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中间性
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导言
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定
义
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墨丘利神（希神：赫耳墨斯——为众神传信并掌管商业、道路、科学、发明、口才、幸运等的神，译者注）的占星神符。底部的十字代表女性，顶部的盈月代表男性。圆环代表操持男女要素平衡的这个希神。这个神符现在也常常用来代表人类的中间性。
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中间性是指个体的性器官天生有显著的不寻常性发育或者有某些染色体异常所致的症状。这种不寻常的性发育可能导致不确定的身体外观而难以直接和明确地做出性别确认。这种生理状态常常影响到外部性器官并因此在出生的当口就会被人辨别出来。而其他一些病例，外部性器官一受到影响，症状在出生时就可能被“隐藏”起来，直到好久以后通过医学检查才暴露出症状的真相。还有一些病例，外部和内部性器官都受到影响或外部性器官和内部性器官与染色体性别相矛盾(XY
女性)。所出现的某些症状通过早期的外科手术可能得到矫正。在其他复杂的病例，这样的外科手术和别的治疗手段可能不得不完全地避免或延至许多年之后。
某些作者使用术语“中间性”非常宽泛，把它扩展到一些相比而言相对简单的生理结构特征的改变，譬如把非常突出的阴蒂头或非常细小的阴茎或尿道下裂甚或隐睾症等也称为“中间性”。然而，在此我们并不苟同这样的用法。只要没有进一步的解剖结构的异常，后面所列举的这些生理结构状态最好以其自身的特性做出评断。阴蒂头或阴蒂体或阴茎“适当的”尺寸是一个看法不同的问题，并且所谓“矫治的”干预措施因而也许是多余的甚或有害的。相反，能够用外科手术修补的单纯性尿道下裂应该毫不迟疑和毋庸过多地争论，给予修补手术治疗好了。隐睾症也需要及时的医学诊疗，以避免后续严重的并发症。 |
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Intersexuality - Introduction
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Definition
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Astrological sign for Mercury (gr. Hermes). The cross at the bottom represents femaleness, the crescent moon at the top maleness. The ring represents the individual holding the female and male elements in balance. This sign is now also often used for human intersexuality
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Intersexuality is the condition of persons born with a significantly atypical development of their sex organs or with certain chromosomal irregularities.This can result in an indeterminate physical appearance and make an immediate and definite sex assignment difficult. The condition very often affects the
external sex organs and is therefore promptly recognized at birth. In other cases, when the
internal sex organs are affected, the problem may at first be “hidden” and revealed much later by a medical examination. In still other cases both the external and internal sex organs are affected or they are formed in contradiction to the person’s chromosomal sex (XY females). Certain problems can be corrected by early surgery. In other, more complicated cases, such surgery and other treatments may have to be avoided altogether or postponed until many years later.
Some writers use the term “intersexuality” very broadly and extend it to cover relatively simple conditions such as a very prominent clitoral glans or a very small penis or
hypospadia or even
undescended testicles. However, we do not follow this usage here. As long as there are no further anatomical irregularities, these latter conditions are better evaluated on their own merits. The “right” size of a clitoral glans or body or of a penis is a matter of opinion, and “corrective” interventions may therefore be superfluous or even harmful. In contrast, a simple hypospadia that can be surgically repaired should be repaired without much soul-searching and extended discussions. Undescended testicles also require timely medical attention in order to avoid later serious health problems. |
