Intersex rights in the United Kingdom

Last updated

Intersex rights in the United Kingdom
Europe-UK.svg
Location of the United Kingdom
Protection of physical integrity and bodily autonomy No
Protection from discrimination No / Yes (Jersey)
Access to same rights as other men and women No
Changing M/F sex classifications No
Third gender or sex classifications No
MarriageYes

Intersex people in the United Kingdom face significant gaps in legal protections, particularly in protection from non-consensual medical interventions, and protection from discrimination. Actions by intersex civil society organisations aim to eliminate unnecessary medical interventions and harmful practices, promote social acceptance, and equality in line with Council of Europe and United Nations demands. [1] [2] Intersex civil society organisations campaign for greater social acceptance, understanding of issues of bodily autonomy, and recognition of the human rights of intersex people.

Contents

The island of Jersey has enacted limited protections from discrimination. These do not protect an intersex person from unwanted medical interventions, nor address other issues raised in the Malta declaration.

History

Edward Coke, The First Part of the Institutes of the Lawes of England (1st ed, 1628, title page) Edward Coke, The First Part of the Institvtes of the Lawes of England (1st ed, 1628, title page) - 20131124.jpg
Edward Coke, The First Part of the Institutes of the Lawes of England (1st ed, 1628, title page)

Hywel the Good's laws, c.940 CE, include a definition on the rights of hermaphrodites. [3] Henry de Bracton's De Legibus et Consuetudinibus Angliae ("On the Laws and Customs of England"), c. 1235, [4] classifies mankind as "male, female, or hermaphrodite", [5] and "A hermaphrodite is classed with male or female according to the predominance of the sexual organs." [6] The 17th-century English jurist and judge Edward Coke (Lord Coke), wrote in his Institutes of the Lawes of England on laws of succession stating, "Every heire is either a male, a female, or an hermaphrodite, that is both male and female. And an hermaphrodite (which is also called Androgynus) shall be heire, either as male or female, according to that kind of sexe which doth prevaile." [7] [8] The Institutes are widely held to be a foundation of common law.

Accounts of intersex people include Hereford Mappa Mundi, a medieval map of the known world (c.1300), includes a hermaphrodite, outside the borders of the world known to its makers. [9] [10] In the mid 19th-century, The Welshman newspaper published an account of a child on 7 November 1851. [11] Another case was reported in 1906 by The Cambrian newspaper in Wales, on the death in Cardiff of an intersex child who, at post-mortem examination, was determined to be a girl. [12] Known historical intersex figures in the UK include Sir Ewan Forbes (1912-1991), 11th Baronet of Craigievar, Dawn Langley Simmons (1937 or 1922 to 2000), English author and biographer, and Georgina Somerset (née Turtle) (1923-2013), the first openly intersex person in the UK. [13] Prominent present day individuals include "national LGBT treasure" Seven Graham, writer Iain Morland, Lady Colin Campbell, author of Guide to Being a Modern Lady, Lisa Lee Dark, Welsh opera singer and voice actress, Dee Palmer of Jethro Tull, and Caroline Cossey.

The first recorded suggestion to replace the term 'hermaphrodite' with 'intersex', in medicine, came from British physician Cawadias in the 1940s. [14] This suggestion was taken up by other physicians in the UK during the 1960s. [15] [16]

The Androgen Insensitivity Syndrome Support Group (UK) established in 1988, three years after an equivalent Australian group, [17] and some years before the (now-defunct) Intersex Society of North America (ISNA). [18] It has since been joined by Organisation Intersex International UK, Intersex UK [19] and the UK Intersex Association (UKIA).

