is early sex reassignment in ambiguous genitalia reasonable?
نویسندگان
چکیده
introduction: ambiguous genitalia is a medical emergency in newborns and effort is made to perform sex reassignment and reconstructive surgery as soon as possible. however, conflict between the assigned sex and later gender identity are still present in many cases. this discrepancy between sexual and gender identities leads to several complications that are the focus of the present study. materials and methods: the literature review was performed by searching some knowledge-based databases such as medline/pubmed (from the national library of medicine), scopus, psyclic and the iranian scientific information database (sid) on the internet and all the available articles in relevant journals published up to august 2009. results: a significant number of intersex individuals suffer from incoherence between the sex reassigned to them by the medical team, and their gender identity revealed to them in teen ages or adulthood. as an adult, a large number of these individuals do not live according to their early reassigned sex and some may seek further sex reassignment congruent to their gender identity. a number of these cases have spoken out against the treatments performed during their childhood. they believe that the current treatment strategies for intersex individuals are paternalistic and incompatible with codes of medical ethics and human rights. conclusion: the current knowledge about the complexities of sexual identity development, gender identity, gender role and sexual orientation is sparse and incomprehensive. the current approach for the management of infants with ambiguous genitalia seems to need major reevaluation. it seems better to defer any sex reassignment and reconstructive surgery until their gender is revealed and they are legally eligible to decide about these issues by themselves.
منابع مشابه
Early assessment of ambiguous genitalia.
T o discover that there is uncertainty about the sex of one’s newborn baby is devastating and often incomprehensible for most parents. It is paramount that clear explanations and investigations are commenced promptly, and that no attempt is made to guess the sex of the baby. Extreme sensitivity is required, and ideally the baby should be managed in a tertiary centre by a multidisciplinary team ...
متن کاملAmbiguous genitalia and intersex.
Intersex disorders are rare congenital malformations with over 80% being diagnosed with congenital adrenal hyperplasia (CAH). It can be challenging to determine the correct gender at birth and a detailed understanding of the embryology and anatomy is crucial. The birth of a child with intersex is a true emergency situation and an immediate transfer to a medical center familiar with the diagnosi...
متن کاملAmbiguous Genitalia in the Newborn
Efficient and accurate evaluation of the newborn who has ambiguous genitalia is required to provide appropriate medical therapy and assuage parental anxiety. Genital ambiguity usually is due to virilization of genetic females or undervirilization of genetic males who have normal gonads. Congenital adrenal hyperplasia is the most common condition leading to inappropriate virilization in females....
متن کاملSurgery for Female Ambiguous Genitalia
Historically, in female pseudohermaphrodites a staged procedure with early clitoral reduction and delayed vaginoplasty was often the treatment of choice. In recent years several authors have described 1-stage genitoplasty that is performed in the first year of life. The 1stage procedure for clitoroplasty and vaginal exteriorization is preferable for an optimal functional and cosmetic result. Be...
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عنوان ژورنال:
journal of reproduction and infertilityجلد ۱۱، شماره ۲، صفحات ۱۲۷-۱۴۳
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