Mazur Tom
Department of Pediatrics, School of Medicine and Biomedical Sciences, University of Buffalo and The Women and Children's Hospital of Buffalo, Buffalo, NY 14222, USA.
Arch Sex Behav. 2005 Aug;34(4):411-21. doi: 10.1007/s10508-005-4341-x.
This review article answers three questions relevant to the medical management and care of individuals born with complete androgen insensitivity syndrome (CAIS), partial androgen insensitivity syndrome (PAIS), or a micropenis: (1) Do any of these individuals reassign themselves from their initial gender assignment? (2) Do more reassign than the ones who do not? (3) Is there evidence of gender dysphoria in those who do not self-initiate reassignment? Reviewed were all articles on CAIS, PAIS, and micropenis cited in K. J. Zucker (1999) plus articles published through 2004. There were no documented cases of gender change in individuals with CAIS (N= 156 females) or micropenis (N= 89: 79 males, 10 females). Nine (9.1%) out of 99 individuals with PAIS changed gender. Thus, self-initiated gender reassignment was rare. Gender dysphoria also appears to be a rare occurrence. The best predictor of adult gender identity in CAIS, PAIS, and micropenis is initial gender assignment.
这篇综述文章回答了与完全性雄激素不敏感综合征（CAIS）、部分性雄激素不敏感综合征（PAIS）或小阴茎患者的医疗管理及护理相关的三个问题：（1）这些患者中是否有人自行改变其初始性别指定？（2）自行改变性别的人数是否多于未改变的？（3）未自行进行性别改变的患者中是否有性别焦虑症的证据？回顾了K. J. 朱克（1999年）引用的所有关于CAIS、PAIS和小阴茎的文章，以及截至2004年发表的文章。在CAIS患者（156名女性）或小阴茎患者（89名：79名男性，10名女性）中，没有记录到性别改变的病例。99名PAIS患者中有9名（9.1%）改变了性别。因此，自行进行的性别重新指定很少见。性别焦虑症似乎也很少见。CAIS、PAIS和小阴茎患者成年后性别认同的最佳预测因素是初始性别指定。
