Science and medical journals

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

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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European Journal of Pediatrics: “Ethical principles and recommendations for the medical management of differences of sex development (DSD)/intersex in children and adolescents”

European Journal of Pediatrics: “Ethical principles and recommendations for the medical management of differences of sex development (DSD)/intersex in children and adolescents”

A recent German study has made nine recommendations regarding medical practices related to differences in sex development. “Unlike other recommendations with regard to intersex, these guidelines represent a comprehensive view of the perspectives of clinicians, patients, and their families,”  according to the authors. This makes a welcome change as intersex people have themselves been consulted…
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