The current issue of O&G Magazine (from RANZCOG) features a series of articles relevant to the care of LGBTI populations. Sydney Health Ethics PhD candidate Morgan Carpenter contributed a powerful piece on deeply troubling and often involuntary medical interventions carried out on babies and children with intersex variations, including sterilization and so called ‘normalizing’ surgery. He ends with a demand for “transparency, accountability and respect” from the medical professions. See an extract from the piece below and please click through to read the full article.
The current social and medical environment presents a challenging contradiction. That is, medicine constructs intersex bodies as either female or male (and “disordered”), while law and society construct intersex identities as neither female nor male. Medicalisation is posed as a solution to discrimination and othering, while legal and social othering of intersex people as a third sex is posed as a solution to medicalisation.(2,3) This conflict arises from fundamentally different ideas – not about the nature of intersex variations, but rather about their meaning and how to name and treat them. Neither medical nor socio-legal models allow for individual self-determination. Neither is based on strong evidence. Both cause harm.
Carpenter, M (2018) What do intersex people need from doctors? O&G Magazine, 20(4) something? Retrieved from https://www.ogmagazine.org.au/20/4-20/what-do-intersex-people-need-from-doctors/