Author: JMP

The Family Court case, Re Sean and Russell (Special Medical Procedures)

The Age newspaper reports: Two little boys will have their testes removed after a court allowed their parents to authorise the procedure to prevent them developing potentially fatal cancers. The boys, aged 18 months and three years, have been diagnosed with Denys-Drash syndrome, which is so rare they are thought to be the only two…
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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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