How many hermaphrodites
Multiple factors affect the accuracy of these statistics, and rates of pregnancy terminations and genetic diversity in different populations mean that the figure is somewhat flawed. Because intersex is innate, typically genetic, population figures vary somewhat around the world, and the figure of 1.
Fausto-Sterling states:. The figure of 1. One study found that 3. In contrast, only 0. In an Australian context, higher than average population figures for CAH are also apparent in some Indigenous communities. Not all known intersex traits are included in the table. These include diagnoses like 5 alpha-reductase deficiency and complex hypospadias.
Idiopathic diagnoses are those where the aetiology cause or history is not known. DSD comprise a heterogeneous group of differences of sex development with at least 40 different entities of which most are genetically determined. It illustrates that neither diagnosis, nor definition and, we argue elsewhere, nor treatment are exact sciences. On the other hand, population figures are likely to have changed over time due to terminations and the use of IVF to exclude embryos with intersex variations.
Given that intersex people only come to the attention of data collectors through chance or an apparent medical reason, the actual numbers of people with intersex variations are likely to be as much as 1.
Despite the limitations of the data, 1. DOI: ISBN: The person has the chromosomes of a woman, the ovaries of a woman, but external outside genitals that appear male. This most often is the result of a female fetus having been exposed to excess male hormones before birth.
The labia "lips" or folds of skin of the external female genitals fuse, and the clitoris enlarges to appear like a penis. In most cases, this person has a normal uterus and fallopian tubes. This condition is also called 46, XX with virilization.
It used to be called female pseudohermaphroditism. There are several possible causes:. The person has the chromosomes of a man, but the external genitals are incompletely formed, ambiguous, or clearly female. Internally, testes may be normal, malformed, or absent.
This condition is also called 46, XY with undervirilization. It used to be called male pseudohermaphroditism. Formation of normal male external genitals depends on the appropriate balance between male and female hormones. Therefore, it requires the adequate production and function of male hormones. The person must have both ovarian and testicular tissue.
This may be in the same gonad an ovotestis , or the person might have 1 ovary and 1 testis. The person may have XX chromosomes, XY chromosomes, or both. The external genitals may be ambiguous or may appear to be female or male. This condition used to be called true hermaphroditism. In most people with true gonadal intersex, the underlying cause is unknown, although in some animal studies it has been linked to exposure to common agricultural pesticides.
Many chromosome configurations other than simple 46, XX or 46, XY can result in disorders of sex development. These disorders do not result in a condition in which there is a discrepancy between internal and external genitalia.
However, there may be problems with sex hormone levels, overall sexual development, and altered numbers of sex chromosomes. Ideally, a team of health care professionals with expertise in intersex should work together to understand and treat the child with intersex and support the family. Parents should understand controversies and changes in treating intersex in recent years. Hastings Center Report, 28, 3: How sexually dimorphic are we?
Review and synthesis. When we act early, we never know who will feel which way. Waiting is the best way to avoid irreversible harm. All parents love their children, and only want what is best for them. Surgeries to change genital appearance may also be wrongly framed by a doctor as an emergency or necessity. Many parents are never told about the high risks of these surgeries, never connected to other families or affected adults, and never told that simply waiting is an option.
As of , no U. Statistics are difficult to track, because U. Infant intersex surgeries violate principles of informed consent, bodily autonomy, and self-determination. They may also be prohibited by female genital cutting laws and regulations against forced sterilization.
Some countries are taking steps to end infant intersex surgery. In , the European Parliament passed a resolution calling on all member states to end surgeries. Portugal , France , and Uruguay have each passed laws to protect intersex people, but which may still stop short of pausing non-consensual surgeries. In the United States, at least 5 states have seen bills to prohibit infant intersex surgery. None have passed yet. In California passed a non-binding resolution, SCR, which was the first successful piece of U.
Most legislation that interACT sponsors would delay unnecessary medical intervention, including surgeries, to give people choices about their own bodies. Every person is different. There are over 40 medical terms for the different ways sex anatomy might develop. Here are a few examples, and their common traits:. Like all human body parts, genitals come in all shapes and sizes. All genital tissues are homologous , meaning that two things share the same origin.
For example, the clitoris and penis are homologous parts when a baby develops. With certain cues, the tissue will grow larger to become a penis.
Without them, it will remain the smaller clitoris. Some intersex people will have a size that is naturally inbetween. No human can develop both a complete penis and vagina. For more information on intersex bodies, see our definitions page.
As the Intersex Society of North America wrote over 20 years ago :. Humans decide. Intersex traits show that trying to sort all human bodies into two categories is not simple. Who gets to decide?
Historically, doctors were given authority—but their decisions were biased toward surgery. Consider the case of a baby born with a visibly large clitoris. Public attitudes are quickly shifting. Regardless of how the underlying cause of an intersex difference is labeled, many in medicine agree that intersex surgeries must be chosen by the individual.
Raising Rosie , by Eric and Stephani Lohman, is a memoir and parenting guide. The Lohmans felt pressured to agree to unnecessary clitoral and vaginal surgery for their child. The short answer: yes! Intersex differences in and of themselves for example, differences in genital appearance are perfectly healthy and natural. Everything else can wait. Intersex traits are natural human variations, not disorders. The intersex movement wants this understanding. Some intersex variations come with issues making or regulating hormones.
CAH also causes life-threatening issues related to how the body makes and responds to stress hormones.
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