Transsexualism as an Intersex Condition

Author(s):  
Milton Diamond
Keyword(s):  
Author(s):  
Timothy F. Murphy

People with intersex conditions have male-typical and female-typical traits, to varying degrees in genetics and anatomy. Because of these variations, people with intersex conditions or disorders of sexual development can face difficulties related to their identities and relationships. As a matter of ethics, clinicians should exhibit humane behavior toward patients of all ages as they explore the meaning of their intersex condition for their health and well-being. Clinicians can also help families understand the meaning of that condition for their children and themselves. Clinicians will also have responsibilities toward child, adolescent, and adult patients bearing on the psychological effects of body modifications taken to normalize their sexual appearance. In addition, clinicians will have the responsibility to address the effects of body modifications hoped for by the patient. Observance of confidentiality is key in relationships with intersex patients.


<em>Abstract</em>.—Reports of testicular oocytes (intersex) in fish are increasing worldwide. Intersex is often associated with estrogens in treated wastewater effluents, but few studies have explored other potentially explanatory factors. Our recent survey of intersex Largemouth Bass <em>Micropterus salmoides</em> in 11 impoundments across Georgia, USA found high incidence (>80%) of intersex fish in some impoundments but none in others. To explore factors associated with intersex in the impoundments, which did not receive wastewater, we examined potential predictor variables that varied among the levels of individual fish, impoundment, or landscape in a binomial mixed-model regression approach. Our model indicated effects of fish length, catch per unit effort (an index of fish density), and impoundment, which was the strongest effect. The probability of intersex was highest in smaller fish from impoundments with the highest catch rates. The underlying mechanism(s) for the impoundment effect remain unclear, but we hypothesize that estrogens excreted by high densities of fish and cyanobacteria may influence intersex. Additional studies are needed to understand the long-term population implications of intersex and the role of other biological and environmental factors, particularly at the impoundment level, in development of the intersex condition.


2015 ◽  
Vol 51 (4) ◽  
pp. 267-271 ◽  
Author(s):  
José F. Pérez-Gutiérrez ◽  
Luís V. Monteagudo ◽  
Antonio Rodríguez-Bertos ◽  
Enrique García-Pérez ◽  
María J. Sánchez-Calabuig ◽  
...  

This report describes a disorder of the sexual development in a beagle dog resulting in an intersex condition. A 6 mo old beagle was presented for evaluation of a protruding structure from the vulva consistent with an enlarged clitoris. Ultrasonographic examination revealed the presence of both gonadal and uterine structures. Retrograde cystourethrovaginogram showed the presence of an os clitoris and severe vaginal stenosis. Histological studies revealed the presence of bilateral ovotestes and uterus. The gonad had interstitial cells within seminiferous-like tubules lined only with Sertoli cells and abundant interstitial cells among primordial, primary, and secondary follicles. Hormone assays completed before and after gonadohysterectomy showed an elevation in the levels of progesterone and dihydrotestosterone that returned to baseline 3 mo after surgery. Testosterone levels that were within the male reference ranges before surgery decreased to basal levels postsurgically. 17-β-Estradiol levels showed little variation and values were always within the reference ranges for a male. Cytogenetic analysis showed a normal female karyotype (2n = 78, XX) and polymerase chain reaction analysis revealed the absence of the sex-determining region Y gene. In summary, the dog presented bilateral ovotestes and a 2n = 78, XX chromosomal complement lacking the sex determining region Y gene, consistent with a diagnosis of true hermaphroditism.


Author(s):  
I Komang Manik Adnyana

The tittle of this research is “Gender Identity Disorder Characteristic at character Kishimoto Ruka in drama Last Friends by Asano Taeko”. This research aims to describe Gender Identity Disorder (GID) characteristic at character Kishimoto Ruka in Last Friends Drama by Asano Taeko. The data were analyzed by using descriptive analysis method and informal method. Some theories applied in this research were Wellek and Warren’s literature and psychology theory (2016), Schmidt’s gender identity disorder theory (1994), Sigmund Freud’s psychoanalytic theory (2016), and Marcel Danesi’s semiotic theory. This research showed that there were four GID characteristics found at character Kishimoto Ruka. These GID characteristic namely 1) there was a sense of cross-gender identification; 2) there was a sense of inappropriateness in the gender role of that sex; 3) the disturbance is not concurrent with a physical intersex condition; and 4) the disturbance causes distress in social and occupational.


2008 ◽  
Vol 103 (1-2) ◽  
pp. 154-163 ◽  
Author(s):  
R. Payan-Carreira ◽  
M.A. Pires ◽  
M. Quaresma ◽  
R. Chaves ◽  
F. Adega ◽  
...  
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