Intersex UK co-founder Holly Greenberry spoke at the "first United Nations Human Rights Council side event on intersex issues" in March 2014, alongside Mauro Cabral and representatives of Organisation Intersex International Australia and Zwischengeschlecht. [20] She was also quoted in a feature in The Independent stating: "We are at a tipping point ... Most intelligent human beings would be completely surprised and utterly dismayed at the civil inequality and human rights abuses that healthy intersex children and young adults are facing." [19]

In a 2017 BBC News report, a representative of the Androgen Insensitivity Syndrome Support Group stated that doctors routinely withheld truth about patients' diagnoses from their patients up until 2012. [21]

Physical integrity and bodily autonomy

.mw-parser-output .legend{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .legend-color{display:inline-block;min-width:1.25em;height:1.25em;line-height:1.25;margin:1px 0;text-align:center;border:1px solid black;background-color:transparent;color:black}.mw-parser-output .legend-text{} Legal prohibition of non-consensual medical interventions Regulatory suspension of non-consensual medical interventions Protection of intersex children from harmful practices.svg
  Legal prohibition of non-consensual medical interventions
  Regulatory suspension of non-consensual medical interventions

Specialists at the Intersex Clinic at University College London began to publish evidence in 2001 that indicated the harm that can arise as a result of inappropriate interventions, and advised minimising the use of childhood surgical procedures. [22] [23] [24] [25] [26] [27] [28] [29] [30] Data presented in recent years suggests that little has changed in practice. Creighton and others in the UK have found that clitoral surgeries on under-14s have increased since 2006, and "recent publications in the medical literature tend to focus on surgical techniques with no reports on patient experiences". [31]

Parents are frequently considered able to consent to feminising or masculinising interventions on their child, and this may be considered standard for the treatment of physical disorders. However this is contested, particularly where interventions seek to address psychosocial concerns. A BMJ editorial in 2015 stated that parents are unduly influenced by medicalised information, may not realise that they are consenting to experimental treatments, and regret may be high. [32] The editorial described current surgical interventions as experimental, stating that clinical confidence in constructing "normal" genital anatomies has not been borne out, and that medically credible pathways other than surgery do not yet exist. [32]

A footnote to a House of Commons report on transgender equality in 2016 suggested that intersex medical interventions were matters of the past, [33] and the country denied such practices in statements to the UN Committee on the Rights of the Child later the same year. [34] However, this was belied by data presented to the UN Committee by intersex civil society organisations later in 2016, including National Health Service Hospital Episode Statistics and clinical publications. [35] In its concluding observations, the Committee expressed concern at "medically unnecessary surgeries and other procedures on intersex children before they are able to provide their informed consent, which often entail irreversible consequences and can cause severe physical and psychological suffering, and the lack of redress and compensation in such cases". It called on the government to "guarantee bodily integrity, autonomy and self-determination to children concerned, and provide families with intersex children with adequate counselling and support", educate professionals, and provide redress. [36]

In 2017, the president of the British Association of Paediatric Urologists stated that "irreversible surgery is rarely performed in infancy" with parents fully involved in decision-making. Holly Greenberry of Intersex UK stated that parents remain coerced into making early surgical decisions. [21]

In October 2017, within a framework on protecting the integrity of the person, the UN Committee on the Rights of Persons with Disabilities called on the United Kingdom government to "repeal all types of legislation, regulations and practices allowing any form of forced intervention or surgery, and ensure that the right to free, prior and informed consent to treatment is upheld and that supported decision-making mechanisms and strengthened safeguards are provided, paying particular attention to women, intersex persons, girls and boys". [37]

Protection from discrimination

Explicit protection from discrimination on grounds of sex characteristics Explicit protection on grounds of intersex status Explicit protection on grounds of intersex within attribute of sex Inclusion of sex characteristics in anti-discrimination law.svg
  Explicit protection from discrimination on grounds of sex characteristics
  Explicit protection on grounds of intersex status
  Explicit protection on grounds of intersex within attribute of sex

Intersex people are protected from discrimination in Jersey. Since 1 September 2015, Discrimination (Jersey) Law 2013 includes intersex status within its definition of sex. Sex is one of the prohibited grounds under the act, meaning that discrimination on this basis is prohibited. The act provides that:

"Sex"

