Cloacal exstrophy & gender
• Gender Outsiders: Transgendered & Others
Some are born girls, others are made that way. Not all of the latter appreciate their gender assignment.
At the last assessment, eight of the 14 individuals raised as girls had declared themselves boys, including four who had not been told of their surgical transformation. Dr. Reiner says that one child refused at age 12 to accept estrogen injections for induction of puberty because he felt he was a boy. In addition, five subjects were living as females, apparently without complaint. One was too angry to discuss the issue.

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