Out TG Politician running for Arizona House

Amanda Simpson, who transitioned about three years ago, is running for the Arizona House of Representatives and making history.
There’s a local story from news channel KOLD below, and you can donate to Ms. Simpson’s campaign via her website.
She happens to also be an old friend of Lacey Leigh, the author of Out & About and 7 Secrets of Successful Crossdressers, both of which I highly recommend.
Continue reading “Out TG Politician running for Arizona House”

Health Care for GLBT people

A number of states have passed or are considering laws that appear to permit health care providers to deny services to LGBT people. For example: Michigan’s House recently passed HB 5006, which states: “A health care provider may assert as a matter of conscience an objection to providing or participating in a health care service that conflicts with his or her sincerely held religious or moral beliefs.” Similar legislation has been introduced in in Mississippi, Illinois, Louisiana, Minnesota, Vermont, Washington and West Virginia.
The gay and Lesbian Medical Association (GLMA) is being asked by the press whether these kinds of laws threaten the health of LGBT people, and specifically, whether we are aware of any real cases in which a lesbian, gay, bisexual or transgender person has been denied a necessary service from a medical professional (including pharmacists) based on sexual orientation or gender identity.
If you are aware of any such case send an email to Joel Ginsberg, GLMA’s Executive Director, at jginsberg@glma.org, or call him at 415-255-4547 x314. In your message, describe briefly what happened and give your name, title, organizational affiliation (if any) and contact numbers so they can follow up. Do not communicate any confidential information. Also indicate whether they have your permission to forward your name and contact information to a reporter. If not, they will give a quote that describes the substance of what happened without giving any identifying information.
Please forward this request to any whom you think may have useful information.
Thanks for your help.
For more information on the GLMA, check their website.

UNFPA, instead

While we’re all worried (and mobilized) on the defeat of the FMA, it turns out that Bush will be deciding on whether or not to fund the UNFPA. We’ve been successfully distracted. Here’s the word from Planned Parenthood:
On Thursday, July 15th, the Bush Administration will decide whether to fund UNFPA (The United Nations Population Fund) this year. UNFPA runs life-saving programs for women and girls in 140 countries that increase access to gynecological care and voluntary birth control, reduce infant and maternal mortality, and prevent the spread of HIV/AIDS.
The United States helped to create UNFPA in 1969 and, up until recently, has played a leadership role in the program. Unfortunately, in recent years President Bush has refused to release the funds that Congress has set aside for UNFPA. It is time to tell the White House: “We have had enough!”
CALL THE WHITE HOUSE (202-456-1111) TODAY AND SAY: “I am calling to urge the President to release the $34 million that Congress has promised to UNFPA. The work of UNFPA saves lives. The President must release this desperately needed funding. Thank you.”
What’s At Stake:
On Thursday, July 15th, the Bush Administration is expected to decide on this year’s funding for UNFPA (The United Nations Population Fund). UNFPA runs life-saving programs that build healthy families and improve the health and well-being of women and girls in the world’s poorest nations. UNFPA funds programs in more than 140 countries to improve poor women’s reproductive health through access to gynecological care and voluntary birth control, reduce infant and maternal mortality and prevent the spread of HIV/AIDS.
The United States helped to create UNFPA in 1969 and, up until recently, has played a leadership role in the program. In recent years, however, the United States has been an unreliable source of financial support for UNFPA. But for fiscal year 2002, in recognition of the critical need for the services provided by UNFPA, Congress earmarked $34 million for the program. President Bush however refused to release the $34 million Congress approved in 2002 and he again refused to release last year’s Congressional appropriation of $25 million. On Thursday, July 15 the administration is expected to decide whether or not to release the $34 million that Congress appropriated this year for these vital efforts.
A recent New York Times (7/6/04) editorial stated: “One of the uglier aspects of the Bush administration’s assault on women’s reproductive rights is its concerted undermining of the United Nations Population Fund based on the false accusation that it supports coerced abortions in China… the State Department’s investigating team found no evidence that the Population Fund has supported or participated in the management of a program of coercive abortion or involuntary sterilization”
For more information on UNFPA visit:
http://www.freechoicesaveslives.org
http://www.populationaction.org/resources/factsheets/factsheet_3.htm
http://www.genderhealth.org/UNFPA.php

