Guest guest Posted October 8, 2003 Report Share Posted October 8, 2003 VNN ARTICLE WITH OLYMPIC AND NATIONAL LIBRARY OF MEDICINE LINKS BATTLING THE MATERIALISTIC IMPERSONALISM OF SEXISM... Now Try to Define a 'Man' or a 'Woman'... The Self is Infinitely More Than the Sum of Some Bodily Parts By Bhakti Ananda Goswami c 9-18-2003 Ah! The pleasant security of being inexperienced and mal-educated, but absolutely sure that you know everything! This is the sad state of certitude of Jerry Falwell and his cadre of inexperienced and ill-informed homophobic marriage-defenders, who are at it again. Their current "One Man and One Woman" Marriage Initiative in the U.S.A. ( http://www.onemanonewoman.com/ ) is picking up steam, and we should all welcome it, because ultimately medical challenges to such a law will prove that it is impossible to use any medical criteria for justly defining a 'man' or 'woman'. The many kinds of intersex persons, including sex-reversed persons (born that way), who cannot fit any chromosomal or anatomical definition of male or female will have to have their constitutional rights upheld. The reality of such persons will never permit a simple chromosomal, gonadal or genital definition of male or female, man or woman. By trying to force a legal medical definition of 'man' and 'woman' for marriage purposes, Falwell and his followers are in for a real shock from God and Mother Nature! Already the International Olympic Committee has entangled itself in a nightmarish legal mess, by trying to define 'male' and 'female' for athletic competition legal purposes. The Committee had to stop genetic testing, due to the suprizing number of intersex persons who were being unjustly kept out of the Olympic Games, because they could not pass the Committee's 'sex' testing! "After decades of dispute over not only the process, but also the procedure of gender testing in the Olympic Games, a January 1999 decision has been ratified to end this testing altogether. This was a ratification of the resolution passed in 1996 at the International Olympic Committee World Conference on Women and Health to find a way to discontinue the practice. " http://cronopio.geo.lsa.umich.edu/~crlb/COURSES/140- ScienceandMedia/140-webpage/FINAL00140/Final00-GS140/sports.html The reality is that life on Earth is much more complicated than the simple, common (mis) understanding of male or female so passionately believed-in by persons like Mr. Falwell and the promoters of this amendment. Hoping to influence the moral decline of our Nation, these marriage defenders mean well, but are making a terrible mistake based on a belief in human sexual dimorphism that is not based in reality. Neither is their misunderstanding Biblically based. You will not find sex chromosomes or mixed-sex gonads etc. mentioned anywhere in the Bible. The sad fact is that their idea of male and female is based on bad out-dated 19th century and early 20th century science. They are still living in the early scientific era when it was wrongly assumed that animals and humans came in only two models, with only two kinds and expressions of sex chromosomes...XY=male and XX=female. Now modern science KNOWS that this is simply not true! Consequently the key to the failure of this misguided marriage- protection legislation is the fact that no purely biological simple definition of male or female will ever suffice. XX and XY chromosomes cannot be used to legally define every human, because not all humans are merely XX or XY. Some are chromosomally XXY, XO or Mosaic, having various chromosomal patterns in different tissues throughout their bodies. Mosaic persons can test XX, XY, XXY, XO or something else in various parts of their bodies! Then there are naturally sex-reversed people whose bodies are the opposite of the standard issue. Such persons have XX chromosomes with male anatomy, or XY chromosomes with female anatomy. Neither can gonads (ovaries or testes) or other reproductive parts be used to define every person's sex, because some otherwise normal men have a uterus (Persistent Mullerian Duct Syndrome) and some chromosomal 'women' have a functional penis and testes. There are even completely "sex- reversed" (this is the actual medical term!) people who have normal- looking bodies that are the opposite of their sex chromosomes. Thus Complete-AIS XY 'genetic males' look like normal women and may function sexually just like normal women, and Complete-CAH XX 'genetic females' have normal external male anatomy. Such naturally sex-reversed people have always been sex-assigned and raised as their anatomical sex, not their so-called chromosomal or genetic sex. There are also otherwise normal looking and feeling men and women who have been born without any genitals, as well as intersex persons who were born with both a functional vagina and a functional phallus. Furthermore, some intersex people are so- called "true hermaphrodites" (a medical label that is being phased- out as