Science and medical journals

Reviews of peer-reviewed and other significant articles in science and medical journals.

Journal of Clinical Endocrinology & Metabolism: People with AIS dissatisfied with results of non-consensual infant genital surgery

Journal of Clinical Endocrinology & Metabolism: People with AIS dissatisfied with results of non-consensual infant genital surgery

A team of medical researchers reports that intersex people subjected to intersex genital surgery as infants are dissatisfied with the results of that surgery – surgery which remains a standard treatment for intersex infants. In a world first, the team consulted intersex people with androgen insensitivity syndrome (AIS) on their surgery outcomes. The numbers are revealing: Dissatisfaction with…
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Breakthrough: XXY researchers acknowledge not all XXY people are male

Breakthrough: XXY researchers acknowledge not all XXY people are male

Researchers at a cluster of Melbourne medical institutes, hospitals and universities have acknowledged in a letter to the editor of the International Journal of Andrology, The Official Journal of the European Academy of Andrology, that not all people with the XXY karyotype are male and that some may be female and some may be intersex….
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Y. Gavriel Ansara & Peter Hegarty: “Cisgenderism in psychology: pathologising and misgendering children from 1999 to 2008”

Y. Gavriel Ansara & Peter Hegarty: “Cisgenderism in psychology: pathologising and misgendering children from 1999 to 2008”

Intersex activist, psychologist and academic Y. Gavriel Ansara has co-written a ground-breaking work on cisgenderism and its adverse effects on nonconforming children. The abstract contains a useful definition of “cisgenderism”: We assessed whether recent psychological literature on children reflects or contrasts with the zeitgeist of American Psychological Association’s recent non-discrimination statement on ‘transgender’ and ‘gender…
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On Cohen-Kettenis: “Psychosocial and psychosexual aspects of disorders of sex development”

On Cohen-Kettenis: “Psychosocial and psychosexual aspects of disorders of sex development”

Intersex biological diversity was subsumed into the world of psychological theory as a result of John Money’s observations and beliefs, developed from the mid-1950s onward. Psychologists, psychiatrists and other “mental health professionals” have maintained a vice-like grip on intersex issues and the private lives of intersex people since that time. Money’s duplicity in the David…
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On Lee and Houk: “The Role of Support Groups, Advocacy Groups, and Other Interested Parties in Improving the Care of Patients with Congenital Adrenal Hyperplasia: Pleas and Warnings”

The rapid progression of intersex medicalization since the mid-1950s has directly influenced the development of intersex support and advocacy groups. These have a significant presence on the internet and many, such as OII also have a physical presence in countries that have set up affiliate organizations. Organisation Intersex International (OII) and other advocacy and support…
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Testing clitoris and penis length in Nigeria to establish “normality”

The peer-reviewed article “Clitoral and penile sizes in healthy newborn babies in Ibadan, Nigeria” reports on a study by three researchers, one each from Ibidan, Nigeria; Stockholm, Sweden; and Manchester, England, who set out to measure the length and circumference of the genitalia of 515 newborn Nigerian infants. The rationale for this undertaking was to…
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Journal of Clinical Endocrinology & Metabolism: “Approach to assigning gender in 46,XX congenital adrenal hyperplasia with male external genitalia: Replacing dogmatism with pragmatism”

Journal of Clinical Endocrinology & Metabolism: “Approach to assigning gender in 46,XX congenital adrenal hyperplasia with male external genitalia: Replacing dogmatism with pragmatism”

The goal of sex assignment is to facilitate the best possible quality of life for the patient. Factors such as reproductive system development, sexual identity, sexual function, and fertility are important considerations in this regard. Although some DSD gender assignments are relatively straightforward, those with midstage genital ambiguity and unclear gonadal function represent a major…
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Indian Journal of Urology: “Female assigned genetic males with severe hypospadias: psychosocial changes and psychosexual treatment”

Indian Journal of Urology: “Female assigned genetic males with severe hypospadias: psychosocial changes and psychosexual treatment”

Three children aged thirteen, eleven and six were reassigned to a male gender role having been assigned and raised female from birth. The older two were able to participate in the decision making and, judging from this report, were already exhibiting perceived stereotypical male traits and behaviors prior to the decision being taken. The adjustment…
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Developmental Medicine & Child Neurology: “Neurocognitive outcomes of individuals with a sex chromosome trisomy”

Developmental Medicine & Child Neurology: “Neurocognitive outcomes of individuals with a sex chromosome trisomy”

In this study we have hard evidence that prenatal screening is being used to identify and abort biologically diverse intersex fetuses. The same study admits that there is little or no evidence of any distress or impairment associated with sex chromosome variation. Much of the paper and its conclusions resemble the eugenics movement’s interpretation of…
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Journal of Clinical Endocrinology & Metabolism: “Sexual function and surgical outcome in women with Congenital adrenal hyperplasia due to CYP21A2 deficiency: Clinical perspective and the patients’ perception”

Journal of Clinical Endocrinology & Metabolism: “Sexual function and surgical outcome in women with Congenital adrenal hyperplasia due to CYP21A2 deficiency: Clinical perspective and the patients’ perception”

OII Australia acknowledges that CAH, especially in its more severe forms, requires medical management in regard to the balancing of adrenal levels, usually throughout the lifetime of the affected individual. Adrenal management applies to both males and females and can be compared with insulin management for diabetics. However we note the disease model with alarm….
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BJOG: “Service users’ experiences of obtaining and giving information about disorders of sex development”

Many intersex people have problems getting information about past medical procedures they have been subjected to. It is not unusual for medical practitioners and other self-appointed stake-holders assume complaints about the routine concealment of historical interventions are only made by activists and troublemakers. It makes the complaints easy to dismiss. This study of a significant…
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