Click to access UNFPASavetheDate.pdf

Sign the Petition

Please sign on to our emergency petition to Congress to stop this divisive amendment at:
http://www.moveon.org/unitednotdivided/
Then please ask your friends and family to sign, by forwarding them this email. We’ll deliver our comments tomorrow, before the vote, so we need as many people as possible to sign on today.
President Bush campaigned on a promise to unite us, not divide us. Yet today, as people are questioning Bush’s handling of everything from the war in Iraq to the economy, Bush and his friends are trying to distract voters from the real issues by turning to the politics of division and hate.
If America stands for anything, it stands for equal rights and opportunities for everyone. Throughout our history, we’ve struggled to guarantee that equality: ending slavery; securing voting rights for women; and passing the Civil Rights Act just 40 years ago.
Equality in marriage is the civil rights issue of our generation. We can’t let anyone, or any group, be singled out for discrimination based on who they are or who they love.
When two people make a deep personal commitment, taking responsibility for each other and doing all the work of marriage, they should be able to share in the legal benefits of marriage as well. These benefits include access to health care and medical decision-making for one’s partner and children, parenting and immigration rights, inheritance, taxation, and Social Security benefits.
This isn’t a partisan issue, notwithstanding Bush’s pandering to his right-wing base. Former President Gerald Ford, a Republican, said this about same-sex couples and marriage: “I think they ought to be treated equally. Period.”
[1] Also, many major corporations, including Chrysler, Ford, General Motors, Disney, Coors, and IBM, offer health insurance and other benefits to their employees’ same-sex partners. Senator Lincoln Chafee (R-RI) says the amendment is “Nuts… To be seen as the party that’s coming between two people that love each other doing what they want to do… to me that’s going to be seen as a liability, politically.” [2]
Yet President Bush is bent on moving America backward, by enshrining discrimination in the United States Constitution.
Don’t let him divide us like this. Go to:
http://www.moveon.org/unitednotdivided/
Please help make sure your friends have signed on too, before we deliver this
petition tomorrow.
Thank you.

Gianna Israel article about "Transgenderists"

