Course 1
Problems
Intersexuality
Intersexuality
-人類性的基本層面
Sex
- Basic Aspects of Human Sexuality
性激素的功能:兩性畸形
舉例

在罕見的病例,發現同一個人兼有卵巢和睾丸組織。在其他病例,發現具有一個性別的性腺又有另一個性別的外部性器官。另外,有一種極為罕見的染色體異常,患者對“男性激素”的刺激缺乏敏感性。如果是男性胎兒,這種情況會導致“女性激素”起主導作用,結果就是他發育出了女性外部性器官,但相應的內部性器官卻缺少了。總而言之,這類可能的畸形發育種類是非常多的。

我們能做什麼?

對於兩性畸形患者,在後天養育方面如何決定他們的性別?這得依據各個病例的具體情況而定。通常有許多的選擇,從激素治療、外科矯正手術到心理諮詢,如此等等。現今,外科矯正手術通常會延期,直到患者本人發育到青春期,而且對治療有了發言權後才作出選擇。現在,有數個與兩性畸形關懷有關的機構,這裏就有一個例子:
The Role of Hormones: Intersexuality
Examples

In very rare cases, one finds both ovarian and testicular tissue in the same body. In other cases, one finds the gonads of one sex and the external sex organs of the other sex. In addition, there is a very rare chromosomal condition characterized by an insensitivity to 'male hormone' stimulation. In male fetuses, this leads to a dominant influence of 'female hormones'. As a result, the baby shows apparently female external sex organs, but the corresponding internal structures are missing. In sum: There is a large spectrum of possible problems of this sort.

What can be done?


It depends on the individual case, how one decides on the sex of assignment and rearing. There are usually a number of options, ranging from hormonal treatment and cosmetic surgery to psychological counseling. Today, surgical options are usually postponed until the individual reaches puberty and can have a say in the treatment. There are now several organizations that articulate the interests of those concerned. Here is an example:
[Course 1] [Problems] [Intersexuality]