|
Sex Assignment/Gender Identity |
Traditional Practice |
Challenge |
|
Determinant of gender identity |
sex of rearing |
prenatal androgen |
|
Stability of gender identity |
fixed by age 2 |
develops throughout life |
|
Role of genitalia |
crucial to identity & adjustment |
reflect brain masculinization |
|
Decision-maker |
physician |
family |
|
|
|
|
|
Genital Surgery |
|
|
|
Rationale |
anatomy to match rearing sex |
surgery is for comfort of others |
|
Consequences |
facilitates gender identity
facilitates adjustment
facilitates sexual intercourse |
inhibits gender change
impairs sexual function |
|
Decision-maker |
physician |
patient |
