US – Experts recommend universal screening of newborns for congenital adrenal hyperplasia…

[09-07-2010 PhysOrg]

http://www.physorg.com/news203053083.html

Diseases

Experts recommend universal screening of newborns for congenital adrenal hyperplasia

September 07, 2010

Today, The Endocrine Society released a new clinical practice guideline on the diagnosis and treatment of congenital adrenal hyperplasia (CAH). The guideline features a series of evidence-based clinical recommendations developed by an expert task force.

The guideline, published in the September 2010 issue of the Journal of Clinical Endocrinology & Metabolism (JCEM), a publication of The Endocrine Society, is endorsed by the American Academy of Pediatrics, Pediatric Endocrine Society, the European Society for Paediatric Endocrinology, the European Society of Endocrinology, the Society for Pediatric Urology, the Androgen Excess and PCOS Society, and the CARES Foundation.

CAH is a genetic disorder of the adrenal glands that affects about one in 10,000 to 20,000 newborns, both male and female. The adrenal glands make the steroid hormones cortisol, aldosterone and androgens. In individuals with CAH, the adrenal glands produce an imbalance of these hormones which can result in ambiguous genitalia in newborn females, infertility and the development of masculine features such as development of pubic hair, rapid growth in both girls and boys before the expected age of puberty.

“If CAH is not recognized and treated, both girls and boys undergo rapid postnatal growth and early sexual development or, in more severe cases, neonatal salt loss and death,” said Phyllis Speiser, MD, of Cohen Children’s Medical Center of New York and Hofstra University School of Medicine, and chair of the task force that developed the guideline. “We recommend that every newborn be screened for CAH and that positive results be followed up with confirmatory tests.”

Other recommendations from the guideline include:

• Prenatal treatment of CAH should continue to be regarded as experimental. Such therapies should be pursued through protocols approved by Institutional Review Boards at centers capable of collecting outcomes data on a large number of patients so that risks and benefits of this treatment can be defined more precisely;
• Diagnosis should rest on clinical and hormone data while genotyping should be reserved for equivocal cases and genetic counseling;
• Regarding treatment, glucocorticoid dosage should be minimized to avoid iatrogenic Cushing’s Syndrome. Mineralcorticoids and, in infants, supplemental sodium are recommended in classic CAH patients;
• Clinicians should avoid the routine use of experimental therapies to promote growth and delay puberty, and patients should avoid adrenalectomy;
• Early single-stage genital repair should be considered for severely virilized girls and should be performed only by surgeons experienced in this type of procedure;
• Clinicians should consider patients’ quality of life, consulting mental health professionals as appropriate;
• At the transition to adulthood, clinicians should monitor for potential complications of CAH; and
• Clinicians should exercise judicious use of medication during pregnancy and in symptomatic patients with nonclassic CAH.

“People with classic CAH should have a team of health care providers, including specialists in pediatric endocrinology, pediatric urologic surgery (for girls), psychology and genetics,” said Speiser. “Other than having to take daily medication, people with classic CAH can have a normal life.”

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More information: The fact sheet can be found online at:
http://www.hormone … l-081310.pdf

Provided by The Endocrine Society (news http://www.physorg.com/partners/the-endocrine-society/ : web http://www.endo-society.org )

© PhysOrg.com 2003-2010

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Medical treatment carries possible side effect of limiting homosexuality

From The LA Times:  http://www.latimes.com/news/science/la-sci-adrenal-20100815,0,5576220.story

A prenatal pill for congenital adrenal hyperplasia to prevent ambiguous genitalia may reduce the chance that a female with the disorder will be gay. Critics call it engineering for sexual orientation.

By Shari Roan, Los Angeles Times

August 15, 2010

Each year in the United States, perhaps a few dozen pregnant women learn they are carrying a fetus at risk for a rare disorder known as congenital adrenal hyperplasia. The condition causes an accumulation of male hormones and can, in females, lead to genitals so masculinized that it can be difficult at birth to determine the baby’s gender.

A hormonal treatment to prevent ambiguous genitalia can now be offered to women who may be carrying such infants. It’s not without health risks, but to its critics those are of small consequence compared with this notable side effect: The treatment might reduce the likelihood that a female with the condition will be homosexual. Further, it seems to increase the chances that she will have what are considered more feminine behavioral traits.

That such a treatment would ever be considered, even to prevent genital abnormalities, has outraged gay and lesbian groups, troubled some doctors and fueled bioethicists’ debate about the nature of human sexuality.

The treatment is a step toward “engineering in the womb for sexual orientation,” said Alice Dreger, a professor of clinical medical humanities and bioethics at Northwestern University and an outspoken opponent of the treatment.

The ability to chemically steer a child’s sexual orientation has become increasingly possible in recent years, with evidence building that homosexuality has biological roots and with advances in the treatment of babies in utero. Prenatal treatment for congenital adrenal hyperplasia is the first to test — unintentionally or not — that potential.

Continue reading at: http://www.latimes.com/news/science/la-sci-adrenal-20100815,0,5576220.story

This CAH is a referred to as a rare disorder.  It seems as though the cure they are seeking is not for CAH but rather for lesbianism.  Never mind how this sounds like something cooked up by Dr. Mengele, why should lesbianism be something in need of a cure?

On digging deeper the little Mengeles doing this research seem very concerned about cranking out “feminine” girls who will grow up accepting their feminine lot in life.

This starts raising all sort of question regarding the ethic of the Mengeles proposing this.

Would they say support a medication that could prevent autism, a rather frequent birth disorder if it say had a side effect of causing a 100% likelihood of the infant being born gay or lesbian.

When living in a world where right wing religious fanatics wield so much power it is reasonable to not only question proposed treatments for the genocide of lesbians in utero but to ask if these same researchers might not have played a role in the spread of AIDS.

There I have said it…  Given voice to the paranoid conspiracy question my gay male friends and I first asked when the Dispensationalist/Dominionist Taliban Christians first came to power and nearly immediately gay men started dying left and right while the right wingers in power did next to nothing to deal with it.

Just Say No to Pre-Natal Genocide of LGBT/TQI People

‘Gender bending’ chemical in food tins may cut male fertility

Wonderfully stupid Benny Hill phrasing aside (gender bending) I found this interesting article in The Daily Mail

http://www.dailymail.co.uk/news/article-1300402/Gender-bending-chemical-food-tins-cut-male-fertility.html

By David Derbyshire
Last updated at 10:34 AM on 5th August 2010

A ‘gender bending’ chemical in food and drinks containers could be behind rising male infertility, scientists say.

