Under two percent of infants have atypical sex organs. What are the criteria for determination? Who decides the gender of infants, and what does it look like?
FAQ: How common is ambiguous genitalia?
How many people have ambiguous genitalia?
About 1% of U.S. infants are born with atypical sex organs. That’s over 3.3 million intersex individuals in the United States. Worldwide, the ratio can be as high as 2%.
What are the different names for ambiguous genitalia?
Ovotestis is the current medical name. Hermaphrodite is a misnomer.
What are the physical intersex characteristics?
Externally female with mostly male internal anatomy, girl born with an abnormally large clitoris, boy born with an abnormally small penis, girl born without a vaginal opening, boy born with a divided labia-like scrotum, or a child born having some cells with XX chromosomes and others with XY.
What variation exists in female genitalia measurements?
Clitoral length can vary from 5–35 mm (700%). Labia minora length varies from 20–100 mm. Vaginal length varies from 65–125 mm (2.6–4.9 inches).
What is Swyer syndrome, and how common is it?
The ratio for Swyer syndrome is 1:80000. This is when a female is born with non-functional male organs and lacks ovaries. Without intervention, a woman is infertile
How is the gender of infants classified?
Between normal female and normal male development, five stages on the Prader scale provide guidelines for physicians in determining infant gender.
Who decides a child’s gender?
A physician has historically performed surgical modification on infants with ambiguous genitalia. Some parents opt to have the genitalia remain indeterminate for later evaluation when the child gets older.
Are pictures of ambiguous genitalia available?
Login for comparative images.
References
- How common is intersex? isna.org/faq/frequency/ (Feb 16, 2020)
- What is intersex? isna.org/faq/what_is_intersex/ (Feb 16, 2020)
- What is Ambiguous (Uncertain) Genitalia? urologyhealth.org/urologic-conditions/ambiguous-(uncertain)-genitalia (Feb 16, 2020)
- Differences in sex development. nhs.uk/conditions/differences-in-sex-development/ (Feb 16, 2020)
- Hydrocele Symptoms and Causes. mayoclinic.org/diseases-conditions/hydrocele/symptoms-causes/syc-20363969 (Feb 16, 2020)
- Patil V, Shetty SM, Das S. Common and Uncommon Presentation of Fluid within the Scrotal Spaces. Ultrasound Int Open. 2015;1(2):E34-E40. doi:10.1055/s-0035-1555919
- Kono R, Terasaki H, Murakami N, Tanaka M, Takeda J, Abe T. Hydrocele of the canal of Nuck: a case report with magnetic resonance hydrography findings. Surg Case Rep. 2015;1:86. Published 2015 Sep 22. doi:10.1186/s40792-015-0086-5
- Huzaifa M, Moreno MA. Hydrocele. [Updated 2020 Jul 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559125/
- What puberty is like as an intersex person. helloclue.com/articles/culture/what-puberty-is-like-as-an-intersex-person (Feb 16, 2020)
- Anxiety and Depression in Sexual and Gender Minority Individuals. adaa.org/sexual-gender-minority-individuals (Feb 16, 2020)
- Swyer syndrome. ghr.nlm.nih.gov/condition/swyer-syndrome#statistics (Feb 16, 2020)
- Vaginal Agenesis Diagnosis & Treatment. childrenshospital.org/conditions-and-treatments/conditions/v/vaginal-agenesis/diagnosis-and-treatment (Feb 16, 2020)
- Intersex Definitions. interactadvocates.org/intersex-definitions/ (Feb 16, 2020)
- In the 1930s, intersex athletes worried Olympic officials about the future of women’s sports. timeline.com/intersex-athletes-olympic-test-5613d99f24dc (Feb 16, 2020)
- This Intersex Runner Had Surgery to Compete. It Has Not Gone Well. nytimes.com/2019/12/16/sports/intersex-runner-surgery-track-and-field.html (Feb 16, 2020)
- Clitoromegaly in Childhood and Adolescence: Behind One Clinical Sign, a Clinical Sea. karger.com/Article/Fulltext/489385 (Feb 16, 2020)
- What to know about micropenis. medicalnewstoday.com/articles/323811 (Feb 16, 2020)
- Sex determination – it can get complicated! 2010 PDF, infantjournal.co.uk/pdf/inf_033_can.pdf (Feb 16, 2020)
- Ogilvy-Stuart AL, Brain CE Early assessment of ambiguous genitalia. Archives of Disease in Childhood 2004;89:401-407.
- Gender and Genetics. who.int/genomics/gender/en/index1.html (Feb 16, 2020)
- More than 7,000 Americans have gender X IDs. Is it a safety risk, too? usatoday.com/story/news/nation/2019/08/08/nonbinary-gender-ids-momentum-intersex-state-driver-licenses/1802059001/ (Feb 16, 2020)
- Legal recognition of non-binary gender. en.wikipedia.org/wiki/Legal_recognition_of_non-binary_gender (Feb 16, 2020)
- Here’s Why You Shouldn’t Throw a Gender Reveal Party. medium.com (Feb 16, 2020)
- Intersex: When a baby isn’t quite boy or girl. todaysparent.com/baby/baby-health/intersex-when-a-baby-isnt-quite-boy-or-girl/ (Feb 16, 2020)
- Intersex population figures. ihra.org.au/16601/intersex-numbers/ (Feb 16, 2020)





