and ageing.

Archived from the original on 13 April Retrieved 21 July Sexual health, human rights and the law. Geneva: World Health Organization. Archived from the original on 24 September Differentiation and dimorphism of gender identity from conception to maturity.

Los estados intersexuales en la especie humana. Madrid: Morata. Archived from the original on 1 July Retrieved 6 October Science as Culture.

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Archived from the original on 8 June Some people with intersex traits identify as either male or female rather than as intersex.

Obviously, this is often true for those who spend their entire lives not knowing about their intersex traits. Generally, females have a pair of X chromosomes and males have one X and one Y chromosome.

These variations can happen randomly and spontaneously during conception. They can also happen due to other causes.

These chromosomal variations sometimes result in what might be labeled as intersex. More commonly, though, a baby born with intersex traits does fit into either the XX or XY category.

But we now know that biological sex is more complex than our chromosomes. For example: If a baby is born with female anatomy on the outside and male anatomy on the inside, this is also something that happened randomly around the time of conception.

In this case, you may as an adult want to have surgery to create an opening. But your doctor may recommend surgery to make the genitalia appear more typically male or typically female.

American doctors have been doing this at least since the s — especially performing clitoral surgery when parents intend to raise a baby with a large clitoris as a girl.

There may be social reasons for this recommendation, and your doctor can go over these with you — but we also urge you to consult non-medical professionals, like counselors.

Currently, in the vast majority of U. So you may need to choose, at least initially. However, this is still generally something that is changed later, when your child is older — or even an adult — and decides for themselves.

And in most places, changing the sex on your birth certificate means changing it from male to female or vice versa.

But social stigma and barriers are still very real. This can lead to all sorts of questions, though:. You can take your time, enjoy your newborn, get to know your child as they grow, and continue an open dialogue with your doctor and others.

These are natural worries that show your love and concern for your little one. Fortunately, there are resources.

In addition to a number of firsthand accounts from people who identify as intersex, helpful resources include:. Remember: There is no sham e in having a child with intersex traits or in being intersex yourself.

Until society is completely aligned with this view, there will be some challenges ahead. But with a strong support system that includes you, your baby can thrive into adolescence and beyond.

Here's what you should know about nonbinary identities, pronouns, and more. Here's what you should know about what pronouns to use and when.

There are many different types of parenting, and your own style may be a mix of a few. They're not all beneficial, though. Blink, and your tiny newborn of 12 months ago is suddenly reaching 1-year-old milestones you couldn't have imagined when you started this journey….

It may seem strange that car seat expiration dates exist, since they aren't like a carton of milk that can spoil. But there are good reasons to pay….

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