offensive), because they have ovotestes or both testicular and ovarian tissue in their mixed-sex gonads. Although most intersex persons are infertile, some can and do biologically parent children or successfully give birth. In 2001, when I was compiling a survey of the best and most recent research on sex differentiation and intersex conditions in vertebral species (including our own), I read a number of biology and medical journal reports on intersex and sex- reversed animals and humans who had fathered or given birth to healthy off-spring. Yes, there are XY women who have given birth to normal children. So there are not only reproductively successful XY sex-reversed females in other species, but there are even fertile and infertile (with treatment) XY human females who have given birth! Such cases can be studied on-line at the National Library of Medicine ( http://www.nlm.nih.gov/ ) Entrez PubMed journal search site http://www.ncbi.nlm.nih.gov/entrez/query.fcgi . This search site is very easy to use and accesses over 12 million scientific journal citations, going all the way back to the 1960s. Hundreds of scientific papers on intersex and sex-reversal in humans and other species can be read at this site. The U. S. National Library of Medicine is the leading institution of its kind in the world. Just a search of 'environmental estrogens' and related terms will pull up hundreds of world-class studies on modern pollution-caused intersex conditions in animals and man. The feminization of ALL SPECIES due to environmental estrogen mimicking compounds is a very serious world problem. It has been called a crisis and an epidemic. In some badly polluted areas, the incidence of XY feminized intersex has doubled in the last 20 years. So more and more people are being born every day who cannot be sex-assigned according to the typical XY-male type of differentiation. What will Mr. Falwell and his 'man and woman' marriage crusaders want the legal establishment to do with these souls? There are more and more intersex humans that break all of the rules of any possible simple and dimorphic legal-medical "male and female" sex assignment. This means that any rule used to define "one man and one woman" for marriage purposes can and will be eventually challenged and struck down, at the nation's highest court, by the scientific facts presented in defense of intersex persons who will have to challenge any simple dimorphic definitions of 'male and female' or 'man and woman', to secure their most basic human rights. Seeing such a legal nightmare on the legislative horizon, more and more informed people in the government will try to block this doomed legal project. The institution of Christian Marriage cannot be "defended" by denying a vast number of intersexed human beings their very right to exist. So, let the ill-informed bring on this amendment, and let science respond with the question: "OK, how will we define `male' and `female'?" The ensuing struggle will be very educational! I welcome it, as it will for once and for all end the legal-medical tyranny of anatomical parts over people who do not fit neatly into our society's fantasy of a simple, sexually dimorphic species. This amendment is exactly what is needed to bring the scientific, medical and human rights legal issues of assigning sex to national and global attention. Simplistic definitions of male and female, or man and woman, are the fantasy of inexperienced and poorly educated people like Mr. Falwell. Such prejudiced people would benefit from some volunteer service that exposes them to the real medical, legal and pastoral needs of intersex and sex-reversed people and their families. In the real world, human beings come in a continuum of complex biological conditions that range from the common standard issue XX=female and XY=male, through an extremely complex continuum of intersex states, all the way to the naturally sex-reversed XX-male and XY-female. A large number of humans exist in every state possible and viable in between 'normal' male and female, and chromosomally sex-reversed male and female. In fact, estimates for various population groups range from 1 in 2000 to 1 in 100 for persons born with some atypical sex differentiation or intersex condition. That is a lot of people who will not fit into any one- size-fits-all legal-medical definition of 'male and female'. Such intersex and sex-reversed persons are fully human and have basic God- given human rights too! As it is now, there is an enormous medical ethics debate going on about how to 'treat' and assign sex to the increasingly large number of intersex persons being born every day. At some point this medical ethics problem and the legal issue of defining 'man' and 'woman' for marriage purposes will merge. When they do, it will stimulate a new era for human rights education and activism. Education regarding the medical-legal impossibility of defining male and female is therefore the key to a human rights centered outcome