Do you know what kind of disease 'half-yin-yang' is? Also about the characteristics of men and women

 

Banyin-yang may be an unfamiliar word to the person or family member because of a sensitive sexual disease. It is also called intersex or third sex androgyny, and it is a type of componentized disease in which it is congenitally difficult to distinguish the body according to sex due to abnormalities in sex chromosomes. Although it is congenital, there are cases in which people do not realize that they are half-yin and yang until they grow up due to reasons such as not getting impatient even when they reach puberty. This time, I will explain in detail what kind of disease Banyin-yang is, what causes it, when and how it is diagnosed, including treatment.

Characteristics of half-yin and yang

What kind of disease is half-yin-yang?

It is one of the component diseases that refers to a condition in which abnormalities in the sex chromosomes, gonads, and internal and external genital organs are congenitally observed. The sex glands, also called gonads, have the function of secreting sex hormones. In men, the testicles produce sperm, and in women, the ovaries produce eggs. The incidence of half-yin and yang is about 600 people per year. However, this is the number for which external genital abnormalities have been recognized in newborn screenings, etc. There are cases where abnormalities are recognized and diagnosed for the first time during puberty, so it is known that the number of potential patients is higher than this.

Please tell me about your specific symptoms.

From the point of view of chromosomes, both male and female genders are recognized, but the main symptom is the absence of gender-specific appearance or function, such as the external genitalia or gonads. Having both ovaries and testicles regardless of gender is called 'true half-yin-yang'. A symptom that can be seen in both men and women is ovaries, and the introverted phase is feminine, but the external genitals are masculine. Feminized is called 'male semi-yin and yang'. Most of the cases are detected due to abnormalities in the external genital organs such as the vulva or blackheads at birth.

However, when entering puberty, secondary sexual characteristics such as breast bloating or agitation for females, and no appearance of secondary sexual characteristics such as sexual change or beard hair growth for males. It is not uncommon to find that it is difficult to conceive after marriage as an adult when a fertility test is performed.

What is the cause?

First of all, there are three factors involved in determining the gender of a man and woman:

1. Gender by Chromosome
2. Gender by gonad
3. physical gender

For example, if the sex diagnosed by the chromosomes and sex glands and the sex diagnosed by the physical sex are different, it becomes a false penumbra. Also, if you possess both testicles and ovaries and both men and women show characteristics during the external genital period, it becomes a true penumbra.・In both sexes, cell division does not work well in the process of sexual differentiation, or there is an abnormality in the gene that determines sex.

Did you know before you were born?

In recent advances in fetal echo technology and performance, it can sometimes be detected during pregnancy while the fetus is still in the womb. However, most are detected at birth by showing some abnormality in the external genitalia. In addition, if the symptoms are very mild, even if it is a condition that can be diagnosed as a semi-yin and yang, there are some people who live their whole lives without realizing it, so it may not be necessary to know the facts before birth.

Please tell us about the characteristics of male falsetto half-yin-yang.

The main feature is that the external sex organs are becoming feminized despite the chromosomes being XY and male. It is known that the cause is a deficiency in the enzyme necessary to activate the male hormone because male hormones or genes do not work during the fetal period. In most cases, the penis is extremely small and the genital hernia occurs. However, although the vagina is acknowledged, menstruation does not occur as in women because there is no uterus, which is an endometrium. As a diagnostic standard, gender is identified by first confirming the external genitalia and chromosomal examination. Then, determining the gender in the family register and performing gonadoectomy and external genital formation surgery according to the situation is common.

Please tell us about the characteristics of female falsetto half-yin-yang.

It is known that most of the causes of the disease are caused by hormonal drugs used to prevent miscarriage during pregnancy. Although the chromosomes are recognized as XX and female, it is characterized by abnormalities in the external genitalia and masculinization. For example, even though the sex glands are in the ovaries, the clitoris becomes enlarged and becomes like a man's penis, or the labia majora is transformed into a scrotal shape. However, there are cases in which the uterus, fallopian tubes, and vagina develop while maintaining their natural functions Most of them. In this female false halves of yin and yang, it can be roughly divided into two types depending on the presence or absence of adrenal abnormalities.