Men with high levels of Bisphenol A (BPA) in their bodies are more likely to have low sperm counts, according to a study.

BPA is widely used to harden plastics and is found in baby bottles, CD cases, plastic knives and forks and the lining of food and drink cans.

The chemical mimics the female sex hormone oestrogen and interferes with the way hormones are processed by the body.

Although some animal studies have shown it is safe, others have linked it to breast cancer, liver damage, obesity, diabetes and fertility problems.

Experts estimate BPA is detectable in more than 90 per cent of people.

Christine Jorgensen and Roberta Cowell

It has been some 40 years since I read Christine Jorgensen’s carefully redacted ghost written “autobiography that came out about the same time I came out.

A year or so latter I saw that horribly done film version of her life story starring some no name boy who looked like the foot ball player in drag that he was.

I met Christine at the San Francisco premiere of the film.  I was young and terribly sexy wearing one of my sleazy dresses from a Telegraph Avenue boutique that I loved, she reminded me of one of my chain smoking never married aunts who lived in LA and went to Las Vegas for her kicks.

But Christine’s story had never been the transsexual life story that captured my imagination.  I was too young or perhaps too scared of my own problems with being a transkid to express any interest in it when she was a news item.  Possibly I was too sheltered by my environment.

The transsexual stories that did get my attention started filtering into my active awareness about 1960 or so and centered around the stars of Le Carousel in Paris.  Coccinelle, Capucine, Bambi and April Ashley were the sisters I found ready identification with.  Coccinelle was as they said of buxom sexy women in those days, “a Bombshell”, a transsexual Bridget Bardot or Jayne Mansfield.

April Ashley’s story hit the tabloids the summer of 1962 and gave me a name for what had been euphemistically referred to by my parents as “my problem”.  My problem being that I was an obvious transkid blossoming into a teen queen.  One who got busted regularly for dressing in mommy’s clothes and for showing signs of wanting to be noticed by the sort of boys who would take me riding in their cars.

As a historian I have actually worked on recollecting books I once had and either sold or lent and never saw again.

Over the last year this blog has attacked  the all too frequent claims of often contradictory and generally sketchy forms of intersex on the part of people who are garden variety women born with transsexualism.

Everyone of them seems to think they are original in making these claims.  Yet nearly 60 years ago Roberta Cowell was making similar claims of spontaneous changing of secondary sex characteristic and trashing Christine Jorgensen as a homosexual transvestite because Christine’s body didn’t respond as well to her hormone regime.  At the same time according to the biography written by Richard Docter, Christine was also making unsubstantiated claims to being physically intersex.

Both were making these claims at a time prior to Dr. Georges Burou development of the pioneering surgical techniques that gave those who graduated from Le Carousel their vaginas.

But more importantly these two were the pioneers of what has now become the infamous, “I’m real and you are not” trash talking among women born with transsexualism who had similar if not identical sex change operations.

And this claim is documented not speculative thanks to biographies and ghost written “autobiographies”.

Taiwanese TV host had sex change operation in Singapore

Asiaone

Popular TV host, Liching, underwent a sex change operation 29 years ago in Singapore. -TNP

Sun, Jan 31, 2010
AsiaOne and TNP

By Charlene Chua and Germaine Lim

HER legions of fans in Singapore and Taiwan idolise her for her looks, her skills at auctioning anything and her husky voice.

Now, they will have another reason to gawk.

Six years ago, popular 48-year-old Taiwanese TV host Liching had shocked the Asian showbiz scene when she announced that she was a hermaphrodite who had a sex change operation to become a woman.

The term hermaphrodite is used to describe a person who is born with ambiguous genitalia.

But now, in a bizarre twist, the doctor who had encouraged her to undergo surgery in Singapore 29 years ago has come out to say that she was not a hermaphrodite, but a man.

Dr Zhang Qizhong exposed her in a Taiwanese medical journal that he wrote to document his 35 years in medicine.

He said the article was meant only for internal circulation to encourage people to face their sexuality, reported Next magazine, a Hong Kong weekly.

But the Asian media soon picked it up, leaving Liching distraught and forcing her into hiding.

Dr Zhang had referred Liching to a Singapore hospital in 1981 for her sex change operation because such surgery was then illegal.

It is likely that the operation was performed by the late Prof S S Ratnam, who was then the only Singapore surgeon skilled enough to carry out a sex change operation.

Prof Ratnam was a pioneer in sex change operations. His department atKandang Kerbau Hospital had performed 500 such operations between 1971 and 1995.

Continue reading at: http://www.asiaone.com/print/News/Latest%2BNews/Showbiz/Story/A1Story20100129-195346.html

The trouble with the whole “I wasn’t transsexual, I was really intersex.” lie is that it is too easy to contradict.  Especially when ever garden variety of sister tries to pull it.  Especially given how few brothers try to pull it when the logic of infant genital surgery for sex assigning purposes would suggest that they would vastly out number those surgically assigned as male.

Remember too big a clit gets cut down and too small a penis gets turned into a clit.

I’m Getting tired of IS Hijacking Transsexualism

Face it.

The whole thing with people claiming obscure intersex conditions but insisting on hanging out on transsexual lists.  Why are you here?  Really?  Why aren’t you confining yourselves to Intersex lists?

When it comes to getting transsexualism removed from the DSM we do not need a bunch of IS people who all too often come off as disordered narcissists hijacking the debate by standing around proclaiming how special and different they are from ordinary transsexuals.  Folks who come off as neurotic if not flat out psychotic.

I’m starting to think that Intersex is another variation on “classic transsexual”.  An argument for special exceptionalism, a way of assuaging internalized transphobia.

I am looking at the world and seeing that when it comes to getting our legal rights protected the physical cause argument is a total waste of time.  A form of wanking that may feel good but does nothing to end discrimination in employment, marriage, housing etc.  The world wide patterns of  discrimination against people of color where the darker one’s skin the more vicious the discrimination shoots that one full of holes.

I also have serious doubts regarding the supposed huge numbers of infant sex reassignment surgery.  I am starting to have the feeling this may have been something done as an experiment back in the 1940-50s rather than any sort of common practice.  That the idea of this being wide spread is contradicted by the specialized nature of such surgery.  It would be expensive and would require a major medical center.  Perhaps nations with a National Health System, but there would be a major paper trail.  Here in the US where private plans are the only plans other than out of pocket, Health Insurance Programs regularly deny even life saving procedures and avoid the controversial.

