TERMINOLOGY
CLINICAL CLARIFICATION 6
• Ambiguous genitalia (also called disorders of sex development or DSD) is a diverse catalog of congenital anomalies that encompasses genotype and phenotype irregularities, endocrine abnormalities and enzymatic dysfunctions in the organs that express human sexual identification. These include male and female pseudohermaphroditism, gonadal dysgenesis, and true hermaphroditism.
CLASSIFICATION 4
• Formal taxonomy of disorders of sex development (note that some conditions overlap categories, and are multi-factorial in origin): o Disorders of 46 chromosomes, XX sex chromosomes
- Testicular disorders inducing androgenization, female to male sex reversal
- Gonadal dysgenesis 46, XX (auto recessive) with follicle
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- Skin: Discoloration or darkening skin is the pathognomonic sign of congenital adrenal hyperplasia 1
• Physical examination o Conventional signs of ambiguous genitalia:
- The common finding is morphologic variance from normal male or female genital anatomy
- Head and neck features may be dysmorphic (e.g., webbed neck of Turner syndrome)
- Breast tissue may be conspicuously absent in the adolescent Female (e.g., Gonadal dysgenesis)
- Genitourinary: multiple congenital anomalies in 32.1% 1 o Error in assignment of gender: 47.2% of Females, and 7.1% of males with ambiguous genitalia are wrongly assigned as opposite sex.1
- Normal male newborn ,, o Normal uncircumcised phallus, without chordee, >2.5cm length o Urethral meatus at glans apex o Scrotal sac full ruggae bilaterally o Testicles in inguino-scrotal canal or intrabdominal that descend with lower abdominal compression o Ano-genital raphe present
- Normal female newborn o Normal vaginal vault, perineal location without narrowing o urethra anterior wall o prepuce and clitoris male o Genetics
- In a series of 81 children with ambiguous genitalia, 53 (65.4%) patients were genetically Females {46XX), with congenital adrenal hyperplasia being the common cause in 51 (96.5%) patients , o Other risk
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TREATMENT CiOALS
• Induce inhibition of endocrine hormonal excess and androgenization, stabilize and correct hormonal and
In “The Medical Construction of Gender” by Suzanne Kessler, Kessler argues that gender is socially constructed. She conducts an ethnography on intersex babies, the doctors and parents involved, and how society puts constraints on genders. Kessler uses different anthropological methods to prove her argument. One method Kessler uses is a humanistic approach when she puts quotations around “true hermaphrodite” and “natural/normal genitalia” (p.52). This shows that while staying objective, Kessler is also trying to humanize these intersex babies by suggesting that there is no such thing as normal genitalia.
Meatus is beneath the clitoris, difficult to see due to the edema A hymenal tag should be present Pseudo-menstruation, a blood tinged discharge caused by pregnancy hormones is common B. Male penis, scrotum, rugae, phimosis, testes circumcision, edema) 2pts Foreskin covers glans the meatus is at tip of penis and not retractable If circumcised the prepuce is removed Scrotum is covered in rugae and its large edematous and hangs low C. Anus Patent and not covered by a
Endocrine Reviews. The Endocrine Society. Web. 18 Aug.
The cause of this condition is not known. RISK FACTORS This condition is more likely to develop in: • Children aged 3–15 years. • Boys.
Sexuality and gender are often confused in society. Women and men have biological differences; from these differences societal establishments are created within a community, culture, and or race. In the article “Dude, Where’s Your Face?”, Brandon Miller presents a study in which the social networking profiles of male homosexuals represent themselves and how they depict partner preferences. As a result, it brings up the discussion whether this population of people is trying to fit in with societal norms.
Women have two X-chromosomes so that is why they will not have the disease. They have one defected gene and one normal. Their normal
The chapter summarizes that sex differences in the brain structure and function has a close association to the psychological characteristics, such as sexual orientation. Social experience of humans influences hormones to a great extent. The relation between hormones and sex differences possesses both clinical and social implications. According to medicine, humans with ambiguous genitalia fall under the female sex as it is easier to create female genitalia when compared to male genitalia. Furthermore, surgical procedures used for reconstructuring either male or female genitalia have always worsened the
Blood tests may be done. X-rays to tell a child’s maturity may be done. TREATMENT No medical treatment is needed. It is important to reassure your child that normal growth and sexual development will happen with time.
This past October an intersex U.S. Navy veteran, Dana Zzyym, gained national attention after they were denied a passport. Zzyym identifies as neither male nor female, so they were denied the right to a passport after refusing to select a gender box on the application. After the denial Zzyym filed a federal discrimination lawsuit on the grounds that it is a constitutional violation to force an intersex person to select a gender box. Their argument is that gender, or lack of thereof, has nothing to do with travel, so why should it restrict or force people to declare a gender marker they do not identify as. Zzyym’s case finally brings to light how significant two little boxes can truly be, especially for those who live their lives outside
First Draft Why is it that more masculine homosexual women get the label of wanting to be the opposite sex? Majority of women that do not fit the category of the type of “lesbian” guys like are often bullied, called a man, accused of wanting to be a man or even are attacked by males. The “lesbian” that guys like are the more feminine women that guys see as pleasure or wanting to be a part of the group. In most cases i’ve personally experienced guys only want something to do with lesbians if they can join in and be a part of their relationship sexually. Most of these things happen because from how I see it, due to being threatened that they believe that lesbians are here to take their place.
Later it was discovered that it was the result of an extra copy of chromosome 21. The nondisjunction that results in an extra copy of chromosome 21 occurs during anaphase I in meiosis I. The genetic mutation is trisomy 21 (3 copies of chromosome 21). The characteristic phenotypic occurrences that are distinct to the disorder: poor muscle tone, stout neck, flat face, small head, mouth, and ears, eyes slanting upwardly, Brushfield spots, and stout fingers and
Klinefelter syndrome, also known as ‘47,XXY’ and ‘XXY’ is found in males, this is due to the fact that the host male gets another X chromosome. The image on the right you can see the extra chromosome with the pair of sex chromosomes. Usually there are only two chromosomes that determine the sex, one from opposite sexes but when it comes to Klinefelters Syndrome there is an extra X chromosome. Because this due to the additional chromosome it can described as a chromosome disorder.
Nonetheless, I do know as a parent, I only desire the best for my children. I suppose in a similar situation, having my child transform into another gender would only add to the existing problems. Not only would my child have to deal with being anatomically incorrect, they would also have to struggle with their identity and who they are as a person. This is troubling because I realize life, as it is, can be stressful enough without trying to figure out what ones gender is. So, I don’t feel I would have taken the same steps as David’s parents did in this
They begin to behave in more acceptable ways in the society and adopt the ways of their parents and adults. The children at this stage are more attracted to the same sex than the opposite sex and like to spend more time with the children of same sex. To let the children successfully complete this stage, we as parents can allow the children to spend more time with their peers, give play time for the kids, let them enjoy with children of same sex, provide them proper schooling, let them enjoy their hobby, parents be a role model to children and show and tell them the laws and rules in the society. Genital stage (puberty onwards) This is the last stage of Freud’s theory of psychosexual development which emerge at the time of puberty.
In certain culture, there are specific scripts on how male and female should and should not act and feel. These scripts may seem traditional but if we analyse our daily lives, we are actually subconsciously still practicing it and in my opinion, these scripts are usually negative. Here are some of the male sexual scripts that I am familiar with. The first one is how men are always suppose to be the family leader.