Elsayed S M, Al-Maghraby M, Hafeiz H B, Taha S A
Department of Psychiatry, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia.
Acta Psychiatr Scand. 1988 Mar;77(3):297-300. doi: 10.1111/j.1600-0447.1988.tb05124.x.
Four cases of male pseudo-hermaphrodism were seen post pubertal. All had been reared as females unambiguously since birth. Two cases developed male gender identity post pubertal, but failed to declare themselves to their families and society until a similar case had been publicized in the local newspaper. The third case did not reveal her problem to her family even after being informed by a doctor at the age of 15, and was discovered accidentally at the age of 22 on routine medical examination. The fourth was discovered accidentally at age 40 after having been married and divorced. The families of the four cases shared a strong desire for their children to be reassigned to the male sex including the third case, irrespective of being assured of her female gender identity by physicians. Psychiatric and social problems encountered pre- and post-operatively are discussed with particular emphasis on the role of culture and traditions.
青春期后发现了4例男性假两性畸形病例。所有患者自出生起就被明确当作女性抚养。2例患者在青春期后形成了男性性别认同，但直到当地报纸报道了类似病例后，他们才向家人和社会表明自己的身份。第三例患者即使在15岁时医生告知其病情后，也未向家人透露自己的问题，22岁时在常规体检中被意外发现。第四例患者在结婚又离婚后，40岁时被意外发现。这4例患者的家人都强烈希望将他们的孩子重新认定为男性，包括第三例患者的家人，尽管医生已向他们保证其孩子的女性性别身份。本文讨论了手术前后遇到的精神和社会问题，特别强调了文化和传统的作用。