But here transkids are in major conflict with the so called Intersex activists.  While intersex activists seem to be anti-childhood sex reassignment people with transsexualism and transgenderism are pushing for the rights of children to transition at a younger and younger age with their rights to a safe education in schools with non-discriminatory policies.

As some one who had my ability to seek medical assistance in changing sex put off until 21 as that was the legal age of majority back in the 1960s I know how having to delay transition damaged my access to an education.

It really doesn’t matter much if some 25% of us show various non-specified (by Benjamin) physical indications.  we aren’t special.  We aren’t unicorns forced to live in a world of ordinary horses.  We are just another transsexual and considering how we are more like one in a thousand rather than the much earlier statistics of one in one hundred thousand we are pretty common, something that surely comes as a blow to the egos of narcissists.

Narcissistic Personality Disorder is somewhat common among people with transsexualism.  It grows out of being the only one as a child and can be seen in those who run around in our circles with all sorts of reasons as to why they are better than the rest of the trannies whom they often describe in a manner one can only describe as condescending.

So I cheerfully wave bye-bye to all the intersex people with rare and often contradictory bizarre conditions.  This blog isn’t about you this blog is about people with transsexualism and their rights.

Bizarre Intersex Claims

(The bizarre, sometimes deranged claims that people make to be intersex, when in fact they are transsexual)

By

Andrea Brown

There are a minority of transsexual people who claim to have some sort of intersex condition in terms of there body organs.  This article outlines the characteristics of some intersex conditions and explains why such claims are unfounded.

People claiming to have fathered children then suddenly claim to have had a

spontaneous sex change, found an ovary, uterine tissue or uterus in surgery

are liars or deluded and may require psychiatric help, which transsexual

people normally do not require.

Some transsexual people claim that a surgeon has found a small vaginal canal when performing surgery. That is pure fantasy. Check Medline, nothing is there. If that were occurring, it would be available in the literature.

It is also common for them to claim that they have found an ovary. Again that does not occur.

If a person has two testicles, even if they are undescended, there is no ovary.

The only possible combinations are, two testes, a testis and an ovary (so

rare it is almost unheard of), or two ovaries.

Some facts:

It is impossible to have two testes and two ovaries.

It is impossible to have two testes and one ovary.

It is impossible to have two ovaries and two testes.

It is impossible to have two ovaries and one testis.

It is impossible in your appendix (that has actually been claimed).

Someone with complete androgen insensitivity syndrome does not have a penis and father children.

The vast majority of people who have intersex conditions are sterile.

Now to consider some individual intersex conditions.

Hermaphroditism.

On very rare occasions a person has been born with an ovary and a teste. However this is so rare that it is practically unknown in the majority of intersex clinics and there appears to have never been a case of this in a transsexual person either. The existence of people who are true hermorphodite is extremely rare and most experts in intersex will never meet one.

If a true hermaphrodite is found, medics drop everything and flock to the hospital. It being about the only time you will see medics travel in a manner almost similar to wacky races if necessary, to the point they will even accept non-first class seats on planes just to get there. Literally it is like an emergency ad hoc medical conference. It is so rare that the majority of intersex specialists will never encounter a person with such a condition, so will jump at the chance of hands on experience and observation.

At this link is an example.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1682159/?tool=pmcentrez

5 Alpha Reductase.

Regarding 5 alpha. It is not unusual for a person with 5 alpha to be born with ambiguous genitalia. Normally surgery will be carried out very early, which nearly always leads to serious long-term health problems. Presentation at birth varies. They can look anything from completely female to completely male. All are sterile.

If 5 Alpha is not surgically treated, the results can be at puberty, that what in effect is either a clitoris or an enlarged clitoris will enlarge, but that labia will stay unfused and sometimes there is a trace of a vaginal canal. It will resemble a small-unsheathed penis. The genitalia will look nothing like male genitalia except in passing.

Claims that people with 5 alpha go on to have large penises and be completely functional are based purely in fantasy and wishful thinking. Any clinician claiming otherwise, I would request they present a patient in front of my face to prove otherwise.

Regarding gender identity in 5 alpha people, it literally can be anywhere from male to female. Contrary to the literature that is quoted, which also appears to be highly suspect. Most actually appear to identify as female, not male.

For more information on 5 alpha see.

http://www.aissg.org/

Spontaneous sex change.

This does not occur in humans and is a fiction created in pornographic magazines, porn films and the minds of deranged fantasists. A penis cannot spontaneously change into a vagina in days, weeks months or years. Sex reassignment surgery however, can change a penis into a vagina.

Spontaneous sex change can occur in frogs and some other amphibians.

The only way this could occur in a human being is if David Icke the conspiracy theorist is right in his claims that all our world leaders are really amphibians or reptiles masquerading as human. I think we can all guess the truth on that one.

In some rare cases a person can develop a pituitary condition, which can cause in a woman to have high levels of testosterone to be produced or in a man high levels of estrogen. These conditions are extremely serious. The people do not change sex and very often require extremely serious and sometimes life threatening surgery on there pituitary gland. Conditions like this have to be treated quickly as they can be fatal if left untreated. These people have no gender identity issue and are quite often disturbed by what happens to them. Also on extremely rare occassions anti-cholesterol medicine can disrupt the pituatory gland, causing disruption of hormone levels. This requires immediate medical intervention.

Congenital Adrenal Hyperplasia.

The number of female to male transsexuals and transgenderists also falsely claiming to have CAH is also a problem.

Congenital Adrenal Hyperplasia can be fatal. CAH girls vary from looking normal at birth right through to being mistaken for male in rare cases at birth, with a spectrum in between. If a child is not recognized as having CAH at birth, they can go into an adrenal crisis after being taken home. An adrenal crisis can kill if appropriate treatment is not given, quickly. The adrenal crises are a fact of life for people with CAH, all through their life. Even in adulthood when a person is well versed on CAH, they can still not reach hospital in time and die all to often of an adrenal crisis.

Issues such as gender identity are quite often a non-issue for people with CAH. Most are to worried with trying to stay alive to worry about gender identity, contrary to what LGBT transgender and queer activists like to claim.

Also some male to female transsexual people have claimed to have CAH. People with CAH have short stature, due to their treatment. Someone 190cm tall and built like a terminator, does not have CAH.

