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| | Urology--Pediatric Urology--Ambiguous Genitalia |
 | | Ambiguous Genitalia is a congenital physical abnormality, where a child is born with genitals that are not clearly male or female or with both male and female genitals. |
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http://www.stronghealth.com/services/urology/pediatricurology/ambiguous.cfm
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| | Intersexuality - Wikipedia, the free encyclopedia |
| | The appearance may be quite ambiguous, describable as female genitals with a very large clitoris and partially fused labia, or as male genitals with a very small penis, completely open along the midline ("hypospadic"), and empty scrotum. | | | Since the rise of modern medical science in Western societies, intersexuals with ambiguous external genitalia have had their genitalia surgically modified to resemble either male or female genitals. | | | Congenital adrenal hyperplasia: Female internal anatomy, but ambiguous or male external genitalia, and develop male secondary sexual characteristics. |
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http://en.wikipedia.org/wiki/Ambiguous_genitalia
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| | Ambiguous Genitalia |
| | Ambiguous genitalia can be a traumatizing experience for parents. | | | Treatment for ambiguous genitalia depends of the type of the disorder, but will usually include corrective surgery to remove or create reproductive organs appropriate for the gender of the child. | | | Very few infants with ambiguous genitalia have genitals that are so ambiguous that a gender determination is not made at birth. |
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http://www.chw.org/display/PPF/DocID/2668/router.asp
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| | Case Based Pediatrics Chapter |
| | The external genitalia in both sexes are represented by the genital tubercle, the urethral folds, and the labioscrotal swellings that surround the cloacal membrane (1). | | | Testosterone converts to dihydrotestosterone in the skin of the external genitalia and masculinizes the external genital structures. | | | In most patients, the external genitalia are masculinized to some extent, and two thirds of true hermaphrodites are raised as males. |
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http://www.hawaii.edu/medicine/pediatrics/pedtext/s13c11.html
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| | Doctors Advise Caution in Ambiguous Genitalia Surgery in Babies |
| | A new study suggests that, in cases of ambiguous genitalia, feminizing the child with clitoral surgery may lead to a lifetime of sexual problems. | | | The women's sexual functioning could be hindered by shyness -- or by behavior problems related to the gender in which she was raised, writes Froukje M E Slijper, MD, of Erasmus MC/Sophia Children's Hospital in Rotterdam, in an accompanying editorial. | | | "Most women born with ambiguous genitalia are masculine in behavior," writes Slijper. |
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http://my.webmd.com/content/article/63/72064.htm
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| | UrologyHealth.org - Pediatric Conditions - Reconstruction & Trauma - Ambiguous Genitalia |
| | Among other girls, the underlying reason for the masculinization of their genitalia may be that mother had an excess of masculinizing hormones in early pregnancy that passed across the placenta. | | | Among girls whose external genitalia were only slightly masculinized at birth or who have undergone modern feminizing surgery, the appearance of their genitalia should not later give rise to concern. | | | Here, the underlying cause can usually be traced to a fault in one of the steps along the pathway of development in which the external genitalia of the early embryo normally become fully masculinized. |
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http://www.urologyhealth.org/pediatric/index.cfm?cat=10&topic=31
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| | Bibliography sorted by Author Intersex Society of North America |
| | Ambiguous Genitalia With Perineoscrotal Hypospadias in 46,XY Individuals: Long-Term Medical, Surgical, and Psychosexual Outcome. | | | The effects of clitoral surgery on sexual outcome in individuals who have intersex conditions with ambiguous genitalia: a cross sectional study. | | | Gender Assignment and Gender Identity in Patients with Ambiguous Genitalia. |
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http://www.isna.org/drupal/node/view/184
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| | An Emerging Ethical and Medical Dilemma: Should Physicians Perform Sex Assignment on Infants with Ambiguous Genitalia? |
