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As an endocrinologist in Boston told me: Then, the thinking went, the non-consensual surgeries would stop, social awareness would garner acceptance, and the intersex community could flourish. A change in medical paradigms requires a shift in understanding what the medical evidence shows. The truth, when it finally came, was both liberating and traumatizing: The child had, in fact, not grown up to identify as a woman, but a man — and transitioned in his 20s. The procedures are irreversible, severed nerves cannot regrow, and scar tissue can limit options for future surgery. But as wonderful and historic as these changes are, no institution has fully implemented them.

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In , the patient, David Reimer, committed suicide. This being said, the ISNA didn't condemn surgery in general, and believed that people with intersex should be allowed to opt for genital reconstruction, if they want to, when they can fully consent for the operations themselves. The procedures are irreversible, severed nerves cannot regrow, and scar tissue can limit options for future surgery. But as wonderful and historic as these changes are, no institution has fully implemented them. The suggested solution put forth by the ISNA was to restructure the system of intersex taxonomy and nomenclature to not include the words 'hermaphrodite', 'hermaphroditism', 'sex reversal', or other similar terms. But the default-to-surgery paradigm persists. But despite these advances, the surgical status quo remains largely intact and medical justifications for cosmetic surgeries ring increasingly hollow. More cautious approach to surgery:

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There are no mechanisms are in place to foster implementation nor to evaluate to what extent these changes improve health care experiences and outcomes for persons and families affected by DSDs. Her California mailbox began to fill with letters from people describing similar experiences. Katrina Karkazis, an ethicist at Stanford, argued in book Fixing Sex: More cautious approach to surgery: Advocacy[ edit ] Physical integrity and bodily autonomy[ edit ] The Phall-O-Meter satirizes clinical assessments of appropriate clitoris and penis length at birth. We believe the most fruitful way to move beyond the current dynamic is to support a new organization with a mission to promote integrated, comprehensive approaches to care that enhance the overall health and well-being of persons with DSDs and their families. It also states that the functional outcome of genital surgeries should be emphasized, not just cosmetic appearance.

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And so the inertia persists. Too often, the absence of evidence becomes part of the justification for continuing early surgery. With Accord Alliance in place, ISNA can close its doors with the comfort and knowledge that its work will continue to have an impact. This website will remain up as a historical artifact.

Sometimes called "lazy person's yoga" Thai massage employs stretching, muscle compression, and rocking to increase flexibility and relieve tension. What does ISNA recommend What do intersex and the same-sex marriage Does ISNA run support groups or an e-mail list for people with intersex conditions?

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