Males who have CAH are also very short in stature.

http://www.dshs.state.tx.us/newborn/cahbroch.shtm

Androgen Insensitivity Syndrome.

For a very good overview of androgen insensitivity syndrome see.

http://www.aissg.org/21_OVERVIEW.HTM

There website.  http://www.aissg.org/

In CAIS (complete androgen insensitivity syndrome) a person is completely insensitive to testosterone. Literally they have no response to testosterone whatsoever.

There are a lot of bizarre myths around CAIS. Most of the myths that circulate in the T and LGBT worlds appear to have their origins in some sort of fantasies, not fact. The fantasy that all women with CAIS have an issue with there gender identity is purely that, a fantasy. They are fed up with various groups, including trans groups trying to claim their is a gender identity issue when there never has been, is not now and never will be.

They are not trans, extreme transsexuals or a form of homosexual. They are just women, who wish to be left alone to get on with there lives and want people to stop colonizing their issues for political reasons.

ISNA and Accord Alliance.

Alice Dreger and her husband encouraged Bo Laurent and Kirea Trea to misrepresent themselves as intersex. The organization they set up called ISNA, now known as the Accord Alliance, was an intensely transphobic organization, yet was top heavy with self hating transsexual people. The only person in ISNA who was genuinely intersex that this author can find was Sherri Grovemann.

Kidney and bladder infections/damage.

Some transsexual people have claimed to have a period because they have pissed blood. They have not had a period. Kidney infections can cause a person to piss blood. Physical damage from impacts can cause a person to piss blood.

A period cannot occur when a person has two testes, as the testosterone would suppress any possibility of a period if the tissue actually existed.

People who have pissed blood because of childhood surgery are people who have had just that happen. They would strongly refute any claim that they are having a period, regardless of what any LGBT activist, queer theorist or trans activist states. They will state the truth and inform you it is from a bladder or kidney infection or scar tissue failure.

Birth Scar in transsexual people.

A lot of transsexual people take a lot of notice of there genitalia. That is natural as they are trying to find ways of getting rid of their genitalia.

Every human has a birth scar, where the skin closes over in the womb.

In female births this is hidden by the cleft of the vagina.

In male births quite often there is a small scar somewhere between the anus and tip of the penis. It is usually not noticeable at all, unless looking for it. In some people the scar is more pronounced. In some it can be a heavy scar that runs from the anus all the way to the tip of the penile skin. It does not affect erections. It just looks like a heavy scar.

This scar is not a hypospadias, no matter what any queer theorist, trans theorist, LGBT activist or trans activist claims. It is a completely distinct issue from a hypospadias.

It is just a scar, nothing else and nothing else should be made of it.

Fox News anti-intersex rant

By Curtis E. Hinkle

Below is some commentary from Fox News which landed in my email box this morning. I felt compelled to analyze this because it is typical of the right-wing anti-intersex, irrational thinking which passes as logical. Fox News is a channel I have blocked on my TV because I consider it to be racist, homophobic and nothing but a propaganda network for the Republican Party.

First of all notice that the writer uses “hermaphrodites” as the example, probably for comic and derogatory impact on the readers. As we know the hate crime bill which was passed into law has nothing to do with intersex people or protecting intersex people from hate crimes, but we end up being the example used in this commentary.

The author then pretends that people who are being charged with hate crimes are actually being prosecuted because of thought crimes, as if thought crimes are not already an important part of US law and many of these thought crimes are a result of the very same right wing thinking which is propagated by Fox News. The Patriot Act is definitely replete with thought crimes. As an example, right here where I live, a fellow member of an organization I am part of was arrested a few years ago for simply carrying a poster which condemned the war in Iraq during a visit by the former President Bush. He was charged with being in a “No Free Speech Zone”. Despite many appeals, the charge was upheld and he spent a long time in prison.

Conspiracy is a thought crime. One does not have to carry out the crime, just think about it and discuss is. That is very different from the Hate Crime legislation and that is the serious flaw in the Right Wing’s argument that Hate Crimes are thought crimes. You cannot be arrested for a hate crime or charged with a hate crime just for
thinking about it. You have to act on it.

I am not in favor of outlawing freedom of speech or thought. I am in favor of outlawing hate crimes and making sure that people are not targeted because someone thinks they belong to some identity group which the individual may or may not even agree with. It is not about what the writer says when he writes that we should identify just as human. It is about others who would divide us into groups and kill us. If they do that, they should stand accountable both for making such divisions within humanity and then acting on it because it is a form of madness which humanity desperately needs to end.

FOX COMMENTARY FOLLOWS

———————————————————————————————
President Obama signed the National Defense Authorization Act, which by some weird circumstance also includes hate crime legislation.

Now, I’m no fan of hate. Hate in all forms is ugly, even when performed by beautiful people (that’s a shout out to Stephanie Von Pratt, who turned me down for my senior prom). But here’s what I don’t get: If I kill someone, I’m a killer. But hate crime law says that I also broke a new law, one that has to do with my thoughts when I
committed said crime.

So it’s a thought crime more than a hate crime. Which begs the question: How can a thought be against the law?

Now I can barely read, so I don’t want to get too deep into this, but if I were to kill my co-host Bill Schulz, whether I hated him or not, that’s a crime. But, if we find out later that he was a sequential hermaphrodite, one might say it could be a hate crime.

I don’t get that at all.

What of terrorists? Does the fact that they hate us make their crimes worse? Not to them; punishment is meaningless. Which is the real truth about hate, anyway: Hate crime laws won’t stop hate or crime. It’s an after-the-fact gesture that does nothing to stop evil.

Even more, focusing on the killer’s outlook diminishes the victim. It’s no longer Bill Schulz is dead, but “Bill Schulz, the sequential hermaphrodite, is dead.”

Humanity should come before identity. We need to see people as people, not as part of groups. We know bigotry is bad. But murder in any form is so substantially worse, that it needs no footnote.

And if you disagree with me, then you’re probably racist.

Source:
http://www.foxnews.com/story/0,2933,570527,00.html

More about Infant Sex Assigning Surgery vs. TS Alien Space Abductions

Recently I received an e-mail from On the Issues magazine one of the many left wing and feminist publications I read.

And y’all thought I was brilliant enough to think up all the stuff I write and report on myself but I actually do quite a bit of research regarding some of the things I write and call upon a number of sources beyond the internet.  This one fell into my lap as I was pondering how to follow up last week’s major post.