| | Surgical treatment of ambiguous genitalia in infancy exemplifies an instance where prevailing medical wisdom, in an area of immense significance to individuals and their families, developed without any conclusive evidence that surgical intervention was appropriate. | | | Indeed, it is the ambiguous nature of the genitals that signal the ambiguous nature of the child’s future sexual identity and preferred gender, and that innate ambiguity cannot be masked by surgery. | | | These critics argue that parents of children with ambiguous genitalia would be better counseled to manage the psychosocial consequences of genital differences in childhood rather than opting for a surgical response. |
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http://www.hawaii.edu/PCSS/online_artcls/intersex/intersex00_00.html
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| | Letter To The Editor: Sexual Outlook for Post-Surgical Ambiguous Genitalia Patients |
| | Recognizing that corrective genital surgery will be undertaken on the majority of girls with ambiguous genitalia, development of a surgical procedure that will both normalize genital appearance and maintain genital sensation is ideal. | | | Comparing (admittedly anecdotal and by personal experience) family outcomes in the decades when clitoral surgery in girls with ambiguous genitalia was performed between 2-5 years of age and the current practice of clitoral recession within the neonatal period, far more marital conflicts (spousal abuse, separation, divorce) arose with the delayed rather than early clitoral surgery. | | | It is possible that such an integrated approach (medical, surgical, and psychological) will result in more positive outcomes for these individuals. |
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http://www.gghjournal.com/volume20/2/letterToEditor.cfm
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| | Ambiguous Genitalia Babies Mostly Happy With Gender Assignment |
| | "For those born with ambiguous genitalia, it is most important for families to consult closely with pediatric endocrinologists, urologists and counselors to consider many variables, including complications and outcomes of genital reconstruction, the need for long-term sex hormone replacement, and the desire for fertility," Migeon says. | | | Results of the second study, which examined intersex patients' knowledge of their condition, suggest that patients are not receiving the close counseling with medical professionals which the first paper finds important. | | | Ambiguous Genitalia Babies Mostly Happy With Gender Assignment |
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http://www.altpenis.com/penis_news/20020808221319data_trunc_sys.shtml
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| | Ambiguous Genitalia and Intersexuality from Pediatrics / Urology |
| | Appearance of the genitalia varies widely in this condition, and while ambiguity is the rule, the tendency is towards masculinization. | | | While the techniques of surgical genital reconstruction have been mastered, the understanding of the psychological and social implications of gender assignment is poor. | | | Social aspects: Modern treatment of infants with ambiguous genitalia involves a team-oriented approach. |
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http://author.emedicine.com/PED/topic1492.htm
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| | Medical Encyclopedia: Ambiguous genitalia (Print Version) |
| | However, this is a difficult decision and should be discussed with your family, your doctor, and the surgeon involved. | | | You are concerned about the appearance of your child's external genitalia. | | | The male and female reproductive organs and genitals both arise from the same tissue in the fetus. |
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http://www.nlm.nih.gov/medlineplus/print/ency/article/003269.htm
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| | MedlinePlus Medical Encyclopedia: Hermaphroditism |
| | Once the decision is made regarding sex, parents should be left with no ambiguity in their minds as to the gender of the child. | | | Corrective surgery is used to reconstruct the external genitalia. | | | With corrective surgery, the appearance of external genitalia may appear normal. |
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http://www.nlm.nih.gov/medlineplus/ency/article/001669.htm
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| | Ambiguous Genitalia - New Treatments, January 22, 2005 |
| | Careful inspection under daylight or a white light source may reveal a brownish-yellow hyperpigmentation of the genital skin if ACTH secretion is increased (e.g., an infant with congenital adrenal hyperplasia). | | | There is no clear distinction between what one clinician might call "a disorder of sexual differentiation" and what another might refer to as "perineal hypospadias." In patients with hypospadias, the following additional features should prompt further investigation: a family history of hypospadias | | | Questions that should be asked on history taking are as follows: Was the mother taking any medications during pregnancy that could affect fetal genital development? |
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http://www.ccspublishing.com/journals4a/ambiguous_genitalia.htm
