However, intersex surgery has long-term consequences for affected individuals.
Later in life, for example, the person may not be satisfied with the results of surgery and may not identify with the assigned .
Thus, patient consent has become an increasingly important part of decisions about intersex surgery, such that surgery may be delayed until adolescence or adulthood, after patients have had sufficient time to consider their gender and are able to make informed decisions about treatment.
In older individuals the accepted gender may be reinforced by the appropriate surgical procedures and by hormonal therapy.
Nonetheless, in the asynchronous forms the transformation from one sex to the other may be viewed as ordinary histological differentiation; a decrease in the number of cells of one gonadal type is followed by an increase in the number of cells of the other type.
An intervening “intersex” stage may prevail in some species ( has proposed that the switch may result from an antagonism between masculinizing inducers (androgenic steroids) and feminizing inducers (estrogenic steroids).
Most often, but not always, the chromosome complement is 46, XX, and in every such individual there also exists evidence of Y chromosomal material on one of the autosomes (any of the 22 pairs of chromosomes other than the chromosomes).
Individuals with a 46, XX chromosome complement usually have ambiguous external genitalia with a sizable phallus and are therefore often reared as males. Historically, if diagnosed at birth, the choice of sex was made (typically by parents) based on the condition of the external genitalia (i.e., which sex organs predominate), after which so-called intersex surgery was performed to remove the gonads of the opposite sex.
They are adjudged to belong to that which prevails in them.
(Asexuality ignored.) Fetishism may also play into it.
The hermaphrodite equivalent to Even the Guys Want Him and Even the Girls Want Her.
Her clitoris was five or six inches long, and in coition, which she greatly enjoyed, she used this instead of the male organ.
The individual was called Elizabeth, and till the age of eighteen, wore the female dress, when she threw it off, and assumed the name of Rees, with the dress and habits of a man; at twenty-five, she married a woman, but had no children.
Even those who are normally attracted to a single gender will make an exception for this individual.