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Women with complete androgen insensitivity syndrome

262 replies

Tandora · 01/08/2024 17:22

https://www.nhs.uk/conditions/androgen-insensitivity-syndrome/symptoms/#:~:text=Girls%20with%20CAIS%20do%20not,make%20some%20sexual%20acts%20difficult.
Inspired by the dumpster fire of a certain thread that filled up just now -
AIBU to share some information about girls and women with CAIS. Many of these women and girls won’t learn about their variation in sex characteristics until adulthood. Some might never know and not without the assistance of modern technologies (that can test , eg, karyotype). For cases of CAIS identified at birth, most individuals are assigned/ registered/ raised female. (Yes sex can be assigned).

Anyone who could know a girl/ woman with CAIS in the real world, and tell her she is , in fact , unambiguously a boy/ man, because gametes, - well you would deserve worse than to be called a sexual fascist.

The NHS recognises the existence of girls and women with CAIS , and provides medical interventions accordingly.

https://www.nhs.uk/conditions/androgen-insensitivity-syndrome/symptoms/#:~:text=Girls%20with%20CAIS%20do%20not,make%20some%20sexual%20acts%20difficult.

https://www.ncbi.nlm.nih.gov/books/NBK1429/

Yes these conditions are rare, but the more we learn about the biology of sex development , the more complex the picture becomes, as with most areas of science/ biology/ medicine .

nhs.uk

Androgen insensitivity syndrome - Symptoms

Read more about the symptoms of androgen insensitivity syndrome (AIS), which vary depending on whether the insensitivity is partial or complete.

https://www.nhs.uk/conditions/androgen-insensitivity-syndrome/symptoms#:~:text=Girls%20with%20CAIS%20do%20not,make%20some%20sexual%20acts%20difficult.

OP posts:
EsmaCannonball · 01/08/2024 18:50

Neither male boxer has yet claimed to have a DSD so this could be direct cheating with or without state collusion.

Tandora · 01/08/2024 18:49

Ereshkigalangcleg · 01/08/2024 18:46

Regardless of all that, people are who they are and they are born with the bodies they are born with .

Does that apply to all disabled people and people with medical conditions? It's both a pointless platitude and extremely callous.

Absolutely it does - we shouldn’t pass ableist value judgements on disabled bodies either. No idea at all why you think that is a callous thing to say

OP posts:
WickedSerious · 01/08/2024 18:49

whattywhattaa · 01/08/2024 18:41

She has had 50 fights as a female, raised a woman.

Being 'raised a woman'(whatever that means)doesn't make him a woman.

TomDaleysShavedBalls · 01/08/2024 18:48

Although people with total androgen insensitivity don’t have the benefits of testosterone for sporting performance, the XY chromosome means they are taller, don’t have the female pelvis, periods, etc, which affect the performance of those with xx chromosomes.

Namechange8464 · 01/08/2024 18:47

Tandora · 01/08/2024 17:41

Girls with CAIS don’t go through male puberty. Their bodies are insensitive to androgens.

But how do you know Imane Khelif has CAIS? Noone knows that they have any DSD, but there are plenty where they do go through male puberty.

The only thing we do know is that the IAB found them ineligible to compete in the women's category due to concerns over safety and fairness. Therefore it is a scandal that the IOC has overruled that.

BreatheAndFocus · 01/08/2024 18:46

🤣 🤣 🤣 God, it’s been ages since I’ve seen that article 😂

Ereshkigalangcleg · 01/08/2024 18:46

Regardless of all that, people are who they are and they are born with the bodies they are born with .

Does that apply to all disabled people and people with medical conditions? It's both a pointless platitude and extremely callous.

Tandora · 01/08/2024 18:44

FOJN · 01/08/2024 18:33

Using the exceptions which prove the rule is a rubbish strategy for trying to demonstrate men can be women.

We only know that CAIS is a DSD because the people affected have XY chromosomes but do not develop as expected. Internal testes with a short cavity where the vagina would be usually be found in females cannot be considered a variation consistent with the concept as sex as a spectrum because it's a useless reproductive strategy which is the primary function of our sex organs.

But it really doesn’t matter what value judgements you attach to their development- (I’m sure god would be displeased and all , and feel free to consider them to be broken/ disordered all you want etc, being gay used to be considered a disorder it’s also a useless reproductive strategy after all!!). Regardless of all that, people are who they are and they are born with the bodies they are born with . This is natural human variation that exists in the world.

The point is simply that the physiology of human sexual development is varied and complex and it’s not as simple as saying if your karyotype is XY , or if you have this type of gamete you are a man , and therefore you have an advantage in sport, etc etc.

OP posts:
PeriIsKickingMyButt · 01/08/2024 18:43

whattywhattaa · 01/08/2024 18:41

She has had 50 fights as a female, raised a woman.

So? XY 5 ARD males develop as males during puberty. None of them get past about age 14 without it becoming clear they are male. Raised as a girl until puberty then turning into a teenage boy must be fucking confusing and distressing for them but it's hardly a secret. Caster Semenya was raised as a boy from puberty when his genuine sex became obvious. Yet he still chose to compete against women in order to win. It's cheating.

ditalini · 01/08/2024 18:42

It's interesting that the two most common DSDs that don't offer an obvious advantage (studies have shown that women with CAIS are overrepresented in sport, but it's perfectly fine everywhere for them to compete and not considered an issue), have been mentioned on this thread.

Women with CAIS and Swyers are not the issue here, nor are they a trojan horse for you to use to derail the legitimate debate about male physiological advantage being used to unfairly compete in women's sport.

