Letters Parental choice on normalising cosmetic genital surgery

The need for support and education for parents of children with reproductive differences

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h5717 (Published 27 October 2015) Cite this as: BMJ 2015;351:h5717
  1. Arlene Baratz, physician and director and family and medical adviser1
  1. 1Androgen Insensitivity Syndrome-Differences of Sex Development Support Group, Pittsburgh, PA, USA
  1. Arlene.baratz{at}aisdsd.org

Although 25% of adults with differences of sex development may defy “male/female” categorisation,1 clinicians often reinforce children’s gender irreversibly despite future uncertainty.2 Although current functional/cosmetic aims promote doing surgery over “doing nothing,” non-medicalised education can promote acceptance.3 Because 40% of parents do not completely understand their child’s difference,4 standardised, balanced education …

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