(1) Sex is a protected characteristic.
(2) In relation to the protected characteristic –
(a) a reference to a person who has that characteristic is a reference to a man, a woman or a person who has intersex status;
(b) a reference to persons who share the characteristic is a reference to persons who are of the same sex.
(3) In this paragraph, a person has intersex status if the person has physical, chromosomal, hormonal or genetic features that are –
(a) neither wholly male or female;
(b) a combination of male or female; or
(c) neither male nor female

— Discrimination (Jersey) Law 2013, Schedule 1, as amended [38]

Identification documents

The United Kingdom does not permit intersex people to change sex classification, except by declaring that they are transgender and following relevant medical protocols including a diagnosis of gender dysphoria. [39]

Right to life

Several intersex variations appear in a list by the UK Human Fertilisation and Embryology Authority of "serious" "genetic conditions" that may be de-selected, including 5 alpha reductase deficiency and androgen insensitivity syndrome, traits evident in elite women athletes and "the world's first openly intersex mayor". [40] [41] In 2015, a Council of Europe Issue Paper on Human rights and intersex people stated:

Intersex people’s right to life can be violated in discriminatory “sex selection” and “preimplantation genetic diagnosis, other forms of testing, and selection for particular characteristics”. Such de-selection or selective abortions are incompatible with ethics and human rights standards due to the discrimination perpetrated against intersex people on the basis of their sex characteristics. [1]

Rights advocacy

Notable intersex rights organisations include Intersex UK, OII-UK and the UK Intersex Association. Notable advocates include Anick Soni, co-founder of charity InterconnectedUK and a Fellow of the Royal Society of Arts, [42] [43] [44] and Seven Graham. [45] Iain Morland has written extensively on intersex issues, including through personal testimony. [46] [47] [48] Morland also co-founded Critical Sexology in 2002, a continuing interdisciplinary seminar series on gender and sexuality. [49]

See also

Related Research Articles

<span class="mw-page-title-main">Intersex medical interventions</span> Performed to modify atypical or ambiguous genitalia

Intersex medical interventions, also known as intersex genital mutilations (IGM), are surgical, hormonal and other medical interventions performed to modify atypical or ambiguous genitalia and other sex characteristics, primarily for the purposes of making a person's appearance more typical and to reduce the likelihood of future problems. The history of intersex surgery has been characterized by controversy due to reports that surgery can compromise sexual function and sensation, and create lifelong health issues. Timing, evidence, necessity and indications for surgeries in infancy, adolescence or adult age have been controversial, associated with issues of consent.

<span class="mw-page-title-main">History of intersex surgery</span> Aspect of history

The history of intersex surgery is intertwined with the development of the specialities of pediatric surgery, pediatric urology, and pediatric endocrinology, with our increasingly refined understanding of sexual differentiation, with the development of political advocacy groups united by a human qualified analysis, and in the last decade by doubts as to efficacy, and controversy over when and even whether some procedures should be performed.

<span class="mw-page-title-main">Partial androgen insensitivity syndrome</span> Medical condition

Partial androgen insensitivity syndrome (PAIS) is a condition that results in the partial inability of the cell to respond to androgens. It is an X linked recessive condition. The partial unresponsiveness of the cell to the presence of androgenic hormones impairs the masculinization of male genitalia in the developing fetus, as well as the development of male secondary sexual characteristics at puberty, but does not significantly impair female genital or sexual development. As such, the insensitivity to androgens is clinically significant only when it occurs in individuals with a Y chromosome. Clinical features include ambiguous genitalia at birth and primary amenhorrhoea with clitoromegaly with inguinal masses. Mullerian structures are not present in the individual.

<span class="mw-page-title-main">Disorders of sex development</span> Medical conditions involving the development of the reproductive system

Disorders of sex development (DSDs), also known as differences in sex development, diverse sex development and variations in sex characteristics (VSC), are congenital conditions affecting the reproductive system, in which development of chromosomal, gonadal, or anatomical sex is atypical.