in this amendment struggle. The sanctity of sacramental marriage (in any faith) cannot be preserved by denying the existence and basic human rights of part of the human race. For a copy of the Topical Index to my Sex Differentiation Study entitled "Improving Medical and Pastoral Responses To The Needs Of Intersex Persons...A Resource: Sex Differentiation and Behavior, An Introduction To Animal And Human Studies " (Compiled by David Sherman, August 2001) please write bhakti.eohn SOME REFERENCES TO MY ABOVE LETTER REGARDING THE MEDICAL DEFINITION OF A MAN AND A WOMAN Citation of these references is not an endorsement of the research or treatment methodologies used. UNITED STATES NATIONAL LIBRARY OF MEDICINE SCIENTIFIC JOURNAL CITATIONS CAN XX AND XY 'SEX CHROMOSOMES' BE USED TO DEFINE EVERY HUMAN BEING'S 'SEX', ASSIGNING THE SEX OF 'MALE' TO EVERYONE WITH XY CHROMOSOMES AND THE SEX OF 'FEMALE' TO EVERYONE WITH XX CHROMOSOMES? NO, BECAUSE NOT ALL HUMANS HAVE SIMPLY XX OR XY CHROMOSOMES, AND SOMETIMES AN XY PERSON HAS A FEMALE BODY AND AN XX PERSON HAS A MALE BODY. IN BIOLOGY AND MEDICINE THIS IS CALLED "SEX-REVERSAL", AND IT OCCURS NOT ONLY IN HUMANS, BUT IN MANY SPECIES FROM FISH AND REPTILES TO BIRDS AND MAMMALS, INCLUDING THE 'GREAT APES' AND HUMANS. BELOW ARE SOME EXAMPLES OF INDIVIDUAL HUMAN PATIENTS, AND CLASSES OF ATYPICAL OR INTERSEX CONDITIONS CONSIDERED FORMS OF "SEX-REVERSAL", WHICH ARE FOUND IN BOTH ANIMALS AND HUMAN BEINGS. THESE ARE ALL FROM TWO SINGLE TERM SEARCHES, WHICH YIELDED 60 AND 234 JOURNAL CITATIONS RESPECTIVELY. I ONLY LOOKED AT ABOUT THE FIRST 20 AND 60. THE FIRST TERM WAS "XY PREGNANCY" AND THE SECOND WAS "SEX- REVERSAL". NOT GIVEN BELOW ARE REFERENCES TO THE ENORMOUS NUMBER OF STUDIES, WHICH HAVE BEEN DONE ON INTERSEX AND SEX-REVERSAL IN PRIMATES. A SECTION ON PRIMATE STUDIES IS INCLUDED IN MY 2001 SURVEY OF THE LITERATURE ON SEX DIFFERENTIATION AND SEX DIMORPHIC BEHAVIOR IN VERTEBRATES. SEX-REVERSED XY WOMEN SUCCESSFUL PREGNANCIES IN SEX-REVERSED XY WOMEN, WHO HAD NO EGGS OF THEIR OWN. Selvaraj K, Ganesh V, Selvaraj P. Successful pregnancy in a patient with a 46,XY karyotype. Fertil Steril. 2002 Aug;78(2):419-20. PMID: 12137885 [PubMed - indexed for MEDLINE] Tanaka Y, Fujiwara K, Yamauchi H, Mikami Y, Kohno I. Pregnancy in a woman with a Y chromosome after removal of an ovarian dysgerminoma. Gynecol Oncol. 2000 Dec;79(3):519-21. PMID: 11104633 [PubMed - indexed for MEDLINE] Dirnfeld M, Bider D, Abramovicia H, Calderon I, Blumenfeld Z. Subsequent successful pregnancy and delivery after intracytoplasmic sperm injection in a patient with XY gonadal dysgenesisms. Eur J Obstet Gynecol Reprod Biol. 2000 Jan;88(1):101-2. PMID: 10659926 [PubMed - indexed for MEDLINE] Kan AK, Abdalla HI, Oskarsson T. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve&db=PubMed&list_uids=9262272&dopt=Abstract Two successful pregnancies in a 46,XY patient. Fertility and Endocrinology Centre, In Vitro Fertilisation Unit, Lister Hospital, London, UK. Hum Reprod. 1997 Jul;12(7):1434-5. PMID: 9262272 [PubMed - indexed for MEDLINE] Bardeguez AD, De Ziegler D, Weiss G. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve&db=PubMed&list_uids=2381633&dopt=Abstract Multifetal pregnancy in a gonadal dysgenesis mosaic. Obstet Gynecol. 1990 Sep;76(3 Pt 2):502-4. PMID: 2381633 [PubMed - indexed for MEDLINE] IN THESE TWO CASES, XY CHROMOSOMES WERE DETECTED IN WOMEN WHO WERE FERTILE (WHO HAD VIABLE EGGS OF THEIR OWN). IN THE FIRST CASE, XY CHROMOSOMES WERE DETECTED AFTER HER PREGNANCY. IN THE SECOND CASE, THE WOMAN IS DESCRIBED AS BEING FERTILE, HAVING XY CHROMOSOMES AND A FEMALE "PHENOTYPE", WHICH MEANS ANATOMY. De Moor G, De Bock G, Noens L, De Bie S. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve&db=PubMed&list_uids=3414310&dopt=Abstract A new case of human chimerism detected after pregnancy: 46,XY karyotype in the lymphocytes of a woman. Acta Clin Belg. 1988;43(3):231-5. PMID: 3414310 [PubMed - indexed for MEDLINE] Sudik R, Jakubiczka S, Nawroth F, Gilberg E, Wieacker PF. Chimerism in a fertile woman with 46,XY karyotype and female phenotype. Hum Reprod. 2001 Jan;16(1):56-58. PMID: 11139536 [PubMed - indexed for MEDLINE] HERE ARE SOME OTHER REFERENCES TO NATURAL HUMAN SEX-REVERSAL SPECIFICALLY REGARDING XX SEX-REVERSED MEN Domenice S, Nishi MY, Billerbeck AE, Carvalho FM, Frade EM, Latronico AC, Arnhold IJ, Mendonca BB. Molecular analysis of SRY gene in Brazilian 46,XX sex reversed patients: absence of SRY sequence in gonadal tissue. Med Sci Monit. 2001 Mar-Apr;7(2):238-41. PMID: 11257728 [PubMed - indexed for MEDLINE] Huang B, Wang S, Ning Y, Lamb AN, Bartley J. Autosomal XX sex reversal caused by duplication of SOX9. Am J Med Genet. 