First of all, if there is an abnormality in the adrenal gland, it causes masculinization because estrogen is excessively secreted. If this is not treated early, masculinization proceeds after birth, so a treatment that prescribes corticosteroid and stops the process is necessary. If there is no abnormality in the adrenal glands, masculinization does not progress after birth, so plastic surgery is performed depending on the severity of the symptoms to improve it.

Please tell me how to diagnose.

First of all, it is judged based on the appearance of the external genitalia at birth. For example, if the penis is extremely small despite the fact that it is a male, an examination may be performed according to the opinion of a doctor. Diagnosis is made by performing the following tests.

1. Blood and urine test
2. Endocrine tests, such as hormonal load tests to determine the power to produce male and female hormones
3. MRI, CT, X-ray angiography to determine the characteristics of testes and ovaries
4. Endoscopy
5. Chromosome test
6. Genetic Testing

For boys, it is difficult to diagnose the resistance phase, but for girls, it is possible to diagnose the resistance phase with echo or endoscopy/contrast tests.

What tests do you run?

There are three inspection methods as follows, and we will carry out according to the process.

1. Chromosomal analysis and investigation
2. Gonlinearity test
3. Extrinsic and Introspective Test

If the chromosome type test is simple, the cheek mucosa is taken, and in the case of a detailed test, blood should be collected to check the white blood cell count. This is to check the presence or absence of the Y chromosome. For males, if rectification and fixation, which is a state that stops midway when the testes should descend from the kidneys to the scrotum, are suspected while in the womb, a CT scan is also performed. B. Gynecological examination, X-ray examination, echo or CT/MRI should be performed. This is to confirm the presence of male and female genitalia.

In which department should I see the doctor?

First of all, if a clear external genital abnormality is recognized at birth, it is recommended to consult the obstetrician or gynecologist who gave birth.

A pediatric visit is also appropriate when both boys and girls are developing to some extent without being seen at birth.

What treatment do you do?

Treatment by plastic surgery is the main subject. In the case of semi-yin and yang, the penis or vagina is immature, so men perform penile-plasty and women perform vaginal angioplasty. After surgery, in most cases, supplemental therapy by administration of sex hormones is performed.

How is treatment determined?

Since the main symptom is the dysplasia of the external genitalia, it is necessary to determine their gender. Then, an appropriate gynecomastia is performed. If you live as a man, you form the penis, and if you live as a woman, you form the vagina.

Finally, please message your readers. Component diseases, including half-yin and yang, are often treated as incurable diseases, so they have to suffer from various disabilities when they need social gender.

Regardless of the severity of the symptoms, congenital damage to the body is because it causes immeasurable agony. It can also be a great burden to the body as well as the mind. Especially serious is the inability to realize that it is a semi-yin and yang until a certain degree of growth. This is the case. It is not easy to imagine the shock of living as a man or a woman until then, and suddenly one day being diagnosed as having a different gender. There is even a legal problem that social gender should be determined and changed. Although it is caused by genetics, there is no zero chance that someone close to you or your child is not half-yin-yang. that's the most important thing.

organize

Even in these days, when gender awareness is widely permeated, those who have the innate symptom of half-yin-yang bring a dark and heavy shadow not only to their physical problems, but also to their minds. In addition, the reality is that there are many people who are deeply concerned about the nature of their identity because they are also faced with the social issue of 'which gender will you live in'. Since compositional diseases are such a sensitive issue, there are many cases in which they are unable to openly disclose them to the people around them. If people close to you share your concerns, some of you may be thinking about how to respond. First of all, the important thing is not to sympathize with those suffering from this disease, but to understand it deeply and provide support as much as possible. In order to create a world where people who are not too bound by gender as male or female and who accept all genders physically and mentally can live in a more comfortable world, their actions and rituals are becoming increasingly important.