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Making a Biological

  1. Sexual and Physical Health After Sex Reassignment Surgery - Semantic Scholar
  2. Background
  3. Sexual and Physical Health After Sex Reassignment Surgery
  4. Reevaluating Sex Reassignment

About one in 2, births is an "intersex," a person with ambiguous genitalia, or reproductive structures from both sexes. All are angry at the surgeries they endured without their consent or understanding. In contrast, sex reassignment surgery works well for transsexuals, whose gender identity is at odds with their chromosomal and gonadal sex, and who request the surgery.

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Making a Biological "He" into a Social "She" The traditional medical decision to endow a child whose penis never developed fully or was damaged is based on a yardstick of sorts. Those falling in between have their organs shortened, a penis becoming a clitoris. Further plastic surgeries and hormone treatments during puberty complete the transformation, with external female genitalia sculpted from scrotal tissue.

Gary Berkovitz , director of pediatric endocrinology at the University of Miami School of Medicine, explains the procedures. The phallus is recessed. Current techniques emphasize maintenance of innervation, and experimental evidence indicates that sensitivity in the new clitoris is preserved. However, none of the children has grown to adulthood yet to see if it works. The new techniques are very different than what was done 30 to 35 years ago.

The girl won't bleed because there is no uterus, but she can have normal cycles. Often it is possible to do this with birth control pills as the estrogen supplements. Breasts develop too, given appropriate hormonal stimulation," Berkovitz says. Female reassignments are typically done within days of birth; the more complex phalloplasty is often undertaken later. Berkovitz describes the technique. In most cases, there is a small phallus with corporal tissue capable of erection and skin capable of normal sensation. And little children also look at each other" and can be cruel when a boy appears to be different, he adds.

But all too often, appearances cannot mask the upheaval within. Happy endings for XY individuals assigned to femaleness, at least so far, appear to be rare, or at least unreported. Adding to the trauma are the procedures. Mistakes have been made. A lot of people wanted to do well by their patients and made decisions according to what seemed the right thing to do," relates William Futrell , a professor of plastic surgery at the University of Pittsburgh Medical Center.

But some in the field question the assumptions fueling those good intentions.

Sexual and Physical Health After Sex Reassignment Surgery - Semantic Scholar

Second is that the penis is the most important sexual organ. That is simply idiotic. Post-surgical adjustment of twenty-five transsexuals male-to-female in the University of Minnesota Study. Hertz, J. Transvestism: Report on five hormonally and surgically treated cases. Acta Psychiat.

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Hoenig, J. A follow-up study of transsexualists: social and economic aspects. Surgical treatment for transsexualism. Hore, B. Male transsexualism in England: sixteen cases with surgical intervention.


Hunt, D. Follow-up of 17 biologic male transsexuals after sex-reassignment surgery. Jayaram, B. Complications and undesirable results of sex-reassignment surgery in male to female transsexuals. Kerlinger, F. Nachuntersuchung bei operierten Transsexuellen. Transsexualism: a long-term follow-up after sex reassignment surgery.

Nervenartzt 26— Kuiper, A. Transsexuality in the Netherlands. Some medical and legal aspects. Law 4: — Lindemalm, G. Lindgren, T. A body image scale for evaluating transsexuals. Lothstein, L.

Thailand's Sex Change Industry - By NewsOps

The postsurgical transsexual: empirical and theoretical considerations. Sex reassignment surgery: historical, bioethical and theoretical issues. Outcome of sex reassignment surgery. McCauley, E. Follow-up of females with gender identity disorders.

Sexual and Physical Health After Sex Reassignment Surgery

Meyer, J. Sex reassignment—follow-up.

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    Reevaluating Sex Reassignment

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    Surgeon Reports of “Sex Change Regret,” Lack of Coverage on the Subject

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