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A baby born without a penis is considered a female and raised as a girl. Parents and others he trusts call him "girl" and he wants to believe them.

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Also recommended is that follow-up studies be instituted on past cases, and honesty and counseling be the core of initial and subsequent treatment.



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To date, no adult has come forth to say that she was grateful for having had this surgery performed without her consent. Many androgynous persons have occult and undiagnosed conditions of pAIS.

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If a male prefers to see himself as a woman I use the female pronoun to refer to her. Accordingly, it is not possible for a patient's parents to give informed consent to these procedures precisely because it is not clearly known what happens to the adults these infant patients become; the appropriate studies, with comparable controls and adequate measures, are lacking and sorely needed.

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Title: Pediatric Management of Ambiguous and Traumatized Genitalia

Appendix D Women can be well adjusted with large clitorises There is no evidence that these surgeries are required for healthy psychosocial development. Only a minority thought secrecy of their condition was appropriate and then only for the very young, those mentally retarded or those already clinically depressed. But other hormones can block the normal formation of cortisol and lead to CAH. About half would have wanted their clitoris reduced only if the larger than normal clitoris caused health problems.
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