Sex reassignment at birth. Long-term review and clinical implications.
This article is a long-term follow-up to a classic case reported in pediatric, psychiatric, and sexological literature. The penis of an XY individual was accidentally ablated and he was subsequently raised as a female. Initially this individual was described as developing into a normally functioning female. The individual, however, was later found to reject this sex of rearing, switched at puberty to living as a male, and has successfully lived as such from that time to the present. The standard in instances of extensive penile damage to infants is to recommend rearing the male as a female. Subsequent cases should, however, be managed in light of this new evidence.
Diamond
M
M
Department of Anatomy and Reproductive Biology, Pacific Center for Sex and Society, University of Hawaii-Manoa, USA.
Sigmundson
H K
HK
D000328:Adult; D005260:Female; D005783:Gender Identity; D005835:Genitalia / Q000033:anatomy & histology; D006801:Humans; D008297:Male; D012727:Sex Characteristics; D012729:Sex Chromosome Aberrations; D012731:Sex Counseling