Human sex change
In fact, sex change is
more specifically defined as sex change in humans. This refers to sex
reassignment surgery that people may undergo in certain conditions.
However, many people see “sex change” or “sex reassignment
procedure” from an inaccurate definition. Biologically, human sex
is determined by four factors: chromosomes, gonads (ovaries or
testicles), hormonal status, and primary or secondary sex
characteristics. In a sex reassignment procedure to make a male to
female or female to male, not all those four factors can be changed.
Chromosome is the main thing that cannot be changed because it is
inherited. Ovaries or testicles can be removed, but cannot be
replaced one to another. Hormonal status is dynamically changed. Only
primary or secondary sex characteristics can be changed, but it is
only until a certain boundaries.
By this condition,
changing a male genitalia into a perfect and excellent female
genitalia with a good function is complicated but still possible.
However, changing female genital anatomy into a functioning, good
male genital anatomy is also complicated, but hardly succesful.
Before undergoing a sex
reassignment surgery, the patient must be under a period of
feminization or masculinization, regarding to what gender he or she
wants to be. This is commonly two years before the sex reassignment
surgery, just like what is ruled by the Standards of Care for the
Health of Transsexual, Transgender, and Gender Nonconforming People.
In this period, some synthetic or natural hormones like estrogens,
androgens, progesterons, and antiandrogens are used. Counselling is
also compulsory to start the body changing hormones. In this
counselling, a period of full days living in the target gender for at
least six months is also accomplished.
Natural sex change in humans
Not only via sex
reassignment surgery, sex change in humans also happened naturally.
Some specific medical conditions can result to sex change. This is
can be seen after a long period of a lifetime. So, a human who is
born and appears of one sex can transforms into the other sex after a
long period. Female to male sex change is mostly happened in this
natural sex change, because of either 5-alpha-reductase deficiency
(5alpha-RD-2) or 17-beta-hydroxysteroid dehydrogenase deficiency
(17beta-HSD-3). Meanwhile, male to female sex change is a rare
occurence and still can not be understood well by experts.
Genetic females (with two
X chromosomes) with congenital adrenal hyperplasia lack an enzyme
needed by the adrenal gland to make the hormones cortisol and
aldosterone. Without these hormones, the body produces more androgen,
a type of male sex hormone. This causes male characteristics to
appear early (or inappropriately).
The lack of certain
enzymes can also cause in a natural sex change, although not an
obvious one (but only by appearance). Females (with two X
chromosomes) with congenital adrenal hyperplasia (or lack of enzyme
for the adrenal gland to produce hormones cortisol and aldosterone)
can show male characteristics and appearance early and
inappropriately because the body will produce more androgen, which is
a type of male sex hormone. In the other hand, males (with one X and
one Y chromosome) with androgen insensitivity syndrome (AIS) is not
sensitive to androgen. It results to the person showing an entire or
partial characterisitic of a woman. AIS sometimes include other
diseases like Reifenstein syndrome which cause men to develop breast
on their chest.
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2 comments:
Can we still have intercourse after a sex change? If anyone could answer my question, it would to so grateful
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