Transgenderists: When Self-Identification Challenges Transgender Stereotypes
By Gianna E. Israel
Copyright 1996, all rights reserved.
There has been an interesting development in the transgender community in recent years, specifically of persons who do not identify with the social and clinical definitions which apply to individuals with gender identity issues. Traditionally, those who comprise what is frequently referred to as the “transgender community” include transsexuals and crossdressers. In part, the definitions on who is a transsexual and who is a crossdresser are defined by social stereotypes and clinical literature; however they are also defined by those unique persons who have transgender experiences.
A transsexual is a person who transitions and permanently lives as a member of the opposite gender. These persons seek out sex hormones and cosmetic surgery. This includes breast augmentation or mastectomy depending on the direction of change. In addition, transsexuals are interested in Genital Reassignment Surgery or what is also known as Sex Reassignment Surgery. It is common knowledge that there is a larger proportion of individuals who self-identify as transsexual, than the actual number of people who have genital reassignment. This in part is due to the high financial, emotional and social costs associated with living as a member of the opposite gender as well as the surgical procedure itself. There also exists a number of individuals who are unable to undergo Genital Reassignment. More information about those persons will be briefly addressed later in this article.
Crossdressers are persons who temporarily wear clothing of the opposite gender to fulfill an inner sense of need or reduce gender related anxiety. Typically crossdressing is done privately, although some persons do so publicly when circumstances appear safe. Some also crossdress for sexual fulfillment, such as in “transvestic fetishism.” While crossdressers do not experience the many difficulties transsexuals face during the pursuit of transition or Genital Reassignment, they do experience emotional turbulence, social isolation, or concerns regarding privacy and whether to tell others about their secret. Like transsexuals, these factors are particularly evident when a crossdresser is unaware of transgender resources or is unable to resolve stereotype induced feelings of guilt, shame or fear. Both transsexuals and crossdressers are at risk of victimization by persons who cannot tolerate differences in others. Although, transsexuals face slightly higher risks because they are more visible than crossdressers who tend to be more hidden.
Transgenderists are persons who consistently live as members of the opposite gender either on a part or full-time basis. Some maintain their original identity in the work place or during formal occasions. Others appear in their new identity during all aspects of daily life. Transgenderists are unique because maintaining both masculine and feminine characteristics is integral to having a sense of balance. However, the outward presentation of these characteristics varies subtly depending on the individual’s needs and sense of connection to each gender. Like transsexuals, many are interested in obtaining electrolysis, hormones and even cosmetic surgery to bring their outward presentation in line with their inner sense of self. However, like crossdressers, transgenderists are not interested in Genital Reassignment Surgery.
To elaborate on this distinction, even if a transgenderists lives “in role” as a member of the opposite gender on a full-time basis, what separates them from transsexuals, is that they derive pleasure from and value their genitals as originally developed. However, in most circumstances, it is unlikely that a transgenderist who lives in role full-time will disclose such private information without good reason. Because transgenderists are not interested in genital reassignment, they should not be confused with “non-operative” transsexuals or persons who are unable to have surgery due to financial or medical hardship. Although the majority of non-operative transsexuals live “in role” permanently, most need to adjust to a period of internalized incongruency during the time they are unable to have genital reassignment, if at all. Transgenderists do not go through this period of adjustment, because they are not interested in altering their genitals.
Like transsexuals who are at the very beginning of transition, transgenderists frequently experience incongruent feelings regarding their gender identity. Unlike crossdressers these feelings persist “after the clothes come off” and the person dresses in their original gender. These incongruent feelings typically can be continuous, lasting for days and even weeks, until the individual recognizes a pattern in his or her needs. Transgenderists stop feeling incongruent when their needs are consistently met by maintaining characteristics from both genders.
Understanding a transgenderist identity becomes particularly interesting when the subject of differentiating these from other transgender persons is looked at in further detail. Upon hearing about transgenderists, many people are inclined to believe that transgenderists are actually undecided about or simply unaware of genital reassignment. Others believe transgenderists are crossdressers, who somehow have managed to arrange unique living situations, so as to live out their fantasy. While the potential for such circumstances exists, a person usually self identifies as a transgenderist because their internal needs do not meet the narrow definitions associated with transsexuals or crossdressers.
As we try understanding the process of differentiating one type of transgender person from another, it is important to recognize where transgender persons get their definitions and role models. In coming to terms with crossdressing or gender identity issues, most people consult clinical as well as community resources, so as to compare their experiences with others. Access to resources can vary immensely depending upon the individual’s location, cultural background, social status, educational and investigative skills.
For example, the standards which validates a person having a transgender identity vary greatly depending on location. In India, many transgender people have a choice between conforming to traditional gender stereotypes or becoming part of the Hijra caste. This is particularly so if they intend to live out their lives as members of the opposite gender. Within the caste, ritual castration without anesthesia is performed on new members by the caste. Also, hand plucking of facial and body hair is widely encouraged over shaving. Subsequently, while crossdressers and transgenderists may participate in Hijra activities to some extent, none are really considered a full member until they have suffered the pain of beautification and ritual castration.
These practices can seem quite removed from the experiences of transgender persons living in the North America or Europe. These individuals find out about electrolysis, coping with crossdressing, or making a gender transition through relatively similar gender clinics or organizations. For the transgenderist, information addressing their needs has come forth slowly as clinicians began documenting gender identity issues only 20 years ago. In fact, the process of disseminating clinical information about gender issues is so slow, most people are not aware that transgender persons may have specialized medical needs. They may also not be aware that having a transgender identity is not in and of itself mentally disordered, medically diseased or pathological.
Because the majority of clinical resources make no reference to transgenderists, it is important to recognize that differentiating this specialized sub-population is not much different than other transgender persons. Whereas most clinical resources use “consistency” in determining who is a crossdresser as well as who is a transsexual (and therefore an appropriate candidate for hormone administration and genital reassignment), this criterion is equally valuable in identifying transgenderists and their needs. Consistency is defined as person having consistent thoughts, actions, requests or demands for a set period of time. Professionals who utilize consistency as a factor for assessing crossdresser and transsexual treatment plans, may also do so for transgenderists. For example, within the Recommended Guidelines for Transgender Care, Dr. Donald Tarver and I recommend (in part) that “transgender individuals appropriate for hormone administration include those who have in the preceding three months consistently expressed interest in the permanent physical changes brought forward by hormones, in order to bring the body in line with an intended masculine, feminine or androgynous appearance.”
On the surface the preceding recommendation may appear vague because it does not distinguish between transgender sub-populations. This lack of distinction, however, reflects an increasing trend among care providers to encourage transgender persons to adopt a gender-identification based on their needs and experiences, rather than force clients to conform to a provider or clinic’s stereotypes. Encouraging self-determination has encouraged a relaxation of gender boundaries, which meets the needs of all transgender persons.
Because there is not an overabundance of clinical literature portraying the specialized needs and issues transgenderists face, frequently these people cannot locate or are turned away from medical, surgical and psychological services. Those given incorrect information suffer needlessly and are often at risk. For example, those believing they are crossdressers and ineligible for professional services frequently end up self-prescribing, or seeking black market hormones and substandard cosmetic surgeries. Others, believing they are transsexuals, mistakenly proceed with a full-time transition or undergo Genital Reassignment Surgery. As a result these persons end up making huge sacrifices in order to validate themselves, and those who go through with genital reassignment may find themselves regretting having done so for the remainder of their lives. Recognition by professionals and the transgender community of transgenderist needs can help reduce these types of incidents.
Frequently I receive requests for information from physicians who are uncertain about how to address hormone administration in transgenderists. Because hormone administration is a routine medical procedure, providing it to transgenderists is for the most part identical to that of pre-operative transsexuals. I always advise physicians to take into account the patient’s general health, blood laboratory testing, prescription side effects and cosmetic predisposition. The only significant differences include the possibility that the transgenderist may ask that the prescription strength does not interfere with sexual performance, or that cosmetic growth be focused on moderate development or androgenization.
One of the most exciting developments in understanding transgenderist issues, is the recognition that these their experiences can sharply differ in regard to pre-existing relationships such as marriages. Unlike transsexuals who are more likely to face divorce as a consequence of transition, and unlike closeted crossdressers who are the least likely to share “their secret” with a spouse, transgender issues become a significant dynamic within relationships. This is particularly true for those who live in role. In most circumstances the person’s spouse or significant other is clearly supportive of the transgenderist’s needs. Frequently many couples find that the relaxation of gender roles allows both persons to get their internal needs met, whereas they might not get through traditional role play.
It may be assumed that the majority of transgenderist persons deny a desire to have Genital Reassignment Surgery in order to save a pre-existing marital relationship. In some circumstances that maybe the case. However, within my counseling practice only 1 out of every 4 transgenderists state that he or she would “possibly be interested” in genital reassignment if not involved in a pre-existing relationship. Frequently, this ambiguity diminishes the more accepted the person is by others, particularly when acceptance comes from their spouse.
Other issues where transgenderists find difficulties include disclosure and isolation. Disclosing one’s transgender status to others is a challenging prospect fraught with risks. However for the transgenderist, in addition to potential rejection from family and friends, they face the possibility of being turned away by professionals and rejected by the transgender community at large. This is particularly so when transgenderists encounter crossdressers who prefer keeping their behavior hidden, and subsequently feel uncomfortable being around someone who is so visible. Likewise, transsexuals may not be interested in socializing with a transgenderist for fear of having a desire or lack of desire in seeking Genital Reassignment Surgery invalidated.
Like other transgender persons who are hidden or who have not found resources, transgenderists tend to live very isolated, painful lives. This can be overcome by organizations and professionals encouraging differences in others, even when a person’s gender identification challenges transgender stereotypes.
GENDER ARTICLES. This educational column authored by Gianna E. Israel is regularly featured on the 3rd Monday of each month in Tg-Forum, the Internet’s most up-to-date, weekly Transgender Magazine . Several weeks later each article is forwarded to Usenet and AOL . Each column has been written to inspire contemplation and dialogue. Columns may be reprinted in any medium insofar as each article, its introduction, and the author’s contact information remains unaltered.
GIANNA E. ISRAEL provides nationwide telephone consultation, individual & relationship counseling, evaluations and referrals. She is principal author of the Transgender Care (Temple University / in press 1997). She also writes Transgender Tapestry’s “Ask Gianna” column; is an AEGIS board member and HBIGDA member.She can be contacted at (415) 558-8058, at P.O. Box 424447 San Francisco, CA 94142, or via e-mail at Gianna@counselsuite.com.
Copyright 2001 by Diane Wilson. All rights reserved.