<span class="mw-page-title-main">Intersex</span> Atypical congenital variations of sex characteristics

Intersex people are individuals born with any of several sex characteristics including chromosome patterns, gonads, or genitals that, according to the Office of the United Nations High Commissioner for Human Rights, "do not fit typical binary notions of male or female bodies".

<span class="mw-page-title-main">Intersex Human Rights Australia</span> Intersex organization in Australia

Intersex Human Rights Australia (IHRA) is a voluntary organisation for intersex people that promotes the human rights and bodily autonomy of intersex people in Australia, and provides education and information services. Established in 2009 and incorporated as a charitable company in 2010, it was formerly known as Organisation Intersex International Australia, or OII Australia. It is recognised as a Public Benevolent Institution.

<span class="mw-page-title-main">Intersex civil society organizations</span> Intersex Human Rights Organizations: Worldwide

Intersex civil society organizations have existed since at least the mid-1980s. They include peer support groups and advocacy organizations active on health and medical issues, human rights, legal recognition, and peer and family support. Some groups, including the earliest, were open to people with specific intersex traits, while others are open to people with many different kinds of intersex traits.

<span class="mw-page-title-main">International Intersex Forum</span>

The International Intersex Forum is an annual event organised, then later supported, by the ILGA and ILGA-Europe that and organisations from multiple regions of the world, and it is believed to be the first and only such intersex event.

Iain Morland is a British music technologist and author. He formerly lectured in cultural criticism at Cardiff University. His writings focus on issues of gender and sexuality, medical ethics, and science. In 2005, Times Higher Education described Morland as a leading academic in the field of sex research. He has edited an edition of the journal GLQ, and co-authored Fuckology, a critical analysis of the writings and practices of John Money. With Lih-Mei Liao, Morland co-founded in 2002 Critical Sexology, a continuing interdisciplinary seminar series on gender and sexuality. His audio work includes audio editing, sound design and programming.

<span class="mw-page-title-main">Intersex human rights</span> Human rights for intersex people

Intersex people are born with sex characteristics, such as chromosomes, gonads, or genitals, that, according to the UN Office of the High Commissioner for Human Rights, "do not fit typical binary notions of male or female bodies."

Intersex Peer Support Australia (IPSA), also known as the Androgen Insensitivity Syndrome Support Group Australia, is possibly the oldest known intersex organization, established in 1985. It provides peer and family support, information and advocacy. The group is run by volunteers, for people with intersex variations such as androgen insensitivity syndrome. It changed name from the Androgen Insensitivity Syndrome Support Group Australia (AISSGA) to Intersex Peer Support Australia in 2019.

<span class="mw-page-title-main">Discrimination against intersex people</span>

Intersex people are born with sex characteristics, such as chromosomes, gonads, or genitals that, according to the UN Office of the High Commissioner for Human Rights, "do not fit typical binary notions of male or female bodies". "Because their bodies are seen as different, intersex children and adults are often stigmatized and subjected to multiple human rights violations".

<span class="mw-page-title-main">Intersex and LGBT</span> Relationship between different sex and gender minorities

Intersex people are born with sex characteristics that "do not fit the typical definitions for male or female bodies". They are substantially more likely to identify as lesbian, gay, bisexual, or transgender (LGBT) than the non-intersex population, with an estimated 52% identifying as non-heterosexual and 8.5% to 20% experiencing gender dysphoria. Although many intersex people are heterosexual and cisgender, this overlap and "shared experiences of harm arising from dominant societal sex and gender norms" has led to intersex people often being included under the LGBT umbrella, with the acronym sometimes expanded to LGBTI. Some intersex activists and organisations have criticised this inclusion as distracting from intersex-specific issues such as involuntary medical interventions.

<span class="mw-page-title-main">Timeline of intersex history</span> Overview of notable events in the timeline of intersex history

The following is a timeline of intersex history.

