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Surgeons, even today, cannot create "normal" looking genitals, and surgery was much poorer decades ago.Thus, if you have genitals that look like most women (or men), then you were surely born with these genitals.

Which variations of sexual anatomy count as intersex?

":/faq/frequency To answer this question in an uncontroversial way, you'd have to first get everyone to agree on "what counts as intersex":/faq/what_is_intersex --and also to agree on what should count as strictly male or strictly female. How small does a penis have to be before it counts as intersex?

Do you count "sex chromosome" anomalies as intersex if there's no apparent external sexual ambiguity? Review and synthesis.": Journal of Human Biology__ 1-166.

[1] (Alice Dreger explores this question in greater depth in her book "Hermaphrodites and the Medical Invention of Sex":/books/medicalinvention.) Here's what we do know: If you ask experts at medical centers how often a child is born so noticeably atypical in terms of genitalia that a specialist in sex differentiation is called in, the number comes out to about 1 in 1500 to 1 in 2000 births. Blackless, Melanie, Anthony Charuvastra, Amanda Derryck, Anne Fausto-Sterling, Karl Lauzanne, and Ellen Lee. We were recently asked to update these frequency figures, and a lively "discussion": arose between two staff members.

But a lot more people than that are born with subtler forms of sex anatomy variations, some of which won't show up until later in life. Ethical Issues in the Treatment of Intersexuality":/articles/ambivalent_medicine. ISNA is working to create a world free of shame, secrecy, and unwanted sexual surgeries for children born with anatomy that someone decided is not standard male or female.