Unformatted text preview: are not clear yet Congenital Adrenal Hyperplasia (CAH) Biological vs Assigned Gender
• Can one turn a biologically normal XY((XX) into a
normal female (male) through rearing?
• Case of John/Joan
Why didn’t John Money inform us?
Other Cases (Bradley, Oliver, Chernick & Zucker, 1998)
Micropenis study (Reilly & Woodhouse, 1999)
Follow-up Attitude Study (Meyer-Bahlberg, 2004)
Current practice “Disorders of Sexual Development
(2006, Consensus Conference) ” • Rename intersex
• New classification
– Complete Androgen Insensitivity Syndrome (XYs) &
Congenital Andrenal Hyperplasia (CAH)(XXs) assigned
– 5 alpha reductase (XYs)-assigned to male gender
• (based on current data which suggests that 2/3 of those originally assigned female and
all of those originally assigned male live as males) – Micropenis assigned to male
– Appearance altering surgery not urgent
– Multidisciplinary teams to decide Is Gender a Social Construction?
• Some of the time?
• There appears to be a biological influence?
• It’s going to take a good 50 years to figure
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- Fall '11