1999 Dec 3;87(4):349-53. PMID: 10588843 [PubMed - indexed for MEDLINE] Kolon TF, Ferrer FA, McKenna PH. Clinical and molecular analysis of XX sex reversed patients. J Urol. 1998 Sep;160(3 Pt 2):1169-72; discussion 1178. PMID: 9719302 [PubMed - indexed for MEDLINE] Reddy PP, Papenhausen PR, Suh YM, Riddick LM, Calvano CJ, Mandell J. XX sex reversal: molecular analysis of the SRY/ZFY regions. J Urol. 1997 Sep;158(3 Pt 2):1305-7. PMID: 9258201 [PubMed - indexed for MEDLINE] HUMAN SEX-REVERSAL IN GENERAL, AND XY FEMALE SEX REVERSAL (MORE COMMONLY STUDIED THAN XX MALE SEX-REVERSAL) Jameson JL, Achermann JC, Ozisik G, Meeks JJ. Battle of the sexes: new insights into genetic pathways of gonadal development. Trans Am Clin Climatol Assoc. 2003;114:51-63; discussion 64-5. Review. PMID: 12813911 [PubMed - indexed for MEDLINE Dewing P, Bernard P, Vilain E. Disorders of gonadal development. Semin Reprod Med. 2002 Aug;20(3):189-98. Review. PMID: 12428199 [PubMed - indexed for MEDLINE Cotinot C, Pailhoux E, Jaubert F, Fellous M. Molecular genetics of sex determination. Semin Reprod Med. 2002 Aug;20(3):157-68. Review. PMID: 12428196 [PubMed - indexed for MEDLINE Salas-Cortes L, Jaubert F, Bono MR, Fellous M, Rosemblatt M. Expression of the human SRY protein during development in normal male gonadal and sex-reversed tissues. J Exp Zool. 2001 Nov 1;290(6):607-15. PMID: 11748609 [PubMed - indexed for MEDLINE] Ostrer H. Identifying genes for male sex determination in humans. J Exp Zool. 2001 Nov 1;290(6):567-73. Review. PMID: 11748605 [PubMed - indexed for MEDLINE] Vilain E. SEE ABOVE Genetics of sexual development. Annu Rev Sex Res. 2000;11:1-25. Review. PMID: 11351829 [PubMed - indexed for MEDLINE] Salas-Cortes L, Jaubert F, Nihoul-Fekete C, Brauner R, Rosemblatt M, Fellous M. SRY protein is expressed in ovotestis and streak gonads from human sex-reversal. Cytogenet Cell Genet. 2000;91(1-4):212-6. PMID: 11173859 [PubMed - indexed for MEDLINE] Calvari V, Bertini V, De Grandi A, Peverali G, Zuffardi O, Ferguson- Smith M, Knudtzon J, Camerino G, Borsani G, Guioli S. A new submicroscopic deletion that refines the 9p region for sex reversal. Genomics. 2000 May 1;65(3):203-12. PMID: 10857744 [PubMed - indexed for MEDLINE] Ottolenghi C, Veitia R, Barbieri M, Fellous M, McElreavey K. The human doublesex-related gene, DMRT2, is homologous to a gene involved in somitogenesis and encodes a potential bicistronic transcript. Genomics. 2000 Mar 1;64(2):179-86. PMID: 10729224 [PubMed - indexed for MEDLINE] Ottolenghi C, Veitia R, Quintana-Murci L, Torchard D, Scapoli L, Souleyreau-Therville N, Beckmann J, Fellous M, McElreavey K. The region on 9p associated with 46,XY sex reversal contains several transcripts expressed in the urogenital system and a novel doublesex- related domain. Genomics. 2000 Mar 1;64(2):170-8. PMID: 10729223 [PubMed - indexed for MEDLINE] SEX REVERSAL GENE NOT EXPRESSED IN THE FATHER, BUT EXPRESSED IN THE CHILD (SHOWS THAT THE 'EXPRESSION' OR OUTCOME OF A GENE MUTATION IS NOT ALWAYS PREDICTABLE ! ) Imai A, Takagi A, Tamaya T. A novel sex-determining region on Y (SRY) missense mutation identified in a 46,XY female and also in the father. Endocr J. 1999 Oct;46(5):735-9. PMID: 10670762 [PubMed - indexed for MEDLINE] Takagi A, Imai A, Tamaya T. A novel sex-determining region on Y (SRY) nonsense mutation identified in a 45,X/47,XYY female. Fertil Steril. 1999 Jul;72(1):167-9. PMID: 10428169 [PubMed - indexed for MEDLINE] Vilain E, McCabe ER. Mammalian sex determination: from gonads to brain. Mol Genet Metab. 1998 Oct;65(2):74-84. Review. PMID: 9787099 [PubMed - indexed for MEDLINE] Flejter WL, Fergestad J, Gorski J, Varvill T, Chandrasekharappa S. A gene involved in XY sex reversal is located on chromosome 9, distal to marker D9S1779. Am J Hum Genet. 1998 Sep;63(3):794-802. PMID: 9718346 [PubMed - indexed for MEDLINE] REFERS TO ONE STUDY OF 45 SEX-REVERSED XY FEMALES Scherer G, Held M, Erdel M, Meschede D, Horst J, Lesniewicz R, Midro AT. Three novel SRY mutations in XY gonadal dysgenesis and the enigma of XY gonadal dysgenesis cases without SRY mutations. Cytogenet Cell Genet. 1998;80(1-4):188-92. PMID: 9678356 [PubMed - indexed for MEDLINE] FIVE SISTERS, TWO OF THEM SEX-REVERSED XY FEMALES Hines RS, Tho SP, Zhang YY, Plouffe L Jr, Hansen KA, Khan I, McDonough PG. Paternal somatic and germ-line mosaicism for a sex-determining region on Y (SRY) missense mutation leading to recurrent 46,XY sex reversal. Fertil Steril. 1997 Apr;67(4):675-9. PMID: 9093193 [PubMed - indexed for MEDLINE] CONCLUSIONS FROM THE LONGEST STUDY ON SEX HORMONES, THE BRAIN AND BEHAVIOR (PARTIAL ABSTRACT ONLY) Balthazart J, Tlemcani O, Ball GF. Do sex differences in the brain explain sex differences in the hormonal induction of reproductive behavior? What 25 years of research on the Japanese quail tells us. Horm Behav. 1996 Dec;30(4):627-61. Review. PMID: 9047287 [PubMed - indexed for MEDLINE] SEX-REVERSAL IN OTHER SPECIES SOME ANIMAL SPECIES HAVE REPRODUCTIVELY SUCCESSFUL XY FEMALES ! ALSO AMONG THE ABSTRACTS BELOW, YOU WILL FIND RESEARCH RELEVANT TO SEX-SIGNALING-RESPONSES AND SAME-SEX-PAIRING STUDIES. SOME NLM PubMed SEARCH RESULTS ...SOME MORE EXAMPLES 1: Park EH, Taketo T. Related Articles, Links Onset and Progress of Meiotic Prophase in the Oocytes in the B6.YTIR Sex-Reversed Mouse Ovary. Biol Reprod. 