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intersex: here's what that means
Andy Garland Therapies - Counselling Cardiff - Mental Health Services Cardiff - Cardiff Therapists - intersex

I'm Alex, and I'm an intersex young person. I started puberty a bit late, so I went to a doctor and he ran some tests. He told me that I had high levels of testosterone, and introduced me to the term intersex. I was really lucky that my first interaction with the medical system and intersex traits was a really positive one with a well-educated doctor.

He was honest with me and used the right terminology, and that gave me the option of embracing my identity and connecting with other intersex people, which made a huge difference. Unfortunately, a lot of intersex people don't always have that option, and may not even know that they're intersex. Sometimes that's because doctors will hide it from us or treat it as something shameful, or because it's hard to access accurate information about intersex traits.

what does intersex mean?

Sex is based on a combination of hormones, genitals, chromosomes, and other physical characteristics. People usually think of sex as two distinct categories, with everyone who has XX chromosomes, higher levels of estrogen, a vulva, a uterus, and breasts in one category, and everyone with XY chromosomes, higher levels of testosterone, a penis, testicles, and no breasts in the other, but that isn't really accurate.

You might have heard some people associate physical attributes with gender, and use words like "male" and "female" to describe bodies, but gender is actually a largely separate thing. Women, men, and non-binary people can all have a range of physical traits, including varying hormone levels, different genitalia, genetic differences, and heaps of other combinations. No physical trait is inherently male or female at all.

There's a lot of variety in the physical traits people can have, and unsurprisingly, the two categories we've constructed doesn't describe everyone. Being intersex means that I don't fit into either of these two 'binary' sexes. There's many different ways to be intersex. Some intersex people's chromosomes might be X, or XXY, or we might have varieties in our hormones like androgen insensitivity syndrome (when someone has XY chromosomes but is resistant to androgens), or lots of other possibilities. Around 1.7% of the population is estimated to be intersex, which makes people with intersex variations about as common as redheads who make up 1-2% of the population. If you've met someone who's a redhead, you've probably met someone who's intersex too.

Andy Garland Therapies - Counselling Cardiff - Mental Health Services Cardiff - Cardiff Therapists - intersex

how i Identify

Gender, sexuality, and intersex status are all totally different things, and they can combine in really different ways. I'm pansexual, which means that I'm potentially attracted to people of any gender, and I'm a trans man. Other intersex people might identify their body and their gender as being intersex, or might identify with any gender, including female, non-binary, or male.

Gender isn't determined by your body or any physical attributes, so, just like non-intersex people, intersex people can be any gender! Sexuality is also separate from our bodies and gender identity. Intersex people can also be any sexuality, including asexual, bisexual, gay, lesbian, straight, or anything else!

Andy Garland Therapies - Counselling Cardiff - Mental Health Services Cardiff - Cardiff Therapists - intersex

common misconceptions

There are a lot of misconceptions about what being intersex is really like. These are just a few of them.
intersex is the same as transgender: Some intersex people are also transgender (like me!), but there are also cisgender intersex people. Intersex people can be any gender, be that non-binary, a man, a woman, agender, or anything else!

intersex people have "mutilated genitals": This one's just flat out wrong, not to mention offensive. Describing our bodies as mutilated or wrong is insulting, and based on the absurd idea that 'different' means 'bad'.

intersex people are all mentally ill: Some intersex people are mentally ill, but we aren't mentally ill because we're intersex, and there are also intersex people who aren't mentally ill. Calling intersex traits mental illnesses is inaccurate, and that inaccuracy hurts both mentally ill people and intersex people, and especially impacts mentally ill intersex people.

supporting intersex people

don't use slurs
The term hermaphrodite is a slur, and unless you're an intersex person talking about yourself, or an intersex person explicitly told you that's how to refer to them, it's not OK to use it.

respect our privacy
When I'm comfortable with a person, I'll tell them that I'm intersex if they ask me about it. I've told most of my family and close friends, but sharing this part of my identity can still be difficult. Some people still don't understand what intersex means, or have really negative ideas about it. Our bodies can also be quite personal things, so it's important to respect our right to decide what we tell you. It's OK to ask questions, but think about how appropriate what you're asking is. If you wouldn't ask a non-intersex people who you know as well as you know me, then you probably shouldn't be asking me either.

intersex inclusion in LGBTIQA+ groups
Intersex inclusion is really important, but it needs to be led by intersex people. I've seen some groups that will tack on an I in the acronym, but won't even know what it stands for, and that's really tokenistic and misleading. If your organisation doesn't have any intersex staff or volunteers, then elevate the voices of intersex people who are already sharing our stories and ideas. It's also important to consult with intersex people if you're working on relevant resources or trainings.

Andy Garland Therapies - Counselling Cardiff - Mental Health Services Cardiff - Cardiff Therapists - intersex

intersex rights

Intersex people are still discriminated against in our society. Intersex advocacy groups do a lot to combat this, and elevating our voices and listening to us talk about our issues is a great way to be an ally.

visibility and education

Visibility is a really important issue. We're constantly erased from media and history, biology classes in schools will either pretend we don't exist or misrepresent us, and it can be really hard to find accurate information on intersex identity if you don't already know where to look.

medical rights

Accessing medical services can also be challenging. An intersex friend of mine and I talk about this together a lot, because it's something that we both face pretty much every time we see a doctor or go to a hospital. Some intersex conditions can cause medical issues. For me, my higher levels of testosterone have caused some issues with the way my uterus works. Since intersex traits can mean needing medical support more often, it would make sense for doctors to be well educated on our identities, but they really aren't.

Some doctors will mock us for being intersex, or claim that it doesn't really exist, and some will blame unrelated health issues on our intersex traits. In some places, intersex infants will even be given unnecessary surgeries to make our bodies look more "normal", and then tell parents not to tell the intersex person about it. This erasure and violation of our bodily autonomy is never OK, and it makes life so much harder for intersex people.

being intersex in our society

Being intersex isn't a bad thing, but dealing with prejudice definitely is. Continuing to learn about intersex identity and rights, listening to more intersex people share our stories, and understanding that we know best when it comes to our issues, is a great way to make life better for intersex people.

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