<span class="mw-page-title-main">Intersex rights in New Zealand</span> Overview of intersex peoples rights in New Zealand

Intersex rights in New Zealand are protections and rights afforded to intersex people. Protection from discrimination is implied by the Human Rights Act and the Bill of Rights Act, but remains untested. The New Zealand Human Rights Commission states that there has seemingly been a "lack of political will to address issues involved in current practices of genital normalisation on intersex children".

<span class="mw-page-title-main">Intersex rights in Australia</span> Overview of intersex peoples rights in Australia

Intersex rights in Australia are protections and rights afforded to intersex people through statutes, regulations, and international human rights treaties, including through the Sex Discrimination Act 1984 (Cth) which makes it unlawful to discriminate against a person based upon that person's intersex status in contexts such as work, education, provision of services, and accommodation.

<span class="mw-page-title-main">Intersex rights in the United States</span> Overview of intersex peoples rights in the United States of America

Intersex people in the United States have some of the same rights as other people, but with significant gaps, particularly in protection from non-consensual cosmetic medical interventions and violence, and protection from discrimination. Actions by intersex civil society organizations aim to eliminate harmful practices, promote social acceptance, and equality. In recent years, intersex activists have also secured some forms of legal recognition. Since April 11, 2022 US Passports give the sex/gender options of male, female and X by self determination.

<span class="mw-page-title-main">Intersex human rights reports</span>

Intersex people are born with sex characteristics, such as chromosomes, gonads, hormones, or genitals that, according to the UN Office of the High Commissioner for Human Rights, "do not fit the typical definitions for male or female bodies". Such variations may involve genital ambiguity, and combinations of chromosomal genotype and sexual phenotype other than XY-male and XX-female.

<span class="mw-page-title-main">Intersex rights in Switzerland</span> Overview of intersex peoples rights in Switzerland

Intersex people in Switzerland have no recognition of rights to physical integrity and bodily autonomy, and no specific protections from discrimination on the basis of sex characteristics. In 2012, the Swiss National Advisory Commission on Biomedical Ethics published a report on the medical management of differences of sex development or intersex variations.

<span class="mw-page-title-main">Genetic diagnosis of intersex</span>

Intersex people are born with natural variations in physical and sex characteristics including those of the chromosomes, gonads, sex hormones, or genitals that, according to the UN Office of the High Commissioner for Human Rights, "do not fit the typical definitions for male or female bodies". Such variations may involve genital ambiguity, and combinations of chromosomal genotype and sexual phenotype other than XY-male and XX-female. Preimplantation genetic diagnosis allows the elimination of embryos and fetuses with intersex traits and thus has an impact on discrimination against intersex people.