2003 Aug 6 [Epub ahead of print] PMID: 12904311 [PubMed - as supplied by publisher] 2: Vaillant S, Guemene D, Dorizzi M, Pieau C, Richard-Mercier N, Brillard JP. Related Articles, Links Degree of sex reversal as related to plasma steroid levels in genetic female chickens (Gallus domesticus) treated with Fadrozole. Mol Reprod Dev. 2003 Aug;65(4):420-8. PMID: 12840815 [PubMed - in process] 5: Nanda I, Hornung U, Kondo M, Schmid M, Schartl M. Related Articles, Links Common spontaneous sex-reversed XX males of the medaka Oryzias latipes. Genetics. 2003 Jan;163(1):245-51. PMID: 12586712 [PubMed - indexed for MEDLINE] 6: Bugno M, Klukowska J, Slota E, Tischner M, Switonski M. Related Articles, Links A sporadic case of the sex-reversed mare (64,XY; SRY-negative): molecular and cytogenetic studies of the Y chromosome. Theriogenology. 2003 Apr 1;59(7):1597-603. PMID: 12559464 [PubMed - indexed for MEDLINE] 7: Smith CA, Katz M, Sinclair AH. Related Articles, Links DMRT1 is upregulated in the gonads during female-to-male sex reversal in ZW chicken embryos. Biol Reprod. 2003 Feb;68(2):560-70. PMID: 12533420 [PubMed - indexed for MEDLINE] 8: Shimasaki Y, Kitano T, Oshima Y, Inoue S, Imada N, Honjo T. Related Articles, Links Tributyltin causes masculinization in fish. Environ Toxicol Chem. 2003 Jan;22(1):141-4. PMID: 12503757 [PubMed - indexed for MEDLINE] 9: Bianchi NO. Related Articles, Links Akodon sex reversed females: the never ending story. Cytogenet Genome Res. 2002;96(1-4):60-5. PMID: 12438781 [PubMed - indexed for MEDLINE] 12: Kirankumar S, Pandian TJ. Related Articles, Links Effect on growth and reproduction of hormone immersed and masculinized fighting fish Betta splendens. J Exp Zool. 2002 Nov 1;293(6):606-16. PMID: 12410610 [PubMed - indexed for MEDLINE] 13: Bakker J, Honda S, Harada N, Balthazart J. Related Articles, Links Sexual partner preference requires a functional aromatase (cyp19) gene in male mice. Horm Behav. 2002 Sep;42(2):158-71. PMID: 12367569 [PubMed - indexed for MEDLINE] 14: Shibata K, Takase M, Nakamura M. Related Articles, Links The Dmrt1 expression in sex-reversed gonads of amphibians. Gen Comp Endocrinol. 2002 Jul;127(3):232-41. PMID: 12225764 [PubMed - indexed for MEDLINE] 15: Quillet E, Aubard G, Queau I. Related Articles, Links Mutation in a sex-determining gene in rainbow trout: detection and genetic analysis. J Hered. 2002 Mar-Apr;93(2):91-9. PMID: 12140268 [PubMed - indexed for MEDLINE] 16: Milnes MR Jr, Roberts RN, Guillette LJ Jr. Related Articles, Links Effects of incubation temperature and estrogen exposure on aromatase activity in the brain and gonads of embryonic alligators. Environ Health Perspect. 2002 Jun;110 Suppl 3:393-6. PMID: 12060834 [PubMed - indexed for MEDLINE] 17: Pailhoux E, Vigier B, Vaiman D, Servel N, Chaffaux S, Cribiu EP, Cotinot C. Related Articles, Links Ontogenesis of female-to-male sex-reversal in XX polled goats. Dev Dyn. 2002 May;224(1):39-50. PMID: 11984872 [PubMed - indexed for MEDLINE] 18: Pailhoux E, Mandon-Pepin B, Cotinot C. Related Articles, Links Mammalian gonadal differentiation: the pig model. Reprod Suppl. 2001;58:65-80. Review. PMID: 11980203 [PubMed - indexed for MEDLINE] 19: Lund TD, West TW, Tian LY, Bu LH, Simmons DL, Setchell KD, Adlercreutz H, Lephart ED. Related Articles, Links Visual spatial memory is enhanced in female rats (but inhibited in males) by dietary soy phytoestrogens. BMC Neurosci. 2001;2(1):20. Epub 2001 Dec 17. PMID: 11801187 [PubMed - indexed for MEDLINE] 20: Renfree MB, Coveney D, Shaw G. Related Articles, Links The influence of estrogen on the developing male marsupial. Reprod Fertil Dev. 2001;13(4):231-40. Review. PMID: 11800162 [PubMed - indexed for MEDLINE] 21: Schelling C, Pienkowska A, Arnold S, Hauser B, Switonski M. Related Articles, Links A male to female sex-reversed dog with a reciprocal translocation. J Reprod Fertil Suppl. 2001;57:435-8. PMID: 11787187 [PubMed - indexed for MEDLINE] 22: Vaillant S, Dorizzi M, Pieau C, Richard-Mercier N. Related Articles, Links Sex reversal and aromatase in chicken. J Exp Zool. 2001 Dec 1;290(7):727-40. PMID: 11748621 [PubMed - indexed for MEDLINE] 23: Pailhoux E, Vigier B, Vaiman D, Schibler L, Vaiman A, Cribiu E, Nezer C, Georges M, Sundstrom J, Pelliniemi LJ, Fellous M, Cotinot C. Related Articles, Links Contribution of domestic animals to the identification of new genes involved in sex determination. J Exp Zool. 2001 Dec 1;290(7):700-8. PMID: 11748618 [PubMed - indexed for MEDLINE] 26: Pailhoux E, Parma P, Sundstrom J, Vigier B, Servel N, Kuopio T, Locatelli A, Pelliniemi LJ, Cotinot C. Related Articles, Links Time course of female-to-male sex reversal in 38,XX fetal and postnatal pigs. Dev Dyn. 2001 Nov;222(3):328-40. PMID: 11747069 [PubMed - indexed for MEDLINE] 27: Vaillant S, Magre S, Dorizzi M, Pieau C, Richard-Mercier N. Related Articles, Links Expression of AMH, SF1, and SOX9 in gonads of genetic female chickens during sex reversal induced by an aromatase inhibitor. Dev Dyn. 2001 Oct;222(2):228-37. PMID: 11668600 [PubMed - indexed for MEDLINE] 28: Belaid B, Richard-Mercier N, Pieau C, Dorizzi M. Related Articles, Links Sex reversal and aromatase in the European pond turtle: treatment with letrozole after the thermosensitive period for sex determination. J Exp Zool. 2001 Sep 15;290(5):490-7. PMID: 11555856 [PubMed - indexed for MEDLINE] 29: Coveney D, Shaw G, Renfree MB. Related Articles, Links Estrogen-induced gonadal sex reversal in the tammar wallaby. Biol Reprod. 