by LINDSAY BEYERSTEIN
If you read more carefully, you find that this is a debate over how to manage an inherited error of metabolism called congenital adrenal hyperplasia (CAH). Patients with CAH lack an enzyme that converts androgen precursors into cortisol. Even in utero, their adrenal glands are pumping out androgens, which can cause girls to be born with male-looking genitals. As I explained earlier, the potential medical consequences of virilization go far beyond cosmetic appearance or even gender presentation. In severe cases, the patient may need multiple painful surgeries to create separate vaginal and urethral openings. Dreger and her colleagues dismissed dex as “fetal cosmetology” until they were called to the carpet by authors from Harvard who forced them to acknowledge the medical consequences of severe masculinization. The ill-effects include incontinence, kidney damage from recurrent UTIs, vaginal narrowing that interferes with menstruation and the future ability to have PIV intercourse. Girls may need multiple painful surgeries to correct these abnormalities.
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via 3 Quarks Daily