Pediatrician
Dr Shapiro completed his undergraduate education at UC San Diego earning a B S in Biochemistry and Cell Biology and a B A in Political Science He furthered his education at UCLA where he earned a Masters Degree in Public…
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The Impact of Disorders of Sexual Development
Posted in Body Modificati... by Dr. Jeremy F. Shapiro on Sep 14, 2009
Disorders of Sexual Development (DSD-and previously known as intersex conditions) can be some of the more complex medical issues an individual will encounter.  Along with the pure medical concerns of some of these disorders, there lies the potential significant impact of the mental and overall well being of the person.  And as DSD encompasses a wide array of conditions, some may be diagnosed shortly after birth secondary to some of the pure medical issues associated with the primary diagnosis, while others may not become aware of their condition until their child bearing days and well into adulthood.

 

And then there is a small community of those who have the unfortunate situation of discovering their diagnosis on the public stage, for the whole world to see and where everyone has an opinion, regardless of the impact on the individual.  And such is the case of female South African track star Caster Semenya, a breathtaking runner clearly overwhelming her competition during these recent weeks, to the point where the second-guessers have became more vocal as some have become concerned with her masculine physical features.  Granted, secondary to steroids, this decade has provided ample concern for anyone who does too well in whatever sport he/she plays.  But the primary issue raised here has extended beyond steroids (although indirectly still related) and pointed at Caster Semenya's true gender.

 

And frankly, I've been appalled with what I've read and heard as it now appears some of the laboratory work has been leaked to the world...where a person's privacy means little to nothing.  No, I'm not here to report the results, particularly as no confirmation of the test results has followed the leaked results.

 

But what I'm asking everyone to consider is the impact on the individual in this instance.  Assuming Caster Semenya has never challenged her own gender identity and then to excel at her profession only then to be accused of cheating and lying about her true gender, what kind of psychological scars may result from this?  So everyone, let's just back off here.

 

Dr. Jeremy


CATEGORIES: News
CONDITIONS AND COMMUNITIES: Body Modification  •  Congenital Adrenal Hyperplasia  •  Male Infertility
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Displaying comments 11-1 of 11
11
I am so old that i i can remember when a curser was someone who walked around swewaring all of the time.

So old that i have to take viagra four times a day just to keep from peeing in my sox.

(Help,help,help.)
By frumpybumpas  Sep 20, 2009
10
Caster Semenya is a track athlete from South Africa, and she has been recently ordered to undergo testing to see if she is actually a woman. Caster is known for exceptional speed, muscle definition and an unusually deep voice for a woman. The universal gender testing has been abandoned by the IOC, and complete gender tests are far more complex than armed forces loans applications. Blood work, invasive probing, the works – it would be less invasive and painful to get auto financing than to conclusively prove Caster Semenya is a female, according to athletic organization standards.
By DavonP  Sep 16, 2009
9
note to attractionsage, what you say is completely rediculous and you obviously know nothing about professional sports competitions. I do not believe in discrimination but there are qualifications to play sports for very good reasons and if you don't make the cut, no matter what the reason, than that is reality. If this exception is made than that opens the door for other exceptions and then the rules are of no good and competition is no longer fair to the competitor. If you want intersex sports competitions then create them, that would be fair to all involved. This is an interesting reality of life and as with other differences there should be a place for all but each decision has to be made according to the circumstances. This is a unique circumstance and I agree that it should be looked at but this does not mean making a decision that makes it unfair to all other women for one difference.
By desrtrse  Sep 16, 2009
8
Just to be clear blkP, it is not a judgement in the way of shaming her. It is about biological differences that put her out the the catagory of female which is the catagory of the female competition. Yes there are many differences and that is nature, however when it comes to athletic competition there are catagories which are there to make the competition fair to all involved. It is unfortunate for this young lady that she does not qualify in this way and in no way is this determined to shame her or anybody else. It is in the spirit of fairness to the other females and as a former athelete I would not want to have to compete with someone who is advantaged through this biological difference, it puts her at an advantage that no female would have a chance to compete against and this makes it an unfair advantage and not within the guidelines of the qualifications for female competitors. There is no shame in who she is, it is just a condition that does not allow her to compete with other females. It is an unfortunate reality, not a shameful one.
By desrtrse  Sep 16, 2009
7
There are no sport teams for people who are not totally female or totally male. The world refuses to acknowledge that we don't just have two sexes. Until that changes, intersexual people should be able to play sports in whatever gender they choose to identify with.
By attractionsaga  Sep 16, 2009
6
This is a great topic. The REAL issue is not her SEX or her GENDER, it is moreso how the Olympic committee handled the situation. She did not know that she contained both genitals nor she did not make a choice to be born intersexed.

This very private information is available for all the world to know. There could have been a better way from the begining to deal with this sensitive issue. Instead she was villifed from the onset. This information is important for her to know beccause the medical implications can be grave; the testicals need to be removed because of the opportunity for cancer.

Now we have a very promising young lady, whose life is laid bare for all to crituiqe, who has also been placed on suicide watch, for the shame disgrace that she must feels. The real shame is on the Olympic comm. for not exercising tact, shame on the media for not understanding when descretion is needed. And SHAME on all of us who continue to judge her.
By BlkPumpkin  Sep 15, 2009
5
If she is bio-physically a man no matter what her psychological mind gender is, it is not fair for her to compete with other biological women physically. In order to accomplish what this biological man can accomplish physically a biological woman would have to alter her physiology with hormones or steriods and this is not allowed in competitive sports. This is a difficult situation and I really don't care how she is self identified, however I do not feel it is fair to the other women competitors in this type of situation.
By desrtrse  Sep 15, 2009
4
It seems to me that the sport that Caster Semenya is competing in is segregated by physiological differences (i.e. sex) due to the vast variances in performance. The issue raised is out of fairness to other athletes competing in the women's track and field. Caster Semenya's gender is not the issue, her sex is.
By SoakedInTears  Sep 15, 2009
3
thank you
By joeyruready  Sep 14, 2009
2
The approach by which the internaional sports world approaches this topic is archaic. Regardless of the testing, Semenya has always identified as a woman and has lived all her life as one. Digging any deeper is old school. Studies have proven that living contrary to the gender one identifies with is psychologically unsustainable. It is very important for the international body of sports to recognize that.
By WhatLife  Sep 14, 2009
1
A very interesting blog topic. I feel sorry for those who are afflicted with this medical puzzle. As long as they can live and be happy, that should be their goal.
This is in a realm that the average person can not even grasp. Good luck to tem all.
By TrapShootersRule  Sep 14, 2009
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