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March 1997

Sex Reassignment at BirthLong-term Review and Clinical Implications

Author Affiliations

From the Department of Anatomy and Reproductive Biology, Pacific Center for Sex and Society, University of Hawaii-Manoa, John A. Burns School of Medicine, Honolulu (Dr Diamond); and the Department of Psychiatric Services, Ministry of Health, Victoria, British Columbia (Dr Sigmundson).

Arch Pediatr Adolesc Med. 1997;151(3):298-304. doi:10.1001/archpedi.1997.02170400084015

This article is a long-term follow-up to a classic case reported in pediatric, psychiatric, and sexological literature. The penis of an XY individual was accidentally ablated and he was subsequently raised as a female. Initially this individual was described as developing into a normally functioning female. The individual, however, was later found to reject this sex of rearing, switched at puberty to living as a male, and has successfully lived as such from that time to the present. The standard in instances of extensive penile damage to infants is to recommend rearing the male as a female. Subsequent cases should, however, be managed in light of this new evidence.

Arch Pediatr Adolesc Med. 1997;151:298-304