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| | Intersexuality - A Plea for Honesty and Emotional Support |
| | The baby was not sick; it had been born with "ambiguous genitals." They might be described as a split scrotum, in the shape of a Parker House roll, with a tiny tiny penis peeking out from between the sections, and the urethra behind the penis, rather than at the tip. | | | Children born intersexual face psychological difficulties no matter what treatment choice is made, and sexually sophisticated, ongoing counseling for both family and child must become the central component of the treatment process. | | | Like ISNA, Britain's Androgen Insensitivity Support Group advocates the provision of competent psychological support for inter-sexuals and their families and decries physicians who believe that counseling can be accomplished in a few minutes of explanation by a pediatric endocrinologist or urologist. |
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http://www.ahpweb.org/pub/perspective/intersex.html
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| | Guidelines Created for `Intersex' Babies / Doctors release report on ambiguous genitalia |
| | Traditionally, parents of children with ambiguous genitalia would be urged to choose the child's gender as quickly as possible, and to have them undergo surgery as appropriate. | | | Some medical experts and patient advocates call for an immediate halt to early surgeries to ``correct'' an anomalous appearance, preferring to let the child make up his or her own mind at an appropriate age. | | | But she welcomed the message that premature attempts at gender-assignment can lead to family discord and a lifetime of harrowing psychological problems. |
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http://www.sfgate.com/cgi-bin/article.cgi?file=/chronicle/archive/2000/07/04/MN72774.DTL
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| | Management of Intersexuality |
| | We first, however, add this caveat: These recommendations are based on our experiences, the input of some trusted colleagues, the comments of intersexed persons of various etiologies and the best interpretation of our reading of the literature. | | | Our concern is primarily how the individual will develop and prefer to live post puberty when he or she becomes most sexually active. | | | In the majority of cases this sex of assignment will indeed be in concert with the appearance of the genitalia (e.g., in A.I.S. In certain childhood situations, however, such assignment will be counter to the genital appearance (e.g., for reductase deficiency [9]. |
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http://www.ukia.co.uk/diamond/diaguide.htm
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| | Intersex |
| | If the external genitalia, which form around the ninth week, do not match the internal sex organs, this is one way a baby can become intersexed. | | | Much of this process is not yet fully understood, but "as many as 30 conditions may lead to a child being considered intersexed" (Lehrman). | | | "For babies with ambiguous genitals whose condition is not life-threatening, Reiner [a Johns Hopkins psychiatrist and former surgeon of intersex children] advises holding off on surgery and letting them decide later." (Melissa Hendricks, "Into the Hands of Babes," Johns Hopkins Magazine, September 2000). |
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http://homepages.wmich.edu/%7Ebstraigh/AN120/AN120visuals/Intersex.html
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| | Ambiguous genitalia - MayoClinic.com |
| | Ambiguous genitalia is the medical term for a rare condition in which a newborn's external genitals don't appear clearly to be either male or female. | | | What can you tell me about this condition? | | | This can be very upsetting to parents and other family members. |
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http://www.mayoclinic.com/invoke.cfm?objectid=0BA25729-64AA-4DA6-9F14F1346729CADF
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| | The True Story of John/Joan (Rolling Stone) |
| | In terms of the possible nerve destruction caused by the amputation of genital appendages, Money assured doctors that according to studies he had conducted with the Hampsons, there was no evidence of loss of sensation. | | | Money's only provisos were that such "sex assignments" be done as early as possible – preferably within weeks of birth – and that once the sex was decided on, doctors and parents never waver in their decision, for fear of introducing dangerous ambiguities into the child's mind. | | | She denounces as "barbaric" the medically unnecessary treatments on newborns, who are not in a position to authorize surgery that may have an irreversible effect on their erotic or reproductive functioning. |
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http://www.pfc.org.uk/news/1998/johnjoan.htm
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| | Guide to Medical Intersexuality Vocabulary |