2001 Aug;65(2):613-21. PMID: 11466233 [PubMed - indexed for MEDLINE] 30: Papoulias DM, Noltie DB, Tillitt DE. Related Articles, Links Effects of methyl testosterone exposure on sexual differentiation in medaka, Oryzias latipes. Mar Environ Res. 2000 Jul-Dec;50(1-5):181-4. PMID: 11460688 [PubMed - indexed for MEDLINE] 31: Tsang TE, Khoo PL, Jamieson RV, Zhou SX, Ang SL, Behringer R, Tam PP. Related Articles, Links The allocation and differentiation of mouse primordial germ cells. Int J Dev Biol. 2001;45(3 Spec No):549-55. PMID: 11417898 [PubMed - indexed for MEDLINE] 34: Agulnik AI, Harrison WR, Bishop CE. Related Articles, Links Smcy transgene does not rescue spermatogenesis in sex-reversed mice. Mamm Genome. 2001 Feb;12(2):112-6. PMID: 11210179 [PubMed - indexed for MEDLINE] 36: Nagler JJ, Bouma J, Thorgaard GH, Dauble DD. Related Articles, Links High incidence of a male-specific genetic marker in phenotypic female chinook salmon from the Columbia River. Environ Health Perspect. 2001 Jan;109(1):67-9. PMID: 11171527 [PubMed - indexed for MEDLINE] 37: Adkins-Regan E, Wade J. Related Articles, Links Masculinized sexual partner preference in female zebra finches with sex-reversed gonads. Horm Behav. 2001 Feb;39(1):22-8. PMID: 11161880 [PubMed - indexed for MEDLINE] 38: Dournon C, Membre H, Bautz A. Related Articles, Links Sex reversal of germ cell gametogenesis in chimeras of Pleurodeles waltl (urodele amphibian): genetic and immunogenetic demonstration using tolerance or rejection of skin grafts. Dev Growth Differ. 2001 Feb;43(1):97-106. PMID: 11148455 [PubMed - indexed for MEDLINE] 39: Scholz S, Gutzeit HO. Related Articles, Links 17-alpha-ethinylestradiol affects reproduction, sexual differentiation and aromatase gene expression of the medaka (Oryzias latipes). Aquat Toxicol. 2000 Oct 1;50(4):363-373. PMID: 10967398 [PubMed - as supplied by publisher] 40: Wong J, Luckers L, Okawara Y, Pelletier R, Taketo T. Related Articles, Links Follicular development and atresia in the B6.Y(TIR) sex-reversed mouse ovary. Biol Reprod. 2000 Sep;63(3):756-62. PMID: 10952917 [PubMed - indexed for MEDLINE] 41: Stavnezer AJ, McDowell CS, Hyde LA, Bimonte HA, Balogh SA, Hoplight BJ, Denenberg VH. Related Articles, Links Spatial ability of XY sex-reversed female mice. Behav Brain Res. 2000 Jul;112(1-2):135-43. PMID: 10862944 [PubMed - indexed for MEDLINE] 44: Fagundes V, Christoff AU, Scalzi-Martin J, Hozier J, Moreira- Filho CA, Yonenaga-Yassuda Y. Related Articles, Links X;Y translocation revealed by chromosome microdissection and FISH in fertile XY females in the Brazilian rodent Akodon montensis. Cytogenet Cell Genet. 2000;88(1-2):124-9. PMID: 10773685 [PubMed - indexed for MEDLINE] 45: Kitano T, Takamune K, Nagahama Y, Abe SI. Related Articles, Links Aromatase inhibitor and 17alpha-methyltestosterone cause sex- reversal from genetical females to phenotypic males and suppression of P450 aromatase gene expression in Japanese flounder (Paralichthys olivaceus). Mol Reprod Dev. 2000 May;56(1):1-5. PMID: 10737961 [PubMed - indexed for MEDLINE] 48: Hubler M, Hauser B, Meyers-Wallen VN, Arnold S. Related Articles, Links Sry-negative XX true hermaphrodite in a Basset hound. Theriogenology. 1999 May;51(7):1391-403. PMID: 10729102 [PubMed - indexed for MEDLINE] 49: Amleh A, Smith L, Chen H, Taketo T. Related Articles, Links Both nuclear and cytoplasmic components are defective in oocytes of the B6.Y(TIR) sex-reversed female mouse. Dev Biol. 2000 Mar 15;219(2):277-86. PMID: 10694422 [PubMed - indexed for MEDLINE] 52: Kitano T, Takamune K, Kobayashi T, Nagahama Y, Abe SI. Related Articles, Links Suppression of P450 aromatase gene expression in sex-reversed males produced by rearing genetically female larvae at a high water temperature during a period of sex differentiation in the Japanese flounder (Paralichthys olivaceus). J Mol Endocrinol. 1999 Oct;23(2):167-76. PMID: 10514554 [PubMed - indexed for MEDLINE] 53: Suzuki S. Related Articles, Links Androgenic gland hormone is a sex-reversing factor but cannot be a sex-determining factor in the female crustacean isopods Armadillidium vulgare. Gen Comp Endocrinol. 1999 Sep;115(3):370-8. PMID: 10480988 [PubMed - indexed for MEDLINE] 54: Parma P, Pailhoux E, Cotinot C. Related Articles, Links Reverse transcription-polymerase chain reaction analysis of genes involved in gonadal differentiation in pigs. Biol Reprod. 