Androgynous boy with female genitals refuses to become woman

A Moscow-based hospital performed an operation on an androgynous boy who had a genetic set of chromosomes typical of female organisms. At his very young age the boy was diagnosed as having cryptorchidism.  His parents, natives of the Middle East, wanted the son to grow older to have a special operation to solve the problem. The boy faced first problems in connection with the diagnosis at the age of twelve when he discovered that his genitals were bleeding. He told the mother about the problem. After special medical examinations doctors were shocked to discover that the male patient had an uterus and adnexa. The discovery in its turn clarified why the boy had his genitals bleeding. The boy had regular menstruation, head of the Urinology and Andrology Department at the Moscow Pediatrics and Infant Surgery Research Institute, Asaad Matar, told the Moskovsky Komsomolets newspaper.

The patient had a genetic test as a result of which it turned out that there were female chromosomes in his organism. Besides, the teenager felt that his breast was growing. Taking the transformations into their consideration, doctors suggested that the parents should have their son converted into a girl with the help of sex-change surgery. The medics explained that such a transformation would include the plastic surgery of the teenager’s vagina and the removal of the organ resembling a male penis. As a result of such changes the patient may have a chance to have children, like any healthy woman, specialists said.

But the young man insisted that he wanted to remain a boy. His parents said they were used to having an elder son, but not daughter.

Afterwards, the boy underwent a different surgery to have his female genitals removed. The boy endured the operation well. Two silicone testicles are going to be implanted into his scrotum soon.

Even though the operation was a success, doctors warn that the patient will never become a natural father. What is more, he will have to take a course of hormone therapy to maintain his male phenotype till the end of his life.

Experts say that hermaphroditism can be diagnosed at the age of puberty  only when a child turns ten or twelve years old.  As for the above instance, ovule fertilization first gave birth to a girl. But then some abnormalities occurred during the cell fission, and the embryo acquired features of the male sex. It is not ruled out that androgynism could arise from an incestuous union in the family.

Moskovsky Komsomolets

Translated by Maria Gousseva

Author`s name Dmitry Sudakov