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. 2004 Sep;89(9):847–850. doi: 10.1136/adc.2003.035899

Intersex and gender assignment; the third way?

S Ahmed 1, S Morrison 1, I Hughes 1
PMCID: PMC1763208  PMID: 15321864

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Selected References

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  1. Ahmed S. F., Dobbie R., Finlayson A. R., Gilbert J., Youngson G., Chalmers J., Stone D. Prevalence of hypospadias and other genital anomalies among singleton births, 1988-1997, in Scotland. Arch Dis Child Fetal Neonatal Ed. 2004 Mar;89(2):F149–F151. doi: 10.1136/adc.2002.024034. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Berenbaum S. A. Effects of early androgens on sex-typed activities and interests in adolescents with congenital adrenal hyperplasia. Horm Behav. 1999 Feb;35(1):102–110. doi: 10.1006/hbeh.1998.1503. [DOI] [PubMed] [Google Scholar]
  3. Berenbaum Sheri A., Bailey J. Michael. Effects on gender identity of prenatal androgens and genital appearance: evidence from girls with congenital adrenal hyperplasia. J Clin Endocrinol Metab. 2003 Mar;88(3):1102–1106. doi: 10.1210/jc.2002-020782. [DOI] [PubMed] [Google Scholar]
  4. Berenbaum Sheri A., Bailey J. Michael. Effects on gender identity of prenatal androgens and genital appearance: evidence from girls with congenital adrenal hyperplasia. J Clin Endocrinol Metab. 2003 Mar;88(3):1102–1106. doi: 10.1210/jc.2002-020782. [DOI] [PubMed] [Google Scholar]
  5. Chang H. J., Clark R. D., Bachman H. The phenotype of 45,X/46,XY mosaicism: an analysis of 92 prenatally diagnosed cases. Am J Hum Genet. 1990 Jan;46(1):156–167. [PMC free article] [PubMed] [Google Scholar]
  6. Creighton S. M., Minto C. L., Steele S. J. Objective cosmetic and anatomical outcomes at adolescence of feminising surgery for ambiguous genitalia done in childhood. Lancet. 2001 Jul 14;358(9276):124–125. doi: 10.1016/S0140-6736(01)05343-0. [DOI] [PubMed] [Google Scholar]
  7. Cull Melissa. Treatment of intersex needs open discussion. BMJ. 2002 Apr 13;324(7342):919–919. doi: 10.1136/bmj.324.7342.919. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Diamond M., Sigmundson H. K. Sex reassignment at birth. Long-term review and clinical implications. Arch Pediatr Adolesc Med. 1997 Mar;151(3):298–304. doi: 10.1001/archpedi.1997.02170400084015. [DOI] [PubMed] [Google Scholar]
  9. Hines M. Abnormal sexual development and psychosexual issues. Baillieres Clin Endocrinol Metab. 1998 Apr;12(1):173–189. doi: 10.1016/s0950-351x(98)80563-6. [DOI] [PubMed] [Google Scholar]
  10. Hines M., Kaufman F. R. Androgen and the development of human sex-typical behavior: rough-and-tumble play and sex of preferred playmates in children with congenital adrenal hyperplasia (CAH). Child Dev. 1994 Aug;65(4):1042–1053. [PubMed] [Google Scholar]
  11. Hines Melissa, Ahmed S. Faisal, Hughes Ieuan A. Psychological outcomes and gender-related development in complete androgen insensitivity syndrome. Arch Sex Behav. 2003 Apr;32(2):93–101. doi: 10.1023/a:1022492106974. [DOI] [PubMed] [Google Scholar]
  12. Kandemir N., Yordam N. Congenital adrenal hyperplasia in Turkey: a review of 273 patients. Acta Paediatr. 1997 Jan;86(1):22–25. doi: 10.1111/j.1651-2227.1997.tb08824.x. [DOI] [PubMed] [Google Scholar]
  13. MONEY J., HAMPSON J. G., HAMPSON J. L. Imprinting and the establishment of gender role. AMA Arch Neurol Psychiatry. 1957 Mar;77(3):333–336. doi: 10.1001/archneurpsyc.1957.02330330119019. [DOI] [PubMed] [Google Scholar]