1999 Sep;61(3):741-8. PMID: 10456852 [PubMed - indexed for MEDLINE] 55: Krisfalusi M, Cloud JG. Related Articles, Links Gonadal sex reversal in triploid rainbow trout (Oncorhynchus mykiss). J Exp Zool. 1999 Sep 1;284(4):466-72. PMID: 10451424 [PubMed - indexed for MEDLINE] 56: Wennstrom KL, Blesius F, Crews D. Related Articles, Links Volumetric analysis of sexually dimorphic limbic nuclei in normal and sex-reversed whiptail lizards. Brain Res. 1999 Aug 14;838(1-2):104-9. PMID: 10446322 [PubMed - indexed for MEDLINE] 59: Sheehan DM, Willingham E, Gaylor D, Bergeron JM, Crews D. Related Articles, Links No threshold dose for estradiol-induced sex reversal of turtle embryos: how little is too much? Environ Health Perspect. 1999 Feb;107(2):155-9. PMID: 9924012 [PubMed - indexed for MEDLINE] 60: Jimenez R, Burgos M. Related Articles, Links Mammalian sex determination: joining pieces of the genetic puzzle. Bioessays. 1998 Sep;20(9):696-9. Review. PMID: 9819558 [PubMed - indexed for MEDLINE] 61: Vilain E, McCabe ER. Related Articles, Links Mammalian sex determination: from gonads to brain. Mol Genet Metab. 1998 Oct;65(2):74-84. Review. PMID: 9787099 [PubMed - indexed for MEDLINE] 64: Jamieson RV, Zhou SX, Wheatley SC, Koopman P, Tam PP. Related Articles, Links Sertoli cell differentiation and Y-chromosome activity: a developmental study of X-linked transgene activity in sex-reversed X/XSxra mouse embryos. Dev Biol. 1998 Jul 15;199(2):235-44. PMID: 9698443 [PubMed - indexed for MEDLINE] 67: Nagamine CM, Capehart J, Carlisle C, Chang D. Related Articles, Links Ovotestes in B6-XXSxr sex-reversed mice. Dev Biol. 1998 Apr 1;196(1):24-32. PMID: 9527878 [PubMed - indexed for MEDLINE] 69: Wallace H, Wallace BM, Badawy GM. Related Articles, Links Lampbrush chromosomes and chiasmata of sex-reversed crested newts. Chromosoma. 1997 Dec;106(8):526-33. PMID: 9426285 [PubMed - indexed for MEDLINE] 70: Amleh A, Taketo T. Related Articles, Links Live-borns from XX but not XY oocytes in the chimeric mouse ovary composed of B6.Y(TIR) and XX cells. Biol Reprod. 1998 Feb;58(2):574-82. PMID: 9475416 [PubMed - indexed for MEDLINE] 72: Hunt PA, Worthman C, Levinson H, Stallings J, LeMaire R, Mroz K, Park C, Handel MA. Related Articles, Links Germ cell loss in the XXY male mouse: altered X-chromosome dosage affects prenatal development. Mol Reprod Dev. 1998 Feb;49(2):101-11. PMID: 9444653 [PubMed - indexed for MEDLINE] 73: Abinawanto, Zhang C, Saito N, Matsuda Y, Shimada K. Related Articles, Links Identification of sperm-bearing female-specific chromosome in the sex-reversed chicken. J Exp Zool. 1998 Jan 1;280(1):65-72. PMID: 9437853 [PubMed - indexed for MEDLINE] 74: Vanderhyden BC, Macdonald EA, Merchant-Larios H, Fernandez A, Amleh A, Nasseri R, Taketo T. Related Articles, Links Interactions between the oocyte and cumulus cells in the ovary of the B6.Y(TIR) sex-reversed female mouse. Biol Reprod. 1997 Sep;57(3):641-6. PMID: 9283002 [PubMed - indexed for MEDLINE] 75: Reddy PP, Papenhausen PR, Suh YM, Riddick LM, Calvano CJ, Mandell J. Related Articles, Links XX sex reversal: molecular analysis of the SRY/ZFY regions. J Urol. 1997 Sep;158(3 Pt 2):1305-7. PMID: 9258201 [PubMed - indexed for MEDLINE] 76: Pask A, Toder R, Wilcox SA, Camerino G, Graves JA. Related Articles, Links The candidate sex-reversing DAX1 gene is autosomal in marsupials: implications for the evolution of sex determination in mammals. Genomics. 1997 May 1;41(3):422-6. PMID: 9169141 [PubMed - indexed for MEDLINE] 78: Williams J, Partington BP, Smith B, Hedlund CS, Law JM. Related Articles, Links Pyovagina and stump pyometra in a neutered XX sex-reversed beagle: a case report. J Am Anim Hosp Assoc. 1997 Jan-Feb;33(1):83-90. PMID: 8974032 [PubMed - indexed for MEDLINE] 80: Amleh A, Ledee N, Saeed J, Taketo T. Related Articles, Links Competence of oocytes from the B6.YDOM sex-reversed female mouse for maturation, fertilization, and embryonic development in vitro. Dev Biol. 1996 Sep 15;178(2):263-75. PMID: 8812128 [PubMed - indexed for MEDLINE EXAMPLES OF ABSTRACTS REGARDING HUMAN SEX-REVERSAL AND XY FEMALE FERTILITY AND PREGNANCY http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve&db=PubMed&list_uids=12137885&dopt=Abstract 1: Fertil Steril. 2002 Aug;78(2):419-20. Successful pregnancy in a patient with a 46,XY karyotype. Selvaraj K, Ganesh V, Selvaraj P. Fertility Research Center, G.G. Hospital, Tamil Nadu, India. kamala OBJECTIVE: To report a case of successful pregnancy in a patient with 46,XY karyotype with primary ovarian failure. DESIGN: Case report. SETTING: Fertility Research Center, G.G. Hospital, Chennai, Tamil Nadu, India. PATIENT(S): A 27-year-old woman with hypoplastic uterus, normal fallopian tubes on both sides, and gonadal dysgenesis. INTERVENTION(S): Chromosomal analysis, diagnostic laparoscopy, donor oocyte program, gamete intrafallopian transfer, and gonadectomy. MAIN OUTCOME MEASURE(S): Response to hormone replacement therapy and the probability of achieving a pregnancy by a tubal procedure. RESULT(S): Treatment was successful, and the patient delivered a live baby. CONCLUSION(S): A hypoplastic uterus of patients with the 46,XY karyotype can be stimulated by the use of cyclical steroid therapy to accommodate pregnancy and facilitate tubal procedures in patients with normal fallopian tubes. PMID: 12137885 [PubMed - indexed for MEDLINE] http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve&db=PubMed&list_uids=11104633&dopt=Abstract 1: Gynecol Oncol. 