I came to some pretty radical conclusions once I realized that both Tree and Laurent were compulsive liars who poisoned the entire pool of information regarding intersex people in a way that Agnes never did.

Remember Agnes didn’t let the doctors keep on thinking the conclusions they had come to regarding her.  I’ve been around long enough to recognize there are all different levels of honesty and ethics among those of us who were born transsexual but none the less I am saddened by the blatant liars whose sheer lack of ethics cause them to think nothing of creating a whole level of fantasy that both harms actual people with physically apparent intersex conditions and allows them to trash people born with transsexualism, a less obvious form of intersex condition.

The catalyst, the motivator for the original article was a “spazzer”* on a GID reform list who had loudly accused Dr. John Money of surgically mutilating her and making her into a boy.  This person posted from New Zealand.  This immediately set off my bullshit detector.  John Money wrote thousands upon thousands of pages reporting on research regarding the development of sex and gender.  He was in the nurture school but even he postulated that sex/gender identity was fixed before 18 months.  John Money didn’t do the circumcision in the David Reimer case that went awry.  For that matter, while John Money probably observed surgeries preformed on intersex/transsexual people it is highly doubtful he ever wielded the knife as he was a psychologist and not a surgeon.

Further his career as a professor and professor emeritus was at Johns Hopkins University, Baltimore, and a world away from New Zealand. The story told by the spazzer combined both elements of ignorance regarding actual intersex with geographic improbability.

Nonetheless there non-consensual surgery is routinely performed on male infants, circumcision is at best of questionable medical value but considering the rarity of actual adult SRS prior to 1970 I found myself asking the question.  “What sorts of non-consensual sex related surgery are historically the most common?  The answers were circumcision, female genital mutilation and castration.

I also have the feeling that one of the more common cases dealing male infants is probably bringing down non-descended testicles along with hypospadias repair.

Many other forms of intersex are not apparent at birth.  Forms such a CAIS, extra x or y chromosomes or conditions such as those alleged of Caster Semenya have something in common with transsexualism in that they are not discovered until the person is later in life.

This brings us back to those basic procedures:  Male circumcision is perhaps the most widely practiced in the Western World.  It was initially circumcision gone awry that led to the unfortunate case of David Reimer, not surgery aimed at correction of an intersex condition.  While Dr. Money appears to have acted unethically and far too enthusiastically  regarding the opportunity to study some one with the potential to prove or disprove some of his theories regarding gender identity development, this was not dealing with an intersex person. Further, even though male circumcision is considered a simple procedure it quite probably has more consequences than commonly thought as well as more complications.

Female circumcision is a euphemistic name for a barbaric practice once far more wide spread than it is today.  While it is now most commonly found in Muslim as well as non-Muslim African nations it is still practiced in certain circumstances in the West.  As misogynistic and monstrous as this is this is not where I am going in this article.

Male castration is another practice that is limited in Western society.  Freud aside, males including male Doctors tend to view castration on someone else with the same horror with which they would view it if it were performed on them.

In the late 19th and early 20th Clitoridectomies were performed on girls and women as a way of curing masturbation.  Freud’s misogynistic theories may have inadvertently furthered this practice as he ascribed to the idea that clitoral orgasms represented an immature form of female sexuality and that wholesome mature female orgasms were vaginal.

As I said in the earlier piece on this subject in adult sex reassignment surgery it has always been easier to surgically reassign people from male to female.  Interestingly enough many of the early male to female procedures were aimed at creating a “sensitive vagina” rather than a clitoris and often left people like myself without a clitoris.

Male doctors place a high value on the role of women being to please a man, so much so they ignored the fact that natal female’s vaginas are not the source of orgasms and that their clits are.  What were they thinking?  Oh well this was before Our Bodies, Ourselves and feminist writings about the “myth of vaginal orgasms”.  On the upside as a result of the work of Lonnie Barbach and Betty Dodson as well as consciousness raising sessions at the Women’s Building in LA helped me find the remaining nerve bundles and with the help of a Hitachi Magic Wand I learned how to reach orgasm.

When looking at the probability of a number of alleged infant intersex procedures given the taboos that were until recently in place regarding adult transsexuals one has to assume that most of these procedures were aimed at placing the infant in the category they were perceived as truly belonging in rather than “reassigning the infant” based on arbitrary factors.

That brings us to the following article first published in On the Issues

The Tyranny of the Esthetic Surgery’s Most Intimate Violation
by Martha Coventry

Big clitorises aren’t allowed in America. By big, I mean over three-eighths of an inch for newborns, about the size of a pencil eraser. Tiny penises, under one inch, aren’t allowed either. A big clitoris is considered too capable of becoming alarmingly erect, and a tiny penis not quite capable enough. Such genitals are confounding to the strictly maintained and comforting social order in America today, which has everyone believing that bodies come in only two ways: perfectly female and perfectly male. But genitals are surprisingly ambiguous. One out of every 2,000 babies is born with genitals that don’t elicit the automatic “It’s a girl!” or “It’s a boy!” Many more have genitals that are perceived as “masculinized” or “feminized,” although the child’s sex is not in doubt.

The American Academy of Pediatrics recommends surgically altering these children between the ages of six weeks and 15 months to fashion their bodies into something closer to perfection. Everyone can then breathe easier, except for the child, who may well spend the rest of her or his life trying to let the breath flow easy and full through the fear and shame created by such devastating surgery.

On a November night in 1958, I was playing in the bathtub in the cheery, country home of my childhood. I was six years old. My mother came in and sat on the edge of the tub, her kind face looking worried. I glanced up at her, wondering, “Time to get out so soon?” She told me that I had to go to the hospital the next day for an operation. I knew this was about something between my legs. My chest felt tight and there was a rushing sound in my ears. I begged not to go. Please. But my mother told me only that I must. Not a word was said about what was going to happen or why. The next day, it took the surgeon 30 minutes to make a U-shaped incision around my half-inch clitoris, remove it, and put it in a specimen dish to send to the lab. He then closed the wound and stitched the skin up over the stump.