  14. Mendonca B. B., Inacio M., Arnhold I. J., Costa E. M., Bloise W., Martin R. M., Denes F. T., Silva F. A., Andersson S., Lindqvist A. Male pseudohermaphroditism due to 17 beta-hydroxysteroid dehydrogenase 3 deficiency. Diagnosis, psychological evaluation, and management. Medicine (Baltimore) 2000 Sep;79(5):299–309. doi: 10.1097/00005792-200009000-00003. [DOI] [PubMed] [Google Scholar]
  15. Minto Catherine L., Liao Lih-Mei, Woodhouse Christopher R. J., Ransley Phillip G., Creighton Sarah M. The effect of clitoral surgery on sexual outcome in individuals who have intersex conditions with ambiguous genitalia: a cross-sectional study. Lancet. 2003 Apr 12;361(9365):1252–1257. doi: 10.1016/S0140-6736(03)12980-7. [DOI] [PubMed] [Google Scholar]
  16. Méndez J. P., Ulloa-Aguirre A., Imperato-McGinley J., Brugmann A., Delfin M., Chávez B., Shackleton C., Kofman-Alfaro S., Pérez-Palacios G. Male pseudohermaphroditism due to primary 5 alpha-reductase deficiency: variation in gender identity reversal in seven Mexican patients from five different pedigrees. J Endocrinol Invest. 1995 Mar;18(3):205–213. doi: 10.1007/BF03347803. [DOI] [PubMed] [Google Scholar]
  17. Reilly J. M., Woodhouse C. R. Small penis and the male sexual role. J Urol. 1989 Aug;142(2 Pt 2):569–572. doi: 10.1016/s0022-5347(17)38818-3. [DOI] [PubMed] [Google Scholar]
  18. Reiner William G., Gearhart John P. Discordant sexual identity in some genetic males with cloacal exstrophy assigned to female sex at birth. N Engl J Med. 2004 Jan 22;350(4):333–341. doi: 10.1056/NEJMoa022236. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Sandberg D. E., Meyer-Bahlburg H. F., Yager T. J., Hensle T. W., Levitt S. B., Kogan S. J., Reda E. F. Gender development in boys born with hypospadias. Psychoneuroendocrinology. 1995;20(7):693–709. doi: 10.1016/0306-4530(95)00025-9. [DOI] [PubMed] [Google Scholar]
  20. Sax Leonard. How common is intersex? a response to Anne Fausto-Sterling. J Sex Res. 2002 Aug;39(3):174–178. doi: 10.1080/00224490209552139. [DOI] [PubMed] [Google Scholar]
  21. Slijper F. M., Drop S. L., Molenaar J. C., de Muinck Keizer-Schrama S. M. Long-term psychological evaluation of intersex children. Arch Sex Behav. 1998 Apr;27(2):125–144. doi: 10.1023/a:1018670129611. [DOI] [PubMed] [Google Scholar]
  22. Telvi L., Lebbar A., Del Pino O., Barbet J. P., Chaussain J. L. 45,X/46,XY mosaicism: report of 27 cases. Pediatrics. 1999 Aug;104(2 Pt 1):304–308. doi: 10.1542/peds.104.2.304. [DOI] [PubMed] [Google Scholar]
  23. Wisniewski A. B., Migeon C. J., Gearhart J. P., Rock J. A., Berkovitz G. D., Plotnick L. P., Meyer-Bahlburg H. F., Money J. Congenital micropenis: long-term medical, surgical and psychosexual follow-up of individuals raised male or female. Horm Res. 2001;56(1-2):3–11. doi: 10.1159/000048083. [DOI] [PubMed] [Google Scholar]
  24. Wisniewski Amy B., Migeon Claude J. Long-term perspectives for 46,XY patients affected by complete androgen insensitivity syndrome or congenital micropenis. Semin Reprod Med. 2002 Aug;20(3):297–304. doi: 10.1055/s-2002-35376. [DOI] [PubMed] [Google Scholar]
  25. Woelfle J., Hoepffner W., Sippell W. G., Brämswig J. H., Heidemann P., Deiss D., Bökenkamp A., Roth C., Irle U., Wollmann H. A. Complete virilization in congenital adrenal hyperplasia: clinical course, medical management and disease-related complications. Clin Endocrinol (Oxf) 2002 Feb;56(2):231–238. doi: 10.1046/j.0300-0664.2001.01463.x. [DOI] [PubMed] [Google Scholar]
  26. Zucker K. J. Intersexuality and gender identity differentiation. Annu Rev Sex Res. 1999;10:1–69. [PubMed] [Google Scholar]

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