| | It is not clear to the compiler of this Manual why some doctors feel that primary hypogonadism should be followed by a genital election. | | | pseudohermaphrodite Pseudo=false; a pseudohermaphrodite is one whose falsely ambiguous genitals cruelly mislead the doctor into hopes of publication. | | | The Murk Manual How to Understand Medical Writing on Intersex ambiguous genitalia Genitalia that refuse to declare their sex to doctors--no doubt on the principle that under interrogation by the enemy you should give only name, rank, and serial number. |
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http://www.sexuality.org/l/transgen/intvoca.html
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| | Ambiguous Genitalia - Patient UK |
| | Ambiguous Genitalia - Patient UK PatientPlus articles are written for doctors and so the language can be technical. | | | Micropenis (stretched <2.5cm) not strictly ambiguous genitalia but may be associated with hypopituitarism or a range of hypogonadotrophic hypogonadism disorders (e.g. | | | Condition in which sex of newborn infant is uncertain from examination of external genitalia, frequently associated with metabolic defects causing hormonal deficiencies. |
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http://www.patient.co.uk/showdoc/40000421
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| | UpToDate Evaluation of the infant with ambiguous genitalia |
| | — Individuals who have a genital appearance that does not permit gender declaration are said to have ambiguous genitalia. | | | — The development of a logical approach to and differential diagnosis of the infant with ambiguous genitalia requires an understanding of normal human sexual development. | | | The evaluation of the infant with ambiguous genitalia is presented here. |
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http://patients.uptodate.com/topic.asp?file=pediendo/11554
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| | village voice > people > Savage Love by Dan Savage |
| | Most doctors encourage parents of babies with "ambiguous genitalia" to choose a gender and then surgically alter the newborn's genitals. | | | The parents are instructed to never tell the child he or she was born a he-she, lest they confuse the kid about his or her gender identity. | | | First I probably need to give a little background briefing to any readers out there confused by your letter: MARIO, you see, was born a hermaphrodite—aw, shit, I've already pissed off the trannies. |
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http://www.villagevoice.com/issues/0415/savage.php
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| | Article - Ambiguous Genitalia |
| | Abnormalities of sexual development may arise as a consequence of endocrine or morphologic derangement. | | | The genitalia develop during the first trimester of intrauterine life under the influence of the sex steroids. | | | There was a scrotal sac that was bifid with gonads felt bilaterally within the sac. |
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http://www.pens.org/articles/aultman_ambig-genitalia.htm
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| | Surgical Treatment of Infants with Ambiguous Genitalia: |
| | It is known, particularly from transsexuals, that casting doubt as to sexual identity usually forces greater introspection and security regarding a preferred life's direction even though counter to upbringing, parent's wishes, social and cultural norms and may result in less than adequate genitalia. | | | Subsequent cases should, however, be managed in light of this new evidence. | | | True, surgical reconstruction of traumatized male or ambiguous genitalia to that of a female, and attendant sex reassignment of males is mechanically easier than constructing a penis but there might be an unacceptable psychic price to pay. |
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http://www.hawaii.edu/PCSS/online_artcls/intersex/mdfnl.html
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| | The National Program for Managing Newborns with Ambiguous Genitalia |
| | •Urgent electrolytes are needed to determine if the cause of genital ambiguity is associated with salt losing (hypoNa and hyperK) or not. | | | The following investigations should be done for every patient with ambiguous genitalia | | | Abnormal genitalia are abnormal genitalia in a form of cliteromegaly, hypospadias, microphallus or undescended testes. |
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http://www.kfshrc.edu.sa/mop/html/the_national_program_for_manag.html
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| | ambiguous genitalia - General Practice Notebook |
| | The information provided herein should not be used for diagnosis or treatment of any medical condition. | | | Ambiguous genitalia refers to the clinical scenario where an infant's gender cannot be easily inferred from the outward appearence of his or her genitalia. | | | Oxbridge Solutions Ltd® is an independent company owned by the authors which does not receive income from any other organisation or individual. |
