2. Intersex rights: Understanding sex assignment and genital surgery

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  • Created by: Alasdair
  • Created on: 09-12-17 14:06
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  • 2. Intersex rights: Understanding sex assignment and genital surgery
    • What is sex assignment?
      • Legally each person must have a sex and (in the UK) there are only two options.
      • So when an infant is identified as intersex a decision must be made about what sex to categorise them as
      • These decisions are often, but not always, accompanied by medical procedures to bring the infant's body into line with what is considered normal for that sex.
    • Sex  assignment and medical procedures
      • Genital surgery
        • To create a more 'normal' appearance
        • E.g. clitoral reduction
      • Surgery to reproductive organs
        • e.g. removal of internal testes in people assigned as female
      • Hormone treatment to bring person into typical hormone range for assigned sex
      • Note:
        • Some intersex people also required medical treatment not for purposes of sex assignment
    • How sex is assigned:
      • Possibility of pregnancy
        • Yes
          • Assign female
        • No
          • Functioning penis?
            • Yes
              • Assign male
            • No
              • Assign female
    • What is a 'functioning penis'?
      • Medical conception of a 'functioning penis' in context of sex assignment decisions:
        • Allows for standing urination
        • Allows for 'normal' vaginal penetration
        • Won't expose the person to 'locket room teasing'
      • In a newborn, a phallic structure of less than 2 cm is considered borderline, less than 1.5 cm would indicate assignment as female

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