Tecate, Mexico makes crossdressing illegal

from the BBC
(I personally love the detail about how the transvestite prostitutes threatened to out the politicians who have used their services, in Tijuana.)
Mexico’s transvestite ban draws gay protest
Gay rights activists are set to converge on a quiet Mexican border town in the wake of moves to criminalise cross-dressing.
Tecate’s new town ordinance, scheduled to go into effect in mid-November, bars men from wearing women’s clothes.
Men who flout the rule could be arrested and fined.
Transgressors would not face a jail term, although officials said that in practice it may mean imprisoning people at least overnight.
“The majority of votes for this was to avoid Aids, and prostitution if possible,” Tecate councilman Cosme Cazares said.
“That’s why we’re focusing on men who dress like women. This is for health reasons. It’s not to bother these boys.”
The new law has sparked outrage on both sides of the border, and gay rights protestors plan to hold Tecate’s first ever Gay Pride march on Tuesday.
Conduct code
The law is one in a series of measures in a “good conduct” code being taken up by the five municipalities in the Pacific coast state of Baja California, which borders California. Tecate was the first to enact it.
The ban on cross-dressing is one item in a 130-article ordinance that also bans everything from public urination to graffiti.
Tecate has already come under fire for imposing a 22:30 curfew on everyone under 18.
In Tijuana, council members pledged this week not to enact the ordinance – after transvestites threatened to publicise the names of officials who have solicited gay prostitutes.
The state’s other three municipalities have not taken up the ordinance yet.
Targeted crackdown
Town hall spokesman Jose Luis Rojo said the crackdown on transvestites targets those “who cause – how can I say this – who whistle and yell things at you while you’re walking. A lot go out in the night looking for customers and they take advantage of children.”
The town of 100,000 is said to be concerned over a rise in the number of transvestites who have moved to Tecate in recent years to escape Tijuana’s violence.
“We are not classifying this as a crime,” Mr Cazares said.
“It’s an infraction just like you get for driving the wrong way down the street.”

