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October 1997, Vol 151, No. 10 >
Article | October 1997

Sex Reassignment at Birth-Reply FREE

Milton Diamond, PhD; H. Keith Sigmundson, MD
Arch Pediatr Adolesc Med. 1997;151(10):1063. doi:10.1001/archpedi.1997.02170470096024.
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In our article,1 we limited our recommendation for treatment to those cases similar in nature, ie, individuals whose only medical situation was that of having a traumatic loss of the penis postnatally. Dr Benjamin asks for advice on management for a much broader spectrum of conditions. He asks for (1) advice for those cases most likely to confront the general practice physician, (2) how this case differs from those in which individuals who are born with normal genitalia request a change of sex, and (3) if the case originally reported is only of statistical interest. We respond to these questions in reverse order.

Cases of a neonate losing his penis due to trauma are exceedingly rare. The particular case reported is notable as it was initially taken as proof for a model of treatment by which cases of ambiguous genitalia came to be managed. From the original reports of

REFERENCES

1 +
Diamond M, Sigmundson HK.  Sex reassignment at birth: long-term review and clinical implications . Arch Pediatr Adolesc Med . 1997;;151:298-304.
2 +
Benjamin H. The Transsexual Phenomenon . New York, NY: Julian Press Inc; 1966;.
3 +
Diamond M.  Self-testing: a check on sexual identity and other levels of sexuality . In: Bullough B, Bullough VL, Elias J, eds. Gender Bending . Buffalo, NY: Prometheus Books; 1997;:103-125.
4 +
Diamond M.  Sexual identity and sexual orientation in children with traumatized or ambiguous genitalia . J Sex Res . 1997;;34:199-211.
5 +
Diamond M, Sigmundson HK.  Management of intersexuality: guidelines for dealing with individuals with ambiguous genitalia . Arch Pediatr Adolesc Med . 1997;;151:1046-1050.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Diamond M, Sigmundson HK.  Sex reassignment at birth: long-term review and clinical implications . Arch Pediatr Adolesc Med . 1997;;151:298-304.
2 +
Benjamin H. The Transsexual Phenomenon . New York, NY: Julian Press Inc; 1966;.
3 +
Diamond M.  Self-testing: a check on sexual identity and other levels of sexuality . In: Bullough B, Bullough VL, Elias J, eds. Gender Bending . Buffalo, NY: Prometheus Books; 1997;:103-125.
4 +
Diamond M.  Sexual identity and sexual orientation in children with traumatized or ambiguous genitalia . J Sex Res . 1997;;34:199-211.
5 +
Diamond M, Sigmundson HK.  Management of intersexuality: guidelines for dealing with individuals with ambiguous genitalia . Arch Pediatr Adolesc Med . 1997;;151:1046-1050.

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