Chat date intersex

Dear Editor, It is interesting to read the comments, proposals, agreements and disagreements on terminology related to “developmental” variations, with “functional” disorders of sexual properties.In medical use, the term “disorder” is explained as “an abnormal physical or mental condition”, like the “refraction disorder” what I have since 7 years of age.

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A prodigious amount of neurons and synaptic connections that have to differentiate and develop would appear to, according to my statistical conjecture, render brain sex and other brain attributes variable (and study incredibly difficult) due to the immense complexity of the process.

Gender that, then, combines brain sex and social and environmental factors would also at least, in line with brain sex that influences it, be variable.

Regarding brain sex, I agree with the Consensus Statement on Management of Intersex Disorders (Co SMID) that “Structure of the brain is not currently useful for gender assignment.” Quan...

Regarding brain sex, I agree with the Consensus Statement on Management of Intersex Disorders (Co SMID) that “Structure of the brain is not currently useful for gender assignment.” Quantification and identification of brain sex haven't been at all forthcoming and fruitful on humans.

Sex, if one limits it to the genitalia and perhaps secondary sex characteristics, is dimorphic, as most persons get one of two possibilities when differentiation is complete - that is, if one ignores considerations of size and appearance, which some don't, but I do because functionality, to me, is paramount.

The authors of Co SMID appear to be focused on sex.

On the whole, I felt the document recommendations were to be commended and provide us with an excellent guide for optimal care, in particular with regard to surgical and psychological advice and support. Although we appreciate it was not a deliberate exclusion and received a thoughtful and reassuring response, I found it rather unsettling to discover that such a vital aspect was added at the last minute and was not included in the proposed agenda we received.

However, I admit to being very uneasy about the way nomenclature was included in this meeting. Terminology is such an important issue and not one that should be regarded lightly and perhaps if it had been discussed beforehand, with more Worldwide interested parties invited/involved for views and input in the debate the current discontent could have been avoided?

Substituting "variation" for "disorder" colloquially is of no consequence, besides the assuagement of the afflicted, which admittedly is important, but scientifically, one would have to wonder about adaptation.

If the focus were brain sex or gender, this might be an interesting academic and protracted discussion, but since it is sex (for reasons stated earlier), there are really only one of two possibilities, as most other possibilities tend to be dysfunctional or nonfunctional, leading to infertility.

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