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February 9, 1952


Author Affiliations

From the Departments of Gynecology, Obstetrics, and Urology, and the Henry Baird Favill Laboratory, St. Luke's Hospital, and Northwestern University Medical School. Dr. Brewer is now at Passavant Memorial Hospital.

JAMA. 1952;148(6):431-435. doi:10.1001/jama.1952.02930060013004

The term true hermaphrodite is used to indicate that the person is bisexual in both the gonadal and secondary sex structures. A true hermaphrodite, in the classic sense1 should be able to fertilize a female, be fertilized by a male, and fertilize itself; but no such instance is authoritatively reported in the literature. The term pseudohermaphrodite indicates that the person has gonads of one sex and is bisexual in the secondary sex structures.

Hinman2 has classified true hermaphrodites concisely as follows: (1) bilateral: testis and ovary (ovotestis) on each side, (2) unilateral: ovotestis on one side with ovary or testis on the other side, and (3) lateral or alternating: testis on one side and ovary on the other side. The patient reported here is a true hermaphrodite of the unilateral type, according to Hinman's classification. The extreme rarity of proved instances of true hermaphroditism and the widely divergent

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