Experiment of Nurture: Ablatio Penis at 2 Months, Sex Reassignment at 7 Months, and a Psychosexual Follow-up in Young Adulthood

  title={Experiment of Nurture: Ablatio Penis at 2 Months, Sex Reassignment at 7 Months, and a Psychosexual Follow-up in Young Adulthood},
  author={Susan J. Bradley and Gillian D. Oliver and Avinoam B. Chernick and Kenneth J. Zucker},
  pages={e9 - e9}
Guidelines of psychosexual management for infants born with physical intersex conditions are intended to assist physicians and parents in making decisions about sex of assignment and rearing including the following: 1) sex assignment should be to the gender that carries the best prognosis for good reproductive function, good sexual function, normal-looking external genitalia and physical appearance, and a stable gender identity; 2) the decision regarding sex assignment should be made as early… 
Gender Self-Reassignment in an XY Adolescent Female Born With Ambiguous Genitalia
There have been few reports of long-term follow-up on the stability of gender reassignment for XY children born with functional testes and androgen receptors.
A Newborn Infant With a Disorder of Sexual Differentiation*
CASE Following an uncomplicated 38-weeks pregnancy, a normal labor, and delivery with Apgar scores 8 and 9 at 1 and 5 minutes, respectively, a newborn was delivered with a birth weight of 6 pounds 5
A newborn infant with a disorder of sexual differentiation.
CASE. Following an uncomplicated 38 weeks pregnancy, a normal labor, and delivery with Apgar scores 8 and 9 at 1 and 5 minutes, respectively, a newborn was delivered with a birth weight of 6 pounds 5
Gender Identity Reversal in an Adolescent with Mixed Gonadal Dysgenesis
The patient supports the idea that gender identity is imprinted prenatally by hitherto poorly understood mechanisms and that sex assignment in infants with ambiguous genitalia needs careful consideration of not solely endocrinological and anatomical data.
Management of Infants Born with Ambiguous Genitalia
Under ideal circumstances, an experienced team of specialists in pediatric endocrinology, pediatric urology, genetics, psychology, and radiology come together promptly to help parents and primary care physicians understand which tests are being ordered and how these studies will help in deciding sex assignment.
Gender Identity Outcome in Female-Raised 46,XY Persons with Penile Agenesis, Cloacal Exstrophy of the Bladder, or Penile Ablation
The findings clearly indicate an increased risk of later patient-initiated gender re-assignment to male after female assignment in infancy or early childhood, but are nevertheless incompatible with the notion of a full determination of core gender identity by prenatal androgens.
Psychological Long-Term Outcome in Intersex Conditions
Recent reviews on gender dysphoria and gender change in patients with intersex conditions show that initial gender assignment still seems to be the best predictor of adult gender identity.
Intersexuality in the Family: An Unacknowledged Trauma
  • A. Lev
  • Medicine, Psychology
  • 2006
Recommendations for alternative treatment protocols and calls for the inclusion of social workers and other mental health experts as part of an interdisciplinary treatment team to serve as advocates, educators, psychotherapists and family systems experts, addressing ongoing issues in the lives of families and children living with intersex conditions.
Gender assignment and reassignment in 46,XY pseudohermaphroditism and related conditions.
Recommendations on the assignment and reassignment of gender based on the expected optimal outcome in terms of psychosexual, reproductive, and overall psychologic/psychiatric functioning are reviewed.
Genital Surgery among Females with Congenital Adrenal Hyperplasia: Changes Over the Past Five Decades
The treatment of intersex patients, including any patient born with genital ambiguity, is being reassessed. The re-evaluation is primarily focused upon the indications for and age of genital surgery,


Case consultation: ablatio penis.
  • J. Money
  • Medicine, Psychology
    Medicine and law
  • 1998
There is, as yet, no unanimously endorsed set of guidelines for the treatment of genital trauma and mutilation in infancy, and no provision for a statistical depository for outcome data.
Ablatio penis: Normal male infant sex-reassigned as a girl
  • J. Money
  • Medicine, Psychology
    Archives of sexual behavior
  • 1975
Thirty-five cases of genetic males assigned and habilitated as females, 43 because of a congenitally defective penis, and two because of infantile ablatio penis, demonstrate that the twin can expect to be feminine in erotic expression and sexual life.
Sex reassignment at birth. Long-term review and clinical implications.
This article is a long-term follow-up to a classic case reported in pediatric, psychiatric, and sexological literature. The penis of an XY individual was accidentally ablated and he was subsequently
Psychosexual Development of Women with Congenital Adrenal Hyperplasia
Compared to the controls, the women with CAH recalled more cross-gender role behavior and less comfort with their sense of "femininity" during childhood, and the two groups did not differ in degree of gender dysphoria in adulthood, although the probands showed moreCross- gender role identification.
Sexual identity and sexual orientation in children with traumatized or ambiguous genitalia
It has long been proposed that the development of sexual orientation and sexual identity is due to an interaction of both constitutional and social forces (Diamond, 1965). A great deal of evidence
A Critical Evaluation of the Ontogeny of Human Sexual Behavior
  • M. Diamond
  • Psychology
    The Quarterly Review of Biology
  • 1965
This article defends the view of inherent somatic sexuality organizing man's psychosexual development by reviewing man's place on the evolutionary continuum, and the broad base of sexual behavior within this discussion must be considered.
To be male or female--that is the question.
  • W. Reiner
  • Psychology
    Archives of pediatrics & adolescent medicine
  • 1997
A case with longitudinal insights illustrative of what "proper maleness and femaleness" might be is reported, that of a 46 XY child who was sex reassigned in infancy due to traumatic loss of the penis.
Gender Change from Female to Male in Classical Congenital Adrenal Hyperplasia
The most plausible factors contributing to cross-gender identity development in these patients appeared to be neither a particular genotype or endocrinotype nor a sex-typing bias on the part of the parents but a combination of a gender-atypical behavioral self-image, aGender- atypical body image, and the development of erotic attraction to women.