Take no comfort in the fact that this took place 40 years ago. Today, most parents and doctors in this country are still unable to see that a child has a right to her or his own sexual body, even if that body is deemed “abnormal” by their standards. If a parent is uncomfortable, a doctor can be found who will be willing to make irreversible changes in the child’s body, in order to ease that discomfort. My gynecologist told me about a case in which he had been involved the year before: A woman brought her five-year-old daughter to his office in Minneapolis; the mother felt that the child’s clitoris was too big. He examined the girl and assured the mother that her daughter would grow into her clitoris, which was no longer than the end of his little finger. The mother left. A few weeks later, he was called into an operating room to help another doctor who had run into trouble during a surgical procedure. On the table, he found the same little girl he had seen earlier. She was hemorrhaging from a clitorectomy attempted by the second doctor, from instructions he had read in a medical text. My physician stopped the bleeding, and managed to keep the girl’s clitoris mostly intact.

Continue reading full article at:
http://www.ontheissuesmagazine.com/1998summer/su98coventry.php

Yet when one looks at all the “intersex” narratives in Transworld one rarely sees mention of this most common of all procedure and instead one hears all sorts of fantastical stories that there doesn’t seem to be a whole lot of coverage of in medical journals.

Given the temptation to plead intersex surgical treatment as a reason for my less than perfect genital with their lack of a clitoral structure along with the graft site scar as a way of avoiding suddenly becoming “Transsexual Suzan”** in the eyes of someone I was hoping to develop a serious relationship with I can empathize with someone exercising that option.

However once that story gets repeated too many times by too many people giving into the same temptation we find ourselves faced with a fictitious monster of a transsexual created myth.  All created due to shame of admitting the truth about ourselves.

Call it stealth, call it compartmentalization of information or what ever you want but too many of us have lied out of shame and have created a myth that goes far beyond the harmless sweet loving lie of intimate relationships.

Further these trans-created fictions threaten to prevent serious research that may show a real biological cause from being taken seriously.

I promise that this is not the last post regarding this subject and that more will follow.

* “Spazzer” British slang for a person who fakes being learning disabled or simply fakes terrible ignorance to which they are firmly attached.

**”Transsexual Suzan”  One of the realities of our lives and one which encourages us to be stealth is that our medical histories supersede all other factors in our lives.  We could win a Nobel Prize and yet were our medical history to come out the piece of information that would precede our name would not be “Nobel Prize Winner” but rather “Transsexual” or worse “Transgender” ______ formerly _____ would  be deemed the most important aspect of our entire life and all our accomplishments.

Alien Abductions and Claims of Improbable Intersex Conditions in Online discussion Groups

Over the last 15 years or so that I have been on line I have evolved from some one who read and posted on various “Trans” Usenet newsgroups and internet forums to first a member of a number of “Trans” mailing lists.  Some 9 years ago Tina and I started the Women Born Transsexual mailing list.

I started this Blog in mid February.  Add to this some 40 years of experience since coming out.  This means I have met hundreds, if not thousands of people over the years who have had their lives impacted by association with one or more trans prefixed words.  I’ve read most of the major literature, a ton of biographies.  Some much more factual than others and some much better written than others.

I have a pretty wide ranging knowledge base in a number of fields, something typical of those with life long liberal educations supplemented with autodidactism.

This means I’ve read a number of works regarding intersex conditions including John Money and Anke Ehrhardt’s Man & Woman/Boy & Girl as well as the more popular John Money and Patricia Tucker book Sexual Signatures: On Being a Man or a Woman.  Another Book on the subject is Dr Richard Green’s Sexual Identity Conflict in Children and Adults.

Not only have I read these works but prior to writing this I went to the library and pulled them from their shelves.  Now you might say, “But both Green and Money and Money are discredited monsters?”

I would agree with you except for one thing and that was their co-editing of the Johns Hopkins book Transsexualism and Sex Reassignment in 1969-70.  They later drifted with times to far more conservative positions with the rise of the far right wing in both the US and GB.  Green was probably never a friend to people with transsexualism but Money was.

In the early days of Sex Reassignment Surgery they decided if one were intersex or transsexual based on one of the cruder tests, a buccal smear and slide stained to look for Barr Bodies, the inactivated x chromosome found in females but not males.  For obvious reasons the majority of these tests came back negative.  Nonetheless many doctors including Dr. Benjamin as well as the Doctors at Stanford where I had my SRS looked at some of us and said, “There is definitely something going on here that our tests are not finding.  You were too feminine before starting hormones for there not to be.  Matters like pelvic structure etc.

But as early as 1970 Doctors had become wary because they had been burned badly in a case circa 1960 at UCLA by someone known in the literature as Agnes.  Her case is documented in Harold Garfinkel’s book Studies in Ethnomethodology.  For those not familiar with the story of Agnes, Agnes was a transsexual to female person who got SRS at UCLA Medical Center in the late 1950s or early 1960s.  She presented herself as an intersex person with male genitals and “spontaneously appearing” female secondary sexual features. She claimed these secondary sexual characteristics just developed and swore she did not take any legally or illegally obtained female hormones.

She talked a good act and managed to get one of the first SRS operations that were performed at a major university research hospital in the US.  Now I can understand why she did what she did as there were maybe a half dozen places in the world where one could actually get SRS in 1960 and many of them were iffy.

The doctors loved her.  Oh, they wrote journal articles about her for JAMA and other prestigious publications.  Then a year or two later Agnes fessed up, she was transsexual and those female secondary sex characteristics were the result of her having first stolen her mother’s hormone tablets and later forging scripts for hormones and were not “spontaneously occurring”.  But the books and journal articles were already out there.

Now the doctors who had written them appeared to be either morons or dupes taken in by a con artist.  Of course they failed to ask the most important question of all, “why?”.  Why indeed?

The obvious answer is desperation at being born transsexual in a time and place when one knows SRS is possible but so rare as to bear comparison to early manned space flight that was occurring contemporaneously.  Something you knew was possible but so rare as to appear impossible for you to do.  Agnes did what she had to do, but she poisoned the well in the process.

All transsexual claims to being intersexed from that day forward were looked upon as being suspect. For what it is worth I can empathize with what those doctors must have felt.  Agnes not only flat out lied to them when they were trying to help her but made fools out of them as well.

In doing this Agnes also selfishly damaged study into transsexualism as an intersex condition. At that point it was decided that transsexual and intersex were distinct condition and not overlapping and intertwining ones as earlier researchers had postulated

When I went to Dr. Benjamin and he examined me he observed that I had under developed genitals and was physically rather feminine.  But that was pretty much as far as that line of examining me went.

