Re: Man Raised As a Girl Commits Suicide

From: Joanne Bulley, MD (islesannie@yahoo.com)
Thu May 13 21:11:49 2004


Cautionary on many areas...

I have not infrequently thought about a case from med student days.

8 mo old baby boy admitted to Peds for salt wasting. Turns out to be a baby girl with CAH with very convincing phallus and scrotum (empty of course).

Since this was a "first born" "baby boy" to a farm family ... despite much counseling, they decided they "had" to continue to raise the child as a boy.

"He" had a TAHBSO and fake testes placed in the scrotal sacs. The transcriptionists refused (for a time) to transcribe the op note - because "you can't do a TAH BSO on a boy".

Anyhow - he would be raised with his adrenal replacement - and need the hormonal management for puberty since "he" no longer had gonads. And he wold need artificial nuts placed as he went through his induced adolescence. (as if adolescence isn't hard enough without this identity crisis.

Since that was in 1979 or 1980, "he" is now 23/24/25 years old. I have recalled this case through the years and just wonder what has occurred.

Joanne

At Thu, 13 May 2004, Geff Klein wrote: >
>What are you cautioning? Watch our circs or our investments?
>
>Geffrey H Klein, MD
>450 Blossom Suite C
>Webster, Tx 77598
>832 553 5430
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art
>fougner, md
>Sent: Thursday, May 13, 2004 12:38 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: GEN: Man Raised As a Girl Commits Suicide
>
>A cautionary tale.
>
>Man Raised As a Girl Commits Suicide

--
Joanne Bulley, MD
Keene, NH, USA




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