2000 Dec;79(3):519-21. Related Articles, Links Pregnancy in a woman with a Y chromosome after removal of an ovarian dysgerminoma. Tanaka Y, Fujiwara K, Yamauchi H, Mikami Y, Kohno I. Department of Obstetrics and Gynecology, Kawasaki Medical School, Kurashiki City, Japan. BACKGROUND: It appears to be a general belief that pregnancy might be impossible in women with the XY karyotype. Therefore, it is recommended that patients with dysgerminoma of the ovary associated with the XY karyotype should undergo a bilateral salpingo- oophorectomy. CASE: We report an extremely rare case of a true hermaphrodite with a 20% 46,XX/80% 46,XY karyotype who became pregnant after removal of an ovarian dysgerminoma. The patient had a completely normal female phenotype. A dysgerminoma with ovotestis was found in the right ovary. Two courses of chemotherapy following a right salpingo-oophorectomy were carried out. Nine months later she became pregnant and delivered a healthy male infant. CONCLUSION: A unilateral salpingo-oophorectomy followed by combination chemotherapy can be the treatment of choice for any woman who wishes to preserve her capacity for conception at the time of operation for dysgerminoma of the ovary. Copyright 2000 Academic Press. PMID: 11104633 [PubMed - indexed for MEDLINE] http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve&db=PubMed&list_uids=10659926&dopt=Abstract 1: Eur J Obstet Gynecol Reprod Biol. 2000 Jan;88(1):101-2. Related Articles, Links Subsequent successful pregnancy and delivery after intracytoplasmic sperm injection in a patient with XY gonadal dysgenesisms. Dirnfeld M, Bider D, Abramovicia H, Calderon I, Blumenfeld Z. Carmel Hospital, Rambam Medical Center, Technion, Israel. Report of a rare case of subsequent twin delivery after intracytoplasmic sperm injection (ICSI) into donated oocytes in a 30- year-old woman with a diagnosis of XY dysgenesis, who underwent a gonadectomy at the age of 13 years. Her husband suffers from severe oligo-astheno-terato-spermia. PMID: 10659926 [PubMed - indexed for MEDLINE] http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve&db=PubMed&list_uids=9262272&dopt=Abstract 1: Hum Reprod. 1997 Jul;12(7):1434-5. Related Articles, Links Two successful pregnancies in a 46,XY patient. Kan AK, Abdalla HI, Oskarsson T. Fertility and Endocrinology Centre, In Vitro Fertilisation Unit, Lister Hospital, London, UK. Two successful pregnancies (singleton followed by twins) following ovum donation/in-vitro fertilization in a 46,XY woman have been studied. Although similar cases have previously been presented: in a pure XY patient and in a 45,X/46,XY patient, this case is one in which a subsequent successful pregnancy has resulted. In such patients, the rate of Caesarean section appears to be increased, and we postulate that the hypoplastic nature of the uterus, although able to respond quite well to both exogenous and endogenous hormones to accept and maintain a pregnancy, may lack the capability to respond fully in labour by dilating appropriately. PMID: 9262272 [PubMed - indexed for MEDLINE] http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve&db=PubMed&list_uids=3414310&dopt=Abstract 1: Acta Clin Belg. 1988;43(3):231-5. Related Articles, Links A new case of human chimerism detected after pregnancy: 46,XY karyotype in the lymphocytes of a woman. De Moor G, De Bock G, Noens L, De Bie S. PMID: 3414310 [PubMed - indexed for MEDLINE] http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve&db=PubMed&list_uids=2381633&dopt=Abstract 1: Obstet Gynecol. 1990 Sep;76(3 Pt 2):502-4. Related Articles, Links Multifetal pregnancy in a gonadal dysgenesis mosaic. Bardeguez AD, De Ziegler D, Weiss G. Department of Obstetrics and Gynecology, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark. A successful triplet gestation in a 45,X/46,XY woman is presented. A previously hypoplastic uterus was prepared for implantation by exogenous hormone replacement. Conception was achieved through in vitro fertilization of donor oocytes and transfer of four embryos into a hormonally primed endometrium. This case illustrates that some women with 45,X/46,XY karyotype can have a successful triplet pregnancy. Therefore, a conservative approach during gonadectomy in patients with a Y chromosome may be warranted. PMID: 2381633 [PubMed - indexed for MEDLINE] Quote Link to comment Share on other sites More sharing options...
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