Identify gender to correct confusion of nature

Living like a man, one day suddenly stunned to realize that she is a woman, or vice versa; Such cases are not uncommon in Vietnam. Gender-based surgery can help them return to their true gender.

(Photo: gay.blogs)

Many people appear to be male but are actually female and vice versa; it is a case of male imitation (or female fake). Professor Tran Quan Anh, Director of the Center for Male Studies in Viet Duc Hospital (Hanoi), said that men are a long-term, penis-like external genitalia, but people with it have chromosome sets. 46XX really.

Many of them were born male, passing through the childhood of a boy, to adolescence or adulthood to realize he was missing something new like real men. When going to the examination, shooting, these "boys" dozen fire when they discovered that they have both the uterus and ovaries, the penis is actually just an enlarged clitoris; They don't "see the month" like normal women because they don't have a vagina. Of course, they also hoped to become husbands and fathers.

Female prostheses are cases where men are like women and often mistaken for women. The two major organs of genitalia are actually scrotum; The testicles are often hidden, so the penis is also short or "hidden" in, so the patient has to sit down. By puberty, many "girls" suddenly found themselves with mustaches, their voices breaking; and while friends turn to menstruation - the "certificate " of an adult woman - they don't see anything. Only when going to the doctor, did these girls know that they were boys, chromosome was 46XY.

Professor Quan Anh said, in order to confirm the cases of female or male imitation, it is necessary to test sex hormones. Male prostheses will have high levels of female hormones and vice versa.

The surgery can help these patients return to their true sex with the genitalia suitable for the chromosome set. For male prostheses, the doctor will cut the "penis" and form the vagina by taking a piece of the intestine or skin from the cervix out. As a result, the woman can perform menstruation (if the ovary is working properly) and have sex as usual. In the case of female prostheses, the doctor will shape the testicle scrotum from two "large lips" to bring the testicle back to the right place, exposing the penis out. These operations are called gender-based surgery.

Menstrual surgery can also be applied to cases of male and female affection, which means the person has both sex organs (uterus, ovaries, testes). In this case, Professor Quan Anh said, there are two criteria to "choose" gender for patients: gender relations in patients and their needs.

Often doctors determine which gender dominates . If the ovary works better, the testicle is removed and the male hormonal source is removed, then plastic surgery is performed. If "stronger" testicles need to be removed from the ovaries and uterus (often incomplete) to eliminate the source of female hormones, terminate menstruation if available. However, these interventions must be approved by the patient. In some cases, gender-based surgery is done according to the patient's wishes, regardless of which gender is dominant in their body.

Professor Quan Anh said that the law has allowed to do gender identification surgery (that is, to return people to their true gender) and Viet Duc Hospital is fully capable of doing this surgery, in terms of specialized subject. However, current facilities do not guarantee safety for surgery because this microsurgery requires absolute sterility. Once qualified for surgery, the hospital will explain thoroughly and ask patients and families to sign a commitment before surgery, to avoid the lawsuit as it happened.

in some other establishments. According to Professor Anh, a director of the professor had lost his job just because the patient's family sued that "our son is a son, why did the doctor turn it into a daughter so that my family could lose the continuation of the line? ".

According to Professor Anh, it is necessary to distinguish gender-based surgery and transgender surgery - a technique that is not allowed by law. Those who want to transgender are men or women who are biologically perfect. Meaning they have internal and external genitalia that fits perfectly with the chromosome set. However, because of homosexuality or feeling that they do not belong to the gender, the body is exposed so they aspire to change.

To transgender, the patient uses the sex hormone of the opposite sex and removes the real sex hormone by cutting off the genitalia (male testicles and ovaries in women) and then forming the birth organ. new sex. With a male turning into a female, after removing the penis, the doctor will create a false cavity to the sensitive area that can be intercourse. For females, they will form a penis with an inner layer of urine ducts, the outer layer adds cartilage to the ribs to create stiffness, which helps successful intercourse. All transgender people must inject new sex hormones for life.

Professor Quan Anh said, Viet Duc Hospital is capable of doing transgender surgery, and also receives many requests from patients. However, Viet Duc did not perform this surgery, not only because it was banned but also because it was a devastating operation too terrible to completely remove healthy sexual organs in a unjust way. On the other hand, this surgery also only helps with physiological satisfaction (can intercourse) while completely eliminating their fertility, and they cannot be a perfect person with the gender they choose. Using hormones for a lifetime is not only a nuisance and reminds them of this imperfection but also a health risk, which can lead to cancer.

Thanh Nhan