Rare case of Androgen Insensitivity Syndrome: Woman who became a girl after groundbreaking surgery

2023-09-14 23:38:53

After the operation, the woman has truly become a girl. (Photo / Newspaper photo)

A woman who has lived for 20 years is suddenly told that she is a boy? This is not a movie plot, but a real event that happened in Huai’an, mainland China. There is a 20-year-old woman in Huai’an, mainland China, with long hair and a slim figure. However, she has never had menstruation in the past 20 years. After a check at the Women’s and Children’s Hospital, it was discovered that her chromosomes are 46XY, which means that from a biological point of view, he has Basically male.

According to a doctor at the hospital, “Although he has female sexual characteristics, he does not have female reproductive organs such as ovaries, uterus, and fallopian tubes. He is a typical androgen insensitivity syndrome.” This disease is an extremely rare congenital abnormality of sexual development caused by mutations in the androgen receptor gene, and is usually more common in men than women.

This disease is difficult to detect in early childhood. It is usually discovered when a girl seeks medical treatment at the age of 15 before her first menstrual period. Or attention is drawn to the “accidental discovery” of testicles during hernia surgery at a young age. Regarding the treatment of this disease, doctors also mentioned that psychological reconstruction is much more difficult than physical problems. Regardless of whether the patient is male or female, the most important thing is to focus on the patient’s “self-gender identity.”

After some discussion and communication, the hospital decided to perform vaginal plastic surgery on him and remove the male gonads at the same time, otherwise there would be risks such as glandular tumors in the future. Now, he is completely a girl. But since there is no uterus, she cannot have children. Finally, the doctor emphasized once more that if a girl has not yet had her first period following the age of 15, she must seek medical treatment immediately.

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