SF Chronicle article on Gwen Araujo & deception

No issue of sexual deception
Gwen Araujo was just who she was
Dylan Vade
Sunday, May 30, 2004
link”
Don’t talk to me about deception.
Gwen Araujo, a beautiful young transgender woman, was brutally beaten to death the fall of 2002. In the trial of three men accused of murder in her slaying, defense attorneys Tony Serra and Michael Thorman are using the “transgender/gay panic” defense. Their argument essentially is that Gwen deserved to be killed because she deceived, and thus stole the heterosexuality of the men she had sex with.
No one deserves to be killed for deception.
But in Gwen’s case, there was no deception. Gwen was just being herself. In a world in which we are all told we have to be more feminine or more masculine — Gwen was wise enough to know herself and brave enough to be herself. That is beautiful. She should be our role model.
Instead, transgender people are seen as deceivers. The word “deception” comes up often in our lives.
I will share one of my experiences with deception. I am a female-to-male transgender person. One day, I flirted with someone I assumed to be a gay man, got his number and later went over to his place. He opened the door, and we kissed. A couple of minutes later, I came out to him as transgender. I did it casually. I do not make a big deal out of it, because to me it is not a big deal.
It was a big deal to him. He immediately stopped being interested and told me that I had deceived him. He said: “I thought you were just a cute gay guy.” He said that I should have told him that I am transgender and what my genitalia look like before he invited me to his place.
I was not hurt, aside from my feelings. I was lucky.
What I did not say to him then, but wished I had:
“You deceived me. All this time I thought you were just a cute transgender guy. You really should have told me you are a nontransgender person. I cannot believe that you did not tell what your genitalia look like. I cannot go through with this. I would have never come over to your place had I known.
“Yes, you are right. I did not wear a T-shirt with a picture of my genitalia emblazoned on it. But, honey, neither did you. If we, as humans, decide that proper dating etiquette requires us all to disclose the exact shape and size of our genitalia before we get someone’s number, then, sure, maybe I will go along with that.
“You deceived me. You should have told me that you are transphobic. You should have told me that your head is chock full of stereotypes of what it means to be a ‘real man’ and a ‘real woman.’ You should have told me that when you look at someone, you immediately make an assumption about the size and shape of that person’s genitalia, and that you get really upset if your assumption is off.”
Why do some folks feel that transgender people need to disclose their history and their genitalia, and nontransgender people do not? When you first meet someone and they are clothed, you never know exactly what that person looks like. And when you first meet someone, you never know that person’s full history.
Why do only some people have to describe themselves in detail — and others do not? Why are some nondisclosures seen as actions and others utterly invisible? Actions. Gwen Araujo was being herself, openly and honestly. No, she did not wear a sign on her forehead that said “I am transgender, this is what my genitalia look like.” But her killers didn’t wear a sign on their foreheads saying, “We might look like nice high school boys, but really, we are transphobic and are planning to kill you.” That would have been a helpful disclosure.
Transgender people do not deceive. We are who we are.
Dylan Vade, co-director of the Transgender Law Center, is a lawyer and holds a Ph.D. in philosophy. Sondra Solovay, director of Beyond Bias, contributed to the article.
Continue reading “SF Chronicle article on Gwen Araujo & deception”

NY TG Bathroom case

http://www.365gay.com/newscon04/05/051904tgNYC.htm
Uphold New York Gender Identity Protections Court Urged
by 365Gay.com Newscenter Staff
Posted: May 19, 2004 8:02 pm. ET
(New York City) In the first transgender discrimination case to reach a New York state appeals court, the American Civil Liberties Union today urged the court not to deny transgender New Yorkers protections against discrimination.
“The laws of New York State clearly protect transgender people from discrimination, yet our opponents are trying to take those protections away,”
said ACLU attorney Edward Hernstadt.
“We asked the court to make it clear once and for all that gender identity discrimination is not somethingNew York will tolerate.”
Hispanic AIDS Forum, an AIDS service organization represented by the ACLU, brought suit against its former landlord after it was evicted because other
tenants complained that HAF’s transgender clients were using the “wrong” bathrooms.
The landlord banished all transgender people from the common areas of the building, including all restrooms.
Although the landlord’s lawsuit centers on the claim that transgender people are not protected by the state’s civil rights laws, the ACLU points out in its brief that trial courts in four previous cases have all held that discrimination against transgender people is illegal in New York.
“The landlord argues that transgender people are completely without civil rights protection in New York State,” said James Esseks, Litigation Director of the ACLU’s Lesbian & Gay Rights and AIDS Projects. “This could place transgender New Yorkers in jeopardy of losing their jobs, their housing, and even their
lives, if they are unable to receive public health services – all because someone wants to keep them out of the so-called ‘wrong’ bathroom.”
The ACLU brought the lawsuit on behalf of HAF in June 2001 after the agency was forced out of its home of 10 years in Jackson Heights, Queens – an epicenter of the AIDS epidemic in U.S. Latino communities. HAF repeatedly tried to negotiate with the landlord to reach an agreement over the use of the restrooms that
would be acceptable to all parties, but the landlord refused to renew the lease, saying he didn’t even want the transgender clients in any of the common areas of the building.
“This case shows all too clearly the far-reaching effects of prejudice and discrimination,” said Heriberto Sanchez Soto, Executive Director of HAF.
“Kicking us out of our home didn’t just hurt our transgender client but made it much more difficult for many Latinos and Latinas living with HIV and AIDS to
receive treatment.”
Transgender people living in New York City are protected from discrimination under the city’s human rights law, which was amended in 2002 to clarify that
it covers gender identity. The state human rights law does not explicitly address gender identity, but previous trial court rulings have held that transgender individuals are covered under the law’s sex and disability provisions.