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http://www.gpnotebook.co.uk/cache/1194655786.htm
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| | Ambiguous Genitalia |
| | Crucial in the sex determination is the ability of the genitalia to function sexually in adulthood. | | | Both ovarian and testicular tissue is found in the same individual. | | | The professionals working with the parents must be consistent in the information that they give to the parents and family members. |
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http://pedclerk.bsd.uchicago.edu/ambiguousGenitalia.html
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| | ORPHANET - About rare diseases - About orphan drugs |
| | AFD ambiguous genitalia is malformative association of sporadic occurrence has been described in only one case. | | | Minor visceral anomalies are found: hydronephrosis and urethral stenosis. | | | Predominant preaxial limb anomalies (symphalangism and digitalisation of the thumbs, clinodactyly of the fingers predominantly on the ulnar ray) are associated with ambiguous genitalia (phallus/scrotum transposition, micropenis, cryptorchidism and hypospadias) and mandibulofacial anomalies (apparent exophtalmos with hypoplastic supraorbital ridges, severe microstomia and retrognathism, low-set ears with helix hypoplasia). |
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http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Lng=GB&Expert=1785
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| | ambiguous genitalia |
| | Compiled on this site is all of the information you need to fulfill your learning needs. | | | When you want to learn how to do something the first place you look is the internet. | | | The problem is that there are very few resources to let you know about ambiguous genitalia so we have decided to give you what you are looking for, a free internet resource about ambiguous genitalia. |
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http://www.uncomfortabletopics.info/ambiguous-genitalia.html
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| | How common is intersex? Intersex Society of North America |
| | But a lot more people than that are born with subtler forms of sex anatomy variations, some of which won’t show up until later in life. | | | Here’s what we do know: If you ask experts at medical centers how often a child is born so noticeably atypical in terms of genitalia that a specialist in sex differentiation is called in, the number comes out to about 1 in 1500 to 1 in 2000 births. | | | Do you count “sex chromosome” anomalies as intersex if there’s no apparent external sexual ambiguity? |
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http://www.isna.org/faq/frequency.html
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| | xyTurners - Genetic Mosaics Support Group |
| | Approximately 5% are female with Turner's syndrome and approximately 5% are born with ambiguous genitals. | | | An XY/XO baby may have a streak ovary, a testis, or an ovatestis on either side. |
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http://www.xyxo.org
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| | Tongue Tied - 'Ambiguous Genitalia'??? |
| | The rooms will be set aside for transgender students, described as those born with ambiguous genitalia or who don't identify with their physical sex. | | | The gender-blind housing arose partly out of recent changes to the university nondiscrimination policy, which now includes the terms "gender identity and gender expression" in the list of people enjoying special protection. | | | Students who opt for the floor will have roommates appointed without regard to their sex, perceived or otherwise. |
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http://www.tonguetied.us/archives/000510.php
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| | Erectile Facts - Genes, Not Genitalia, Are Key to Gender |
| | However, most laws in the United States assume that every person is clearly a male or female, and many children with ambiguous genitalia continue to undergo surgical sex assignment, according to Cleveland State University legal expert Susan Becker. | | | Erectile Facts - Genes, Not Genitalia, Are Key to Gender | | | The U.S. National Library of Medicine has more about ambiguous genitalia (www.nlm.nih.gov). |
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http://www.erectilefacts.com/ms/news/524056/main.html
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| | Black helicopters prompt burnt toast pandemic The Register |
| | Intersexed people would include people who are born with ambiguous genitalia, are chimeras, or have genetic differences that make determining sex different. | | | Genderqueer and intergendered people consider themselves neither male or female, both male and female, or between male and female. |
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http://www.theregister.co.uk/2005/10/18/letters_1810
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