I was receiving public assistance at the time and the social workers in Berkeley thought I would be a perfect test case to attempt to get the government to pay for SRS.  The social workers saw me as completely sane and thought I was a great candidate to help set a precedent.  So I was examined by four different psychiatrists who all found me sane.  Unfortunately those were also the early days of Nixon and his killing of the War on Poverty and Great Society programs that were helping people with transsexualism become something other than sex workers.  Instead of them helping me because I was sane and deserved rehabilitative help the new requirements of the more conservative government directives required me to be mentally disturbed and receive permanent disability.

As an autodidact and someone who was working at the NTCU the doctors with the Stanford program were open to discussing details with me and other of the more educated sisters that weren’t discussed with those who lacked the knowledge to actually ask the questions.  They were open to input from those of us with carefully considered insights.

After my evaluative screening session with Dr Fisk.  I asked him, “In your opinion, nature or nurture?”  His honest answer was, “We don’t know.  In your case and the case of some others we think nature yet with other people we think nurture.” He then asked me what I thought.

My answer was a bit of both nature and nurture and that I found it hard to not think it was physical with some of the sisters I met and at the same time a lot of people who came to our office seemed pretty crazy.

The thing was that with Hopkins in the 1960s and Stanford in the early 1970s the Gender Identity Clinics were not just places we went to for SRS. They were also research centers.  Right from the start they faced a good deal of opposition from people who wanted to shut them down.  The Benjamin Standards of Care and perhaps even the GID as diagnosis grew out of efforts to continue to provide SRS to people with transsexualism.

Quite a few doctors believe it is physical just as many people with transsexualism do.  We don’t make elaborate claims of various forms of intersex that are contradicted by our lives. One of the biggest contra indicators of would be fathering children.  Even those of us who liked boys and never became parents generally tend to not claim improbable intersex conditions.

In the 1990s a couple of people popped up and started appearing every where from the on-line world to the talk shows, magazines and the indexes of serious books.  Those people were Cheryl Chase and Kiira Triea.

Interestingly they reared their heads about the same time the talk shows were entranced with Satanic Child Abuse Cults, The McMartin School in Southern California and the supposed million (or some ridiculously high number) of missing children.  A number that would have factored out as a child from every school class room in the country and would have had every newspaper in America filled with little else than stories of missing children.

I’ve heard a lot of stories about all these infant sex reassignment surgeries.  Heart breaking stories from people who would have had to have had this surgery in the 1950s or 60s.  Supposedly vast numbers of people were operated on.  Expensive complex procedures in a nation where  sex reassignment surgery on adults was extremely rare and the techniques were just being developed

Do I doubt that surgeries were done?  No…  But I would pretty much bet no where near as often as Tirea and Chase who were then heading up ISNA implied they were.

I was on some of the same mailing lists as Kiira, along with Heike Boedeker, a strangely abusive European who came and went around 2000.  At one point Kiira made some claims that triggered my bullshit detector.  As a result I began doubting her veracity.

One of those claims was involvement with the Berkeley Women’s Music Collective at a time when Sandy Stone, a WBT was getting seriously trashed by certain lesbian feminists.  I had photographed a number of the women who recorded for Olivia Records, the label that the Berkeley Women’s Music Collective recorded on and there was material in Feminist and Lesbian History archives that I had access to.  I checked and didn’t find her there.  Now she could have used a different name, perhaps Denise Tree and yet I really didn’t find much there but I was reminded of something I had seen happen in the LA Feminist community.

I was involved with Renaissance, a trans-group with Jude Patton, Carol Katz and Joanna Clark (Sister Mary Elizabeth).  Someone came to meetings and photographed some of us.  Those photos were featured in a feminist publication in conjunction with an excerpt from Janice Raymond’s then doctoral thesis, which went on to become The Transsexual Empire.  When these came out my position was one of, “So what…  I experience patriarchal oppression and I am a hard working feminist with good solid politics.”

But this other sister claimed she was actually not transsexual but was really intersex.  I didn’t think much of it at the time and she wasn’t claiming to be intersex and trashing transsexuals by claiming to be realer than the lumpen masses of women born transsexual.

In that same time frame (circa 2000) I started hearing a lot about Bailey and Blanchard as well as their crackpot theories regarding androphilia/autogynaphilia as the motivating force behind transsexualism in T to F people.  One mailing list I was on (Trans-Theory) was invaded by an extremely vicious cabal of people who were sock puppets hiding behind various aliases.  They engaged in a brutal assault of people’s sense of self worth accompanied with occasional threats.

One claimed to be intersexed with CAH and accompanying salt wasting.  Okay, that sounded reasonable.  But why was she coming to a mailing list for Transtheory and pushing Bailey/Blanchard and Lawrence along with praising Janice Raymond?

As time has gone on Andrea James of TS Roadmaps has investigated both Triea and Chase.  She credibly alleges them to be frauds as do others.  ISNA has fallen apart.

This leaves people with far more credibility such as Sophia Seidelberg and Curtis Hinkle of OII to pick up the pieces and undo the damage done by someone who has become the J.T. Leroy of the intersex movement.

Of note I have noticed that the people who appear to be genuine tend to not be overtly hostile to people with transsexualism who do not tend to appropriate their narratives.  Along with our appearing in the same books of early research the approach to sex reassigning that people with transsexualism have of not having such surgery performed without our consent offers a model for people with intersex conditions who wish to exercise existential agency in determining via surgery their membership in one sex or the other.

Even young children are capable of making their desires known regarding which sex they consider themselves to be in a way that infants are not.  Consent and self determination should always be the critical factors not doctors or clergy acting as authority figures.

As I said OII has to undo the damage done by Triea.

But it is not an easy task as I have discovered on a mailing list for the discussion of the removal of the GID Diagnosis from the DSM.  Like many mailing lists this one seems to have died and only the rot from within remains as it has been taken over by the wailing of people with kitchen sinks full of improbable and often contradictory combinations of intersex conditions.

People who in spite of living as men and never having taken hormones are more women than post-SRS WBTs who have lived 10-20-30 or more years as female.

Surgeries performed I guess while they were carried aloft by space aliens in flying saucers because the likelihood of them having been performed in the time frame, location or by the named person seems virtually nil.

The other thing I have noted is that people making these claims often share a common trait that makes me suspect they have Munchausen’s Syndrome as along with these improbable intersex conditions they also often claim some sort of horrific physical disability or disease.  I suspect one is a spazzer (some one who pretends to have a rather profound learning disability).  Either way these people are like vampires sucking the life out of groups in a way I have seen ever since I first became involved in feminist and LGBT/T causes.