'As Nature Made Him'

Gender change victim dies
WINNIPEG – A man who was born a boy but raised as a girl in a famous nurture-versus-nature experiment has died at age 38.
David Reimer, who shared his story about his botched circumcision in the pages of a book and on the Oprah TV show, took his own life last Tuesday.
His mother, Janet Reimer, said she believes her son would still be here today had it not been for the devastating gender study that led to much emotional hardship. “I think he felt he had no options. It just kept building up and building up.”
After the circumcision accident as a toddler, David became the subject of an experiment dubbed the John/Joan case in the ’60s and ’70s. Janet said she still harbours anger toward a Baltimore doctor who convinced her and her husband, Ron, to give female hormones to their son and raise him as a daughter, Brenda.
Kids were cruel to Brenda growing up in Winnipeg.
This gender transformation was widely reported as a success and proof that children are not by nature feminine or masculine but through nurture are socialized to become girls or boys. David’s identical twin brother, Brian, offered researchers a matched control subject.
But when David discovered the truth about his past during his teenage years, he rebelled and resumed his male identity, marrying and becoming a stepfather to three children.
David recently slumped into a depression after losing his job and separating from his wife. He was also still grieving the death of his twin brother two years earlier, their mother said.
http://www.thestar.com/NASApp/cs/ContentServer?pagename=thestar/Layout/Article_Type1&c=Article&cid=1084140608992&call_pageid=968332188774&col=968350116467
Continue reading “'As Nature Made Him'”

