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The one most commonly understood is born with genitalia that are not easily categorised as male or female. People may live their lives without knowing they have variations in their sex characteristics.

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Those who do know typically identify as either female or male — only a small proportion actually see themselves as intersex. Born in in rural New Zealand, Mani was ased male as a baby, and subjected to a of ificant surgeries as. Mani decided to live openly as an intersex person inand has since been the public face of the intersex community in New Zealand.

Mani trained as a teacher and counsellor, and from the s was executive director of the Intersex Trust Aotearoa New Zealand. The proportion of intersex people in the population depends on which variations of sex characteristics are included, and whether a specific variation is noticed, but conservative estimates are one in 5, If all variations of sex characteristics from birth are taken intothe proportion could be as high as one in InStatistics New Zealand began a project to improve the gathering of statistical information about intersex and gender-diverse communities, with the assistance of Intersex Trust Aotearoa New Zealand.

In the s, specialists at Johns Hopkins University in Baltimore, USA, suggested that the psychological wellbeing of depended upon a stable gender identity, which should be fixed by the age of 18 months. In most instances, this surgery was not medically necessary. In some cases, surgical procedures on babies resulted in many follow-up surgeries being needed. Many people, including many intersex people who were given surgery as children, now argue that the surgery should have been delayed until the individual was old enough to decide for themselves whether they wanted it.

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Research has shown that children who grow up with ambiguous genitalia, or who make their own decisions about surgery later in life do not, on average, fare worse than other children. However, those who were subjected to early surgery and were not informed about their sex variations often experience difficulties in later life. For example, some aspects of physical development may not occur as expected. Someone raised as a girl may not develop breasts because their hormone levels are not typically female.

The support group Intersex Awareness New Zealand has campaigned against surgery being carried out on children with sex variations who are too young to provide informed consent. The woman later had another baby who appeared clearly male, but was also found to be a girl with CAH. Both girls had surgery on their genitals to make them appear more female, while they were still babies. The New Zealand-born psychologist and sexologist John Money pioneered theories of intersex identity and treatment during his career at Johns Hopkins University.

The patient later committed suicide, followed by his twin two years later. Money was accused of having falsely reported that the case was going well. Story: Gender diversity 5. Diverse sex development. Boy or girl?

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