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Medical News
October 12, 1964

Hermaphroditism, Related Abnormalities Classified

JAMA. 1964;190(2):29-30. doi:10.1001/jama.1964.03070150097049

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Abstract

Various types of male and female hermaphroditism and a system for classification of intersex and related abnormalities were described by a physician at a district meeting of the American College of Obstetricians and Gynecologists, held Oct 3 in Jacksonville, Fla.

David L. Barclay, MD, Tulane University Medical School, New Orleans, said, "In our experience, the most common variety of female hermaphroditism is that associated with congenital adrenal cortical hyperplasia." The deformity of the external genitalia characteristically consists of a urogenital sinus and clitoral hypertrophy.

Barclay explained that a female hermaphrodite is a genetic female, exhibiting varying degrees of virilization of the external genitalia, but otherwise normal development (the ovaries and mullerian ducts differentiate and wolffian structures regress).

Virilization of the external genitalia is usually secondary to excessive stimulation by androgenic substances. If the degree of virilization is sufficient, the individual may be classified as a hermaphrodite. The androgens may be

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