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Clinician Advocacy and Intersex Health: A History of Intersex Health Care and the Role of the Clinician Advocate Past, Present, and Future

Pediatr Ann. 2021 Sep;50(9):e359-e365. doi: 10.3928/19382359-20210816-01. Epub 2021 Sep 1.

Abstract

Throughout the history of Western culture, sex has been reflected as a binary rule, with this binary system affecting self-expression, lifestyle choices, and health outcomes of everyone, but especially those with intersex traits. "Intersex" (or differences of sex development) is an umbrella term used to describe a wide range of natural variations in genitalia, gonads, and chromosome patterns that do not fit typical binary notions of male or female bodies. Currently, people who identify as intersex or as having intersex traits are not provided with the appropriate care needed for their wellbeing. Intersex health care has undergone a great deal of change in the last century, led by intersex leaders and advocates. Clinician advocates have also played a vital role. This article will focus on this history of intersex health care evolution, the role of clinician advocacy, and suggestions for how clinicians can become advocates for improving intersex health care. [Pediatr Ann. 2021;50(9):e359-e365.].

MeSH terms

  • Delivery of Health Care / trends*
  • Disorders of Sex Development* / diagnosis
  • Disorders of Sex Development* / therapy
  • Female
  • Gonads / anatomy & histology
  • Humans
  • Male
  • Patient Advocacy
  • Physician's Role