References

  1. 1 2 Council of Europe; Commissioner for Human Rights (April 2015), Human rights and intersex people, Issue Paper, archived from the original on 6 January 2016
  2. ↑ UN Committee against Torture; UN Committee on the Rights of the Child; UN Committee on the Rights of People with Disabilities; UN Subcommittee on Prevention of Torture and other Cruel, Inhuman or Degrading Treatment or Punishment; Juan Méndez, Special Rapporteur on torture and other cruel, inhuman, or degrading treatment or punishment; Dainius Pῡras, Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health; Dubravka Šimonoviæ, Special Rapporteur on violence against women, its causes and consequences; Marta Santos Pais, Special Representative of the UN Secretary-General on Violence against Children; African Commission on Human and Peoples' Rights; Council of Europe Commissioner for Human Rights; Inter-American Commission on Human Rights (24 October 2016), "Intersex Awareness Day – Wednesday 26 October. End violence and harmful medical practices on intersex children and adults, UN and regional experts urge", Office of the High Commissioner for Human Rights , archived from the original on 21 November 2016{{citation}}: CS1 maint: multiple names: authors list (link)
  3. ↑ Shopland, Norena, Forbidden Lives: LGBT Stories from Wales (2017) Seren Books
  4. ↑ Henry de Bracton. (2009). In Encyclopædia Britannica. Retrieved 17 March 2009, from Encyclopædia Britannica Online Archived 24 March 2009 at the Wayback Machine
  5. ↑ de Bracton, Henry. On the Laws and Customs of England. Vol. 2 (Thorne ed.). p. 31. Archived from the original on 29 October 2016. Retrieved 7 February 2017.
  6. ↑ de Bracton, Henry. On the Laws and Customs of England. Vol. 2 (Thorne ed.). p. 32. Archived from the original on 29 October 2016. Retrieved 7 February 2017.
  7. ↑ E Coke, The First Part of the Institutes of the Laws of England, Institutes 8.a. (1st Am. Ed. 1812).
  8. ↑ Greenberg, Julie (1999). "Defining Male and Female: Intersexuality and the Collision Between Law and Biology". Arizona Law Review. 41: 277–278. SSRN   896307.
  9. ↑ Bychowski, M. W. (June 2018). "The Isle of Hermaphrodites: Disorienting the place of intersex in the Middle Ages". Postmedieval. 9 (2): 161–178. doi:10.1057/s41280-018-0079-1. ISSN   2040-5960. S2CID   166086082.
  10. ↑ Morland, Iain (June 2018). "Afterword: Genitals are history". Postmedieval. 9 (2): 209–215. doi:10.1057/s41280-018-0083-5. ISSN   2040-5960. S2CID   187569252.
  11. ↑ "'Extraordinary Circumstance' hermaphrodite child". The Welshman . 7 November 1981.
  12. ↑ "Hermaphrodite Child - Curious Phenomenon at Cardiff". The Cambrian . 25 May 1906. p. 2. at the National Library of Wales
  13. ↑ Somerset, G. T. (1992) A Girl Called Georgina – Over the Sex Border, London, The Book Guild.
  14. ↑ Cawadias, A. P. (1943) Hermaphoditus the Human Intersex, London, Heinemann Medical Books Ltd.
  15. ↑ Armstrong, C. N. (1964) "Intersexuality in Man", IN ARMSTRONG, C. N. & MARSHALL, A. J. (Eds.) Intersexuality in Vertebrates Including Man, London, New York, Academic Press Ltd.
  16. ↑ Dewhurst, S. J. & Gordon, R. R. (1969) The Intersexual Disorders, London, Baillière Tindall & Cassell.
  17. ↑ "Androgen Insensitivity Syndrome Support Group (AISSG)". Archived from the original on 21 January 2016. Retrieved 16 May 2016.
  18. ↑ Androgen Insensitivity Syndrome Support Group Australia; Briffa, Anthony (22 January 2003). "Discrimination against People affected by Intersex Conditions: Submission to NSW Government" (PDF). Archived (PDF) from the original on 11 March 2016. Retrieved 16 May 2016.
  19. 1 2 Morrison, Sarah (1 December 2013). "Intersex women speak out to protect next generation". The Independent . Archived from the original on 10 November 2017.