Their requirements for attention are boundless.  They find offense and attack back even postings or in a group statements that have nothing to do with them.

I have seen such people come into gender support groups and destroy them by taking the focus of these groups from mutual support to giving all attention to the person so beset by such a terrible history of abuse.  The classic case seen in the media is J.T. Leroy who claimed to having been a child sex worker, the product of an abusive trailer park “white trash” family.  I will grant you the books were labeled fiction but people interpreted them as autobiographical.  The author J. T. Leroy was a fictional being, a middle aged woman who got another woman to pose as this reclusive and evasive transgender person who was not only an author but who was HIV+ and had lived the life of her characters.

When the truth comes out everyone feels taken and people with legitimate claims suffer.

Transsexualism is in all probability a legitimate intersex condition, more nature than nurture.  The evidence keeps mounting for it being physical and although there continue to be staunch defenders of transsexualism being a product of flawed socialization their case seems to offer little beyond increasingly meaningless jargon and post modern babble.

As such people with transsexualism and people with legitimate intersex conditions have far more in common than one would imagine when listening to the people who sound as though they were abducted by space aliens with their improbable claims.

‘Intersex’ fish found in Colorado Study: Pollutants causing male bass to develop female sex organs

From Havasu News
‘Intersex’ fish found in Colorado
Study: Pollutants causing male bass to develop female sex organs

http://www.havasunews.com/articles/2009/09/21/news/doc4ab6eb414a281213625495.txt
By DICK KAMP / Wick Communications Environmental Liaison
Sunday, September 20, 2009 8:02 PM MST

Early studies indicate various pollutants, drugs, cosmetics and household products in the Colorado River can cause some male bass to have partially developed female organs inside.

This phenomenon of occasional female organ growth in males, is called “intersex.”

A nationwide study of sexual fish aberrations by the U.S. Geological Survey found that 40 percent of smallmouth bass and one-third of largemouth bass sampled in the Colorado River were intersex. The Colorado River data were from 2003, and nationwide it covered the period 1995-2004.

The pollutants and various chemicals affect hormone activity in animals and humans are collectively called endocrine disruptors or endocrine active compounds.

The Colorado River Regional Sewage Coalition has been concerned with the presence of the endocrine disruptors, particularly because Colorado River water is consumed by millions in Arizona, Nevada and California.

One member of CRRSCO, Southern Nevada Water Authority, has been testing for chemicals in Lake Mead and Las Vegas drinking water.  Monitoring has shown that levels of a number of endocrine disruptors exist in drinking water for Las Vegas at substantial percentages of levels that are detected in Lake Mead near the sewage outfall.

For example, the popular insect repellant DEET and the herbicide atrazine have been detected (at low unregulated levels in parts per trillion) when sampled in both the lake and potable Las Vegas drinking water.

SNWA also is assisting Lake Havasu City Water Resources Coordinator Doyle Wilson to sample for endocrine disruptors in Lake Havasu as well as in water supply wells and a huge sewage storage repository two miles from the lake constructed within the last two years. Doyle said that his principal concern with the USGS study is that the fish data are already dated.

Wilson added that CRRSCO is pinning some of its hopes for future monitoring of endocrine disruptors and many pollutants on the Lower Colorado River Protection Act, which was introduced July 31 by Rep. Raul Grijalva, D-Ariz. The bill would create and implement an EPA-overseen, long-term plan to protect water quality in the lower Colorado to prevent and eliminate pollution with continuous ecosystem monitoring.

Some of the highest intersex percentages were found in the southeastern U.S. At 111 sites nationwide, 3,080 fish were examined and all had contaminants in their bodies.

Forty percent of largemouth bass examined at Imperial Dam and at the Gila River in Hayden were intersex, and 70 percent of smallmouth bass in the upper Colorado in the Yampa River were intersex.

Among other species examined, the only intersex carp found nationwide was at Willow Beach, below Lake Mead. One intersex channel catfish was found in the lower Colorado basin in the Gila River at Phoenix, and one at each of three sites in the upper Colorado.

Lead author of the report, JoEllen Hincke, of the USGS Columbia Missouri Environmental Research Lab, said that the report “is the first synthesis of USGS efforts to measure contamination in water, fish and intersex occurrence.”

The U.S. Centers for Disease Control — and governments worldwide — have gathered substantial evidence that human health is affected by exposure to hormone-disrupting chemicals.  Pregnant women and babies, particularly boys, are considered at highest potential risk but serious conditions affecting women such as infertility, ovarian damage and adult male hormonal disruption are considered to be likely impacts of the chemicals.

Wastewater discharges into sources of drinking water are one major pathway of contamination that may include bodily discharges of concentrations of chemicals or from pollutants themselves being discharged into surface and groundwater.

Posted in Intersex, Science/Biology. Comments Off

Intersex Deer

[I didn't write the article, it is quoted from Outdoor Life hence the language is theirs.]

Outdoor Life

Biology: HeShe Bucks

October 2009 pg 21

Shoot a velvet buck with spindly limber antlers?  Chances are, he’s missing some important equipment.

By Ben Swenson

Aubrey Williams, of Chesapeake, Virginia, wasn’t sure what to make of the 8-point buck he shot last December.

“His antlers were soft and he was bleeding from one of the rines in his rack.” he says, “When I turned him over to gut him, he didn’t have any testicles.”

William’s kill had what appears to be a growing number of odd antlers reported by deer hunters each year.  Kansas hunter Mike Smith made headlines around the country last year when he bagged a 27 point whitetail, only to discover it was a doe.

Missing or malformed testicles, as with William’s buck, can interupt testosterone production necessary for the annual cycle of antler growth, hardening and shedding.

Doe deer sometimes grow antlers because of hormone imbalances or diseased or injured sex organs.  A few antlered deer are hermaphrodites, meaning they produce both male and female genitalia.

Dr. Chris DePerno, a wildlife biologist at North Carolina State University, explains that getting a handle on the percentage of these deer in the overall population is challenging.  They get a lot of attention, and anecdototally it appears more are being reported every year. But they remain a very small subset of the population.

“Biologists have a hard enough time estimating the number of normal individuals,” DePerno observes, “But the percentage of these altered deer certainly is very small,” though they occur throughout the species range.

Posted in Intersex, Science/Biology. Comments Off
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