Good Article on Intersex

Gender blending
by By Will Evans — Sacramento Bee on 28 April 2004
David Cameron feels neither completely male nor female. Born with male genitalia, Cameron began growing breasts during puberty and didn’t sprout chest hair until testosterone treatment kicked in. Instead of the typical male XY chromosomes or the female XX set, Cameron has XXY.
“I feel sort of like a blend,” says Cameron, 56, of San Francisco.
Some researchers say that’s a reasonable conclusion. Humans don’t always clearly divide into male and female categories. Some are born with abnormalities that challenge the very definition of sex. The term for them is intersex. Julia, a schoolteacher from a small town in central California, didn’t want to be identified to protect her daughter. Now 4, the girl has a condition that caused an enlarged clitoris.
Doctors couldn’t tell Julia her baby’s sex until after several days of testing. They first came to her with a box of tissues, announcing, “We have a problem.”
Julia felt hot from head to toe from the shock. She remembers the hospital bracelet that said only “baby” instead of “boy” or “girl.” She cried at the thought of her child’s future challenges. “Oh, what a hard life,” she told her husband.
The concept of intersex that links Cameron and the little girl is too blurry to yield a definition with which everyone agrees. Many people with XXY chromosomes, for example, consider themselves absolutely male and distance themselves from the intersex world.
But prominent academics and activists define intersex as anyone whose sex chromosomes, external genitalia or internal reproductive system is not considered standard for male or female.
Peter Trinkl, a computer specialist in Berkeley, doesn’t really know how he looked at birth. All he has to work with are his genital scars, evidence of surgery. His parents didn’t tell him much. In school, he was beaten up and called an alien.
Trinkl, 51, considers himself a heterosexual male, but dating brings up difficult issues, and he hasn’t tried for 20 years.
“If I’m a man or a woman, I don’t want to get too much into that,” he says.
Only recently did Trinkl summon the courage, he says, to research the intersex community and hunt for his medical records.
Some infants are born with ambiguous genitalia while others clearly look male or female and may not find out they are different until they reach puberty. Still others bear a visible difference in anatomy – an enlarged clitoris or a tiny penis – but otherwise can be determined male or female. And some have the standard chromosomes of one sex and the external appearance of the other.
Intersex activists decry the shame and secrecy caging their condition. They urge doctors to avoid cosmetic genital surgery on intersex infants until the children themselves can decide if they want it. Cameron is helping to organize a public hearing on intersex issues to be held by San Francisco’s Human Rights Commission next month.
Children frequently are born with wide-ranging genetic and physical abnormalities. Intersex conditions just happen to manifest in an area that gets at the very definition of who we are.
What defines a person’s sex – their chromosomes, their appearance or their psyche? What if they don’t match?
How can you assign a sex to a child when you don’t really know? How can you not?
What if you surgically reconstruct a baby to look like one sex and the child grows up to identify as the other? What does gay or straight mean, then?
And when everything from color-coded baby presents on out is sexually segregated, is it possible to grow up as an alternative to male or female?
The mind-boggling, gender-bending conundrum plays out in people’s lives.
Intersex people might make up as much as 2 percent of live births, with between 0.1 percent and 0.2 percent of all infants receiving genital surgery, according to a scientific journal article co-written by Anne Fausto-Sterling, a professor of biology and gender studies at Brown University.
“If you look at this from the bigger philosophical view of, ‘Are there really only two kinds of people in the world – either men or women?’ – then the answer to that clearly is no,” she says.
Human sexuality, instead, can be seen as a spectrum or continuum, she says.
The medical profession has traditionally viewed an intersex birth as a “social emergency,” pushing to assign a child’s sex immediately and perform corrective surgery as soon as possible, says Celia Kaye, a professor of pediatrics at the University of Texas Health Science Center at San Antonio. Doctors want to avoid traumatizing parents and help the child grow up normally, without confusion or ridicule, she says.
Kaye helped create the American Academy of Pediatrics’ policy statement on intersex newborns along these lines in 2000. But the academy might revise its guidelines because of a growing number in the field who question whether surgery and sex assignment should take place so early in life.
A baby with an enlarged clitoris or minuscule penis, depending on one’s perspective, conventionally has been more likely to be determined a female because it’s surgically easier to make that happen, Kaye says. But it’s not clear, she says, whether that child will grow to be a happy, functioning woman. Some activists call it “genital mutilation.”
Sonoma County resident Cheryl Chase, 47, had surgery on her enlarged clitoris, leaving a “big, flat scar.” But she says the biggest harm doctors caused was “the idea that this was shameful,” telling her parents to keep it a secret.
In the early 1990s, Chase, who identifies herself as an intersex lesbian female, confronted doctors, called the press and founded the Intersex Society of North America, creating today’s intersex movement.
Because of pressure from advocates, doctors are now more open with patients and more likely to present parents with options rather than telling them what to do, says Amy Wisniewski, who does intersex research at the Johns Hopkins Children’s Hospital.
Julia, mother of the 4-year-old girl, says one of her daughter’s doctors “bullied” her into making a surgery appointment. Some surgery is necessary when the toddler hits puberty, but decreasing her clitoris is optional and cosmetic.
Because doctors can’t guarantee a post-surgery clitoris will retain the same sexual sensation, Julia worried her consent may deprive her daughter of a vital part of life. Julia cried every day until she finally canceled the surgery.
“We’re going to leave the decision up to her and talk to her and support her when she’s old enough to make that decision,” Julia says over the phone.
How old is that? If you can delay surgery, can you also put off assigning a sex?