  20. ↑ "Intersex side event at the UN Human Rights Council". Organisation Intersex International Australia. 28 May 2014. Archived from the original on 29 December 2014. Retrieved 29 December 2014.
  21. 1 2 Kirkland, Faye (22 May 2017). "Intersex patients 'routinely lied to by doctors'". BBC News. Archived from the original on 23 May 2017. Retrieved 22 May 2017.
  22. ↑ Creighton, Sarah M.; Minto, Catherine L.; Steele, Stuart J. (14 July 2001). "Objective cosmetic and anatomical outcomes at adolescence of feminising surgery for ambiguous genitalia done in childhood". The Lancet. 358 (9276): 124–125. doi:10.1016/S0140-6736(01)05343-0. PMID   11463417. S2CID   1390872.
  23. ↑ Creighton, Sarah M (2001). "Editorial: Surgery for Intersex". Journal of the Royal Society of Medicine. 94 (5): 218–220. doi:10.1177/014107680109400505. PMC   1281452 . PMID   11385087.
  24. ↑ Minto, Catherine L.; Creighton, Sarah; Woodhouse, Christopher (1 August 2001). "Long term sexual function in intersex conditions with ambiguous genitalia". Journal of Pediatric and Adolescent Gynecology. 14 (3): 141–142. doi:10.1016/S1083-3188(01)00111-5. ISSN   1083-3188.
  25. ↑ Creighton, Sarah; Minto, Catherine L.; Steele, Stuart J. (1 August 2001). "Cosmetic and anatomical outcomes following feminising childhood surgery for intersex conditions". Journal of Pediatric and Adolescent Gynecology. 14 (3): 142. doi:10.1016/S1083-3188(01)00112-7. ISSN   1083-3188.
  26. ↑ Minto, Catherine L; Liao, K.Lih-Mei; Conway, Gerard S; Creighton, Sarah M (July 2003). "Sexual function in women with complete androgen insensitivity syndrome". Fertility and Sterility. 80 (1): 157–164. CiteSeerX   10.1.1.543.7011 . doi:10.1016/S0015-0282(03)00501-6. ISSN   0015-0282. PMID   12849818.
  27. ↑ Creighton, Sarah; Minto, Catherine (December 2001). "Managing intersex, Most vaginal surgery in childhood should be deferred". British Medical Journal. 323 (7324): 1264–1265. doi:10.1136/bmj.323.7324.1264. PMC   1121738 . PMID   11731376.
  28. ↑ Minto, Catherine L; Liao, Lih-Mei; Woodhouse, Christopher R. J.; Ransley, Phillip; Creighton, Sarah M (12 April 2003). "The effect of clitoral surgery on sexual outcome in individuals who have intersex conditions with ambiguous genitalia: a cross-sectional study". The Lancet. 361 (9365): 1252–1257. doi:10.1016/S0140-6736(03)12980-7. PMID   12699952. S2CID   10683021.
  29. ↑ Creighton, Sarah; Ransley, Philip; Duffy, Patrick; Wilcox, Duncan; Mushtaq, Imran; Cuckow, Peter; Woodhouse, Christopher; Minto, Catherine; Crouch, Naomi; Stanhope, Richard; Hughes, Ieuan; Dattani, Mehul; Hindmarsh, Peter; Brain, Caroline; Achermann, John; Conway, Gerard; Liao, Lih Mei; Barnicoat, Angela; Perry, Les (July 2003). "Regarding the Consensus Statement on 21-Hydroxylase Deficiency from the Lawson Wilkins Pediatric Endocrine Society and The European Society for Paediatric Endocrinology". The Journal of Clinical Endocrinology & Metabolism. 88 (7): 3454–3456. doi: 10.1210/jc.2003-030127 . ISSN   0021-972X. PMID   12843205.
  30. ↑ Crouch, Naomi S.; Minto, Catherine L.; Liao, Lih-Mei; Woodhouse, C R J; Creighton, Sarah M. (2004). "Genital sensation after feminizing genitoplasty for congenital adrenal hyperplasia: a pilot study". BJU International. 93 (1): 135–138. doi:10.1111/j.1464-410x.2004.04572.x. PMID   14678385. S2CID   6928518.
  31. ↑ Creighton, Sarah M.; Michala, Lina; Mushtaq, Imran; Yaron, Michal (2 January 2014). "Childhood surgery for ambiguous genitalia: glimpses of practice changes or more of the same?" (PDF). Psychology and Sexuality. 5 (1): 34–43. doi: 10.1080/19419899.2013.831214 . ISSN   1941-9899. S2CID   89605693.
  32. 1 2 Liao, Lih-Mei; Wood, Dan; Creighton, Sarah M (28 September 2015). "Parental choice on normalising cosmetic genital surgery". The BMJ . 351: –5124. doi:10.1136/bmj.h5124. ISSN   1756-1833. PMID   26416098. S2CID   20580500.
