ABSTRACT
The birth of an infant with ambiguous genitalia is one of the common clinical manifestations of disorders of sex development(DSD),and dealing with the sex of rearing is an embarrassment for their parents as well as primary care physician.At one time,the ability to surgically create sexually functional genitalia was thought as a dominant factor in decision-making,later gonadal histology (testicular or ovarian) was thought to indicate the true sex/gender,subsequently,sex chromosomes and genomic features became a major factor in identifying the true sex/gender.Now research in molecular biology has revealed the brain is another most important sexual organ playing a crucial role in social psychological gender determination.In recent decade,since the genetic diagnosis and endoscopic surgery technology dramatically develop,the approach to sex of rearing decisions in patients with DSD has changed fundamentally.Now,the current understanding and controversies on gender assignment in DSD individuals are reviewed,and the multidisciplinary approach to gender assignment and care of these patients and their family are highlighted.
ABSTRACT
O estudo investigou as representações de mães e pais sobre a constituição de identidade de gênero em crianças nascidas com diagnóstico de Anomalias da Diferenciação Sexual (ADS). As ADS são distúrbios da diferenciação sexual que resultam em ambiguidade genital na criança. O estudo tem um delineamento qualitativo, com três mães e três pais de crianças nascidas com ADS, de diferentes idades. Utilizou-se a entrevista narrativa e a análise de conteúdo para coleta e análise dos dados. Os resultados mostraram que mães e pais entendem que a identidade de gênero se constitui através da anatomia da genitália, do sexo de criação com o qual a criança é educada e do reconhecimento social que a criança recebe no ambiente em que vive...
The present study investigated the representations of gender identity construction by mothers and fathers whose children were born with Disorders of Sex Development (DSD). DSD are disorders of sex differentiation which result in ambiguous genitalia in children. A qualitative study with three mothers and three fathers, whose children of different ages were born with DSD, was carried out. Narrative interviews and content analyses were, respectively, the methodological procedures used to collect and analyze the data. Results showed that the criteria mothers and fathers consider as fundamental for the gender identity construction are the genital anatomy, how the child is raised, and the social recognition of the environment where the child lives...