The questions build quickly, but most people are stuck at the first one: “What is intersex?” The Lesbian, Gay, Bisexual, Transgender Resource Center at the University of California, Davis, held a talk on exactly that as part of its first Intersex Awareness Week earlier this month.
It’s not clear, Wisniewski says, whether rates of homosexuality are higher among intersex people. But because it shares a battle against the closet, the gay community has embraced the intersex populace, with some organizations adding “I” to the alphabet soup of LGBT.
Still, some with sex chromosome variations keep as far away from both communities as possible.
Those with Klinefelter’s syndrome, or XXY, struggle in a world that glorifies a man’s-man masculinity and sexual prowess, mocking androgynous qualities in men as signs of homosexuality. They’re already marked by that extra “female” chromosome and, for some, breast development and smaller genitalia. The last thing many want is to be aligned with the gay community.
Melissa Aylstock of Loomis is clear: Her XXY son is unambiguously male, and most men with Klinefelter’s syndrome don’t consider themselves intersex. Her son’s doctor, Ronald Swerdloff, chief of endocrinology at Harbor UCLA Medical Center, doesn’t consider Klinefelter’s syndrome intersex, either, because it doesn’t produce ambiguous genitalia.
When her son was diagnosed at age 8, Aylstock was “scared to death.” She wrote to Ann Landers, asking that a post-office box address be published for other parents to get in contact. After the letter ran in 1989, Aylstock received 1,000 letters and hundreds of dollars to start an organization. She founded Klinefelter Syndrome and Associates in Roseville.
Testosterone treatment is the norm for Aylstock’s son, now 23. In the school gym, students asked about his patch. He told them it was for nicotine addiction. “Mind you, we’re Mormon,” says his mother. “That just cracks me up. So he handled it.”
The son declined to talk about his condition in the context of the intersex community.
“So many guys are trying to be just normal,” says Robert Grace of Sonora, who found out at 39 he has XXY chromosomes. When he told people, they thought, “Oh, you’re gay,” he says.
When Grace should have been going through puberty, he watched the other boys whistling at girls and thought, “What jerks.” But he wasn’t gay.
His diagnosis popped up during his premarital physical. “I looked at my (fianc�e) and I said, ‘You don’t have to marry me.’ ”
They did marry and have adopted four children, two of whom also have Klinefelter’s syndrome.
“As a general population, we really would like to be accepted,” says Grace, a “stay-at-home Mr. Mom.” “If I sat next to you, you would have no clue that I was XXY, so why do we need another label?”
Cameron, on the other hand, embraces the other label.
Cameron’s birth certificate and driver’s license declare that “he” is male. With a 6-foot-10 build, a balding head, a deep voice and a beard, Cameron could hardly pass for female yet feels more female than male.
When faced with those annoying little boxes designating “M” or “F” on forms and applications, Cameron might check both or write “intersex.” It somehow seems appropriate that Cameron sometimes goes by the nickname “Iris,” after a favorite flower, the bearded iris.
Cameron got the Klinefelter’s diagnosis at 29 and began testosterone therapy. Where before Cameron had a “really nice smooth body,” now everywhere is hair. “I hate it,” Cameron says. “Quite frankly, I would really like the body I had 27 years ago back.”
Cameron has been with the same male partner for 26 years, though before that Cameron had a girlfriend. Earlier this month, the partner dropped to his knees and presented Cameron a diamond ring.
Cameron wants to wed but first is inquiring with civil rights lawyers because of the radical questions the act could provoke.
After all, would it be a standard marriage, a same-sex marriage or something else entirely?
——————————————————————————–
Misused terms add confusion
The term “intersex,” according to advocates and academics, means anyone with sex chromosomes, external genitalia or an internal reproductive system not considered standard for male or female. Here’s what intersex is not.
Hermaphrodite: The medical definition of a true hermaphrodite is someone with both ovarian and testicular tissue. This is rare and only one of various intersex conditions. Many intersex people consider this term offensive.
Homosexual: Some intersex people are gay, some are not. One doesn’t imply the other.
Transgender: This refers to people who are born one sex but identify as the other. Some choose a sex-change operation.
Eunuch: This refers to a castrated male.
——————————————————————————–
Genetic roots of intersex conditions
Intersex conditions vary in their genetic roots and physical manifestations. Here are details of a few conditions.
Androgen insensitivity syndrome: Patients have male chromosomes (XY) but don’t respond to androgens (male sex hormones, including testosterone). They have undescended testes, normal female external genitalia and breast development. Those with partial androgen insensitivity syndrome have ambiguous genitalia.
Gonadal dysgenesis: Patients have XY chromosomes, but their gonads don’t produce androgens. They have female external genitalia. Those with partial gonadal dysgenesis have ambiguous genitalia.
5-alpha-reductase deficiency: Patients have XY chromosomes but can’t produce the sex hormone dihydrotestosterone. They have testes, a penis resembling a clitoris and a scrotum resembling outer labia. They undergo some masculinizing changes during puberty.
Congenital adrenal hyperplasia: Patients have female chromosomes (XX) but produce excess androgens. They have ovaries, an enlarged clitoris and fused labia resembling a scrotum.
Klinefelter’s syndrome: Patients have the sex chromosome variation XXY and are sterile. They have male genitalia, sometimes with smaller sex organs, and sometimes develop breasts at puberty.
Turner syndrome: Patients have the chromosome variation of only one X. They have normal female external genitalia but can have other physical abnormalities. Because they don’t have functioning ovaries, puberty doesn’t cause breast development or menstruation.
Source: The Johns Hopkins Children’s Center
——————————————————————————–
Resources
* Bodies Like Ours support group with online forums: www.bodieslikeours.org, (610) 258-7466.
* Intersex Society of North America: www.isna.org.
* Klinefelter Syndrome and Associates: www.genetic.org, (888) 999-9428.
* The Johns Hopkins Children’s Center guide for patients and parents: www.hopkinsmedicine.org/pediatricendocrinology/intersex.
http://www.sacbee.com/content/lifestyle/story/8971622p-9897782c.html