  33. ↑ United Kingdom; House of Commons; Women and Equalities Committee (January 2016), Transgender Equality (PDF), archived (PDF) from the original on 2 October 2017
  34. ↑ Reid-Smith, Tris (10 June 2016). "Genital mutilation of UK intersex people on the NHS, UN acts". Gay Star News . Archived from the original on 8 February 2017.
  35. ↑ Zwischengeschlecht.org; IntersexUK; OII-UK; The UK Intersex Association (April 2016). Intersex Genital Mutilations Human Rights Violations of Children with Variations of Sex Anatomy: NGO Report to the 5th Periodic Report of the United Kingdom on the Convention on the Rights of the Child (CRC) (PDF). Zurich. Archived (PDF) from the original on 9 November 2016.{{cite book}}: CS1 maint: location missing publisher (link)
  36. ↑ United Nations; Committee on the Rights of Child (June 2016). "Concluding observations on the fifth periodic report of the United Kingdom of Great Britain and Northern Ireland". Geneva: United Nations. Archived from the original on 7 May 2017.
  37. ↑ Committee on the Rights of Persons with Disabilities (October 2017). "Concluding observations on the initial report of the United Kingdom of Great Britain and Northern Ireland". United Nations Digital Library. United Nations. Retrieved 27 February 2021.
  38. ↑ "DISCRIMINATION (SEX AND RELATED CHARACTERISTICS) (JERSEY) REGULATIONS 2015". 2015. Archived from the original on 14 March 2016.
  39. ↑ Payton, Naith (23 July 2015). "Comment: Why the UK's gender recognition laws desperately need updating". The Pink Paper. Archived from the original on 26 January 2017.
  40. ↑ Carpenter, Morgan (18 July 2014). "Morgan Carpenter at LGBTI Human Rights in the Commonwealth conference". Glasgow. Archived from the original on 8 October 2014. Retrieved 7 February 2017.
  41. ↑ Carpenter, Morgan; Organisation Intersex International Australia (30 April 2014). Submission on the Review of Part B of the Ethical Guidelines for the Use of Assisted Reproductive Technology in Clinical Practice and Research, 2007 (Report). Sydney: Organisation Intersex International Australia. Archived from the original on 6 October 2014. Retrieved 7 February 2017.
  42. ↑ University of Westminster alumni (2020). "Let's Talk About Intersex". issuu. Retrieved 17 March 2021.
  43. ↑ McDermott, Sarah (26 October 2018). "My intersex life: Now I have a new penis, I hope I will find love". BBC News. Retrieved 17 March 2021.
  44. ↑ InterconnectedUK (2020). "About Us, InterconnectedUK". InterconnectedUK. Retrieved 17 March 2021.
  45. ↑ Graham, Sarah (18 October 2015). "Only two sexes? The barefaced lie that makes intersex people like me invisible". The Independent . Archived from the original on 8 March 2017.
  46. ↑ Morland, Iain (2005). "'The Glans Opens Like a Book': Writing and Reading the Intersexed Body". Continuum: Journal of Media & Cultural Studies. 19 (3): 335–348. doi:10.1080/103043110500176586. S2CID   145009069.
  47. ↑ Morland, Iain (June 2011). "Intersex Treatment and the Promise of Trauma". In Fisher, Jill (ed.). Gender and the Science of Difference: Cultural Politics of Contemporary Science and Medicine. New Brunswick, New Jersey: Rutgers University Press. ISBN   978-0-8135-5079-4. Archived from the original on 26 December 2014. Retrieved 30 November 2014.
  48. ↑ Morland, Iain (2012). "The Injured World: Intersex and the Phenomenology of Feeling". differences: A Journal of Feminist Cultural Studies . 23 (2): 20–41. doi:10.1215/10407391-1629803.
  49. ↑ Barker, Meg (2006). "Sexual self-disclosure and outness in academia and the clinic" (PDF). Lesbian and Gay Psychology Review. 7 (3): 292–296. doi:10.53841/bpslg.2006.7.3.292. S2CID   68021786. Archived (PDF) from the original on 4 March 2016. Retrieved 26 December 2014.

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