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Or a person may be born with genitals that seem to be in-between the usual male and female types—for example, a girl may be born with a noticeably large clitoris, or lacking a vaginal opening, or a boy may be born with a notably small penis, or with a scrotum that is divided so that it has formed more like labia. Humans today, typically doctors decide how small a penis has to be, or how unusual a combination of parts has to be, before it counts as intersex. Or a person may be born with mosaic genetics, so that some of her cells have XX chromosomes and some of them have XY. Breasts, penises, clitorises, scrotums, labia, gonads—all of these vary in size and shape and morphology. By the way, because some forms of intersex signal underlying metabolic concerns, a person who thinks she or he might be intersex should seek a diagnosis and find out if she or he needs professional healthcare. Some people live and die with intersex anatomy without anyone including themselves ever knowing. And some think you have to have both ovarian and testicular tissue to count as intersex. Which variations of sexual anatomy count as intersex? What does this mean?

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By the way, because some forms of intersex signal underlying metabolic concerns, a person who thinks she or he might be intersex should seek a diagnosis and find out if she or he needs professional healthcare. Rather than trying to play a semantic game that never ends, we at ISNA take a pragmatic approach to the question of who counts as intersex. Intersex is a socially constructed category that reflects real biological variation. Breasts, penises, clitorises, scrotums, labia, gonads—all of these vary in size and shape and morphology. In the same way, nature presents us with sex anatomy spectrums. Or a person may be born with genitals that seem to be in-between the usual male and female types—for example, a girl may be born with a noticeably large clitoris, or lacking a vaginal opening, or a boy may be born with a notably small penis, or with a scrotum that is divided so that it has formed more like labia. Humans today, typically doctors decide how small a penis has to be, or how unusual a combination of parts has to be, before it counts as intersex. But in human cultures, sex categories get simplified into male, female, and sometimes intersex, in order to simplify social interactions, express what we know and feel, and maintain order. We work to build a world free of shame, secrecy, and unwanted genital surgeries for anyone born with what someone believes to be non-standard sexual anatomy. Humans decide whether a person with XXY chromosomes or XY chromosomes and androgen insensitivity will count as intersex. What does this mean? Home What is intersex? To better explain this, we can liken the sex spectrum to the color spectrum. Which variations of sexual anatomy count as intersex? In practice, different people have different answers to that question. For example, a person might be born appearing to be female on the outside, but having mostly male-typical anatomy on the inside. Or a person may be born with mosaic genetics, so that some of her cells have XX chromosomes and some of them have XY. And some think you have to have both ovarian and testicular tissue to count as intersex. Some people live and die with intersex anatomy without anyone including themselves ever knowing.

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