2025 Update

 Looks like 7 year updates might be a thing.  I've divorced much of the transsexual world, as it has pushed into the Intersex communities and at least in the USA there is now a huge pushback against transsexualism.  This is a fault of communication and the institutionalization by the US Department of Education to drive transexualism into the grade schools (grades 5-12); And the absolute chaos that caused with men (natal males) competing in women's sports. It was absurd to watch the transsexual lobby force women to withdraw from women's events and lives, and for the government institutions to allow the farce.

Intersex has to stand on its own, there is no choice for the Intersex child born between gender, nor is there a sensible approach to assisting that child (long term care) to identify with a binary gender by age 12, nor are the normalized treatment plans for those intersex children to join a side of binary gender.  At best this process is haphazard and not endorsed by the APA (US National Medical Regulation body), the APA governs what treatment protocols the insurance carriers authorized doctors to execute.  

Shame on the APA for not normalizing the process of Intersex to binary gender.  

This should be a gender decision with assistance by age 12 and then proper endocrine support for the binary development of the Intersex individual resulting in a normalized 18 year old with little difference between female or male phenotypes.  The APA has failed the US Intersex community at a very fundamental level.

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Let me add a bit of my history as I no longer work in mission critical industries and no longer need to maintain a facade of being normal.  

I was born Intersex about 1970, and the doctors of that barbaric age justified their immediate crisis teams' actions to then remove my uterus.  The organ was partially collapsed and the teams justification of this event is that "We saved you from cancer"; This occurred immediately after birth and I was not cancerous at the time. I was given a Complete Hysterectomy removing the Uterus and Ovaries, one of which was actually an Ovary and the other failed to develop properly.  My Vagina was collapsed and allowed to remian so.  

This might have been okay, but I question the Ethics of this manuever as the crisis team and the hospital immediately destroyed my medical records following this event.  It took decades of investigation to get to the bottom of this event, the lead surgeon of the crisis team maintained his own set of records at his home and that was the only remaining record; For whatever reason the surgeon declined to provide of a copy of the records, likely fearing a malpractice suit. 

If that wasn't enough, my parents whom were very poorly coached and upon there were no followups, then subjected me to the creation of a penis; As my parents chose reason and imagined that any child with a choice, for whom there was no possibility of procreation as a girl would prefer to be a boy.

Is it any surprise that by age 4 I was lost and confused about gender identifying as female, as could be expected of any child born with a Uterus; Forced and beaten when I made mistakes like acting like a normal girl.  I can say definitively from my own experience that it is nearly impossible to move forwards as a person when ones gender is incongruent; This should not be misconstrued as an endorsement for transsexualism, generally something else is an issue there and selling transsexualism to natal males as a solution to other problems should also be Medical Malpractice.

I was raised as a boy and beaten when I made mistakes or appeared too girlish, to say that the lack of followup from an early Medical Malpractice of immediate surgery and a coverup of my very existance was at best detrimental to my development should be clear and obvious even to the APA and the USA's National Institutes of Health.

The protocol for Intersex children should be passingly simple:

1. No immediate non-life-threatending surgeries, take a wait and see approach.  
2. No immediate rush to declare a gender, it takes time for a sense of gender to develop in a child 3-5 years generally.
3. The Intersex child should be given a gender marker of I, clearly indicating the child is Intersex, to alleviate the move between states also removing followup of this simple process.
4. About age 12 the Intersex child will have demonstrated whether they are male or female, I would say "any qualified psychologist" should be able to discern gender in a child with a few hours of observation; However the group of professionals have shown themselves to be remarkably poor at determining gender in transsexuals (99% of whom needed different help than transsexualism), much less Intersex children.
5. At about age 12, an Endocrinologist should work with the child to develop in the appropriate gender the child expressed, and the child's binary gender should be noted and marked.

I'd say it ain't rocket science, however the APA and the US National Institutes of Health failed in this basic execution.  There are two genders and Intersex people need merely a few years to sort it out, this isn't hard. 

Onnineko

ps. World is crazy stupid right now in the USA, an asanine exective order which completely ignored Inersex people whose birth gender should be an I for Intersex and normalized about age 12 in binary gender; This has resulted in a Passport renewel which effective is a denial, I'm not now and never was male, what part of BORN WITH A UTERUS.... is difficult.  A hysterectomy does not make me any less female.  So I will continue to forgoe releasing my personal identifying information publicly.  

Best of luck to you all.