Namechange8464 · 01/08/2024 18:42

@Tandora But you categorically do not know that Imane Khelif has any DSD, let alone this one. Did you literally trawl through all of them to find one to suit your narrative?

RedToothBrush · 01/08/2024 18:41

It's a medical issue / disability.

If you don't meet the criteria to enter the Olympics then set up an alternative for people with a similar condition in the Paras.

Job done.

Oh wait that doesn't involve a power trip over women and hurting women. It also means admitting you have a medical condition and they don't want to be associated with other people with medical issues / disabilities because of internalised disablism.

Better just to abuse women for not budging up and refusing to except unfairness and unacceptable risks in women's sport.

Ereshkigalangcleg · 01/08/2024 18:41

And we know OP thinks that "trans rights" trump women's, because she's said this on many threads. This DSD talk is a convenient deflection.

whattywhattaa · 01/08/2024 18:41

She has had 50 fights as a female, raised a woman.

PeriIsKickingMyButt · 01/08/2024 18:40

Ponderingwindow · 01/08/2024 18:38

you aren’t wrong that this is an incredibly complex issue. Dsd really need to be handled on a condition by condition basis.

as difficult as it might be though to discover later in life your self perception does not match your reality, you can’t change reality. Many of us have to come to terms with a variety of genetics based conditions that can have massive implications on our lives.

this must be especially difficult for elite athletes and I have sympathy for them. That still doesn’t change the fact that some of them should switch divisions if they want to keep competing.

Thing is though, the only DSDs that actually confer an advantage are the ones that allow XY males who look a bit like females to compete against females. They have an advantage because they go through male puberty. CAIS people don't have the physicality of elite athletes. They tend to have supermodel proportions - very long and thin. It's very unlikely that any CAIS XY person would reach Olympic level in the first place.

sanluca · 01/08/2024 18:40

It always comes down to the same thing, doesn't it? All this talk about sex being a spectrum, there is no advantage by going through male puberty, some women are strong and some men are weak, blah blah blah.

OP, why are you so hellbent on making all sports mixed sex and taking away fair sporting inclusion for women and endangering them? Apart from not caring about sport, certainly not caring about women, what is your reason women's sports must include male people if they want to join? Just own the fact you are a male supremacist please

Oh and yes, you are being extremely unreasonable

Ereshkigalangcleg · 01/08/2024 18:40

All the obfuscation around this is a transparent attempt to allow men to dominate all women’s spaces at will.

Yep.

Ereshkigalangcleg · 01/08/2024 18:39

but a lot of the "men have penises and women have vaginas" crew

Most of the world then? Men don't have vaginas. Women don't have penises. People of both sexes with disorders of sex development exist. Hope that helps.

whattywhattaa · 01/08/2024 18:39

It fewlya bit like a stunt if look into it.

lavenderlou · 01/08/2024 18:39

I was listening to something about the olympic boxers on the radio earlier. I do have sympathy for anyone living with this condition and they are not trying to gain an unfair advantage by assuming a different gender. However, if they have physiological traits which give them an unfair advantage, particularly in a sport like boxing where physical harm could be done to an opponent, then it just cannot be allowed.

I think the IOC bears a lot of responsibility for the current scenario. The federation that oversees international boxing did not allow them to compete in the world championships last year as they have stringent testing to determine gender in the context of competitive boxing and the two boxers did not pass. The IOC doesn't seem to have the same testing in place even though they knew this would be an issue.

Ponderingwindow · 01/08/2024 18:38

you aren’t wrong that this is an incredibly complex issue. Dsd really need to be handled on a condition by condition basis.

as difficult as it might be though to discover later in life your self perception does not match your reality, you can’t change reality. Many of us have to come to terms with a variety of genetics based conditions that can have massive implications on our lives.

this must be especially difficult for elite athletes and I have sympathy for them. That still doesn’t change the fact that some of them should switch divisions if they want to keep competing.

KeirSpoutsTwaddle · 01/08/2024 18:38

All the obfuscation around this is a transparent attempt to allow men to dominate all women’s spaces at will.

PeriIsKickingMyButt · 01/08/2024 18:38

Tandora · 01/08/2024 18:34

I mean measuring all of that and determining the average distribution across each is really complex. And how are different factors to be prioritised? If we find eg an athlete is of a “stature” / twitch muscle speed/ hip width, that would be normal/ in range for a female athlete , but they have a male karyotype do they have an advantage? Can they compete?

Why do people like you insist on pretending you don't know the difference between men and women?

Tandora · 01/08/2024 18:37

OpizpuHeuvHiyo · 01/08/2024 18:33

If a person is totally unaffected by male hormones and their body doesn't respond to testosterone at all so they had no male puberty at all then I agree that their chromosomes are irrelevant and there is no harm done if they compete in the female category.

A male person whose testosterone has been deliberately lowered is certainly not in the same category.

There are a huge number of different DSDs with an enormous range of symptoms and effects and for many of them it would be totally inappropriate to treat them in the same way. E.g. with some the hormone levels and musculature are all well within the range for a normal male, it's just that the genetalia developed inside the body rather than externally - and it's entirely ridiculous for someone in that category to be treated differently from any other male except in a context where external genetalia are required (generally not applicable in sport)

If a person is totally unaffected by male hormones and their body doesn't respond to testosterone at all so they had no male puberty at all then I agree that their chromosomes are irrelevant and there is no harm done if they compete in the female category

progress towards recognising the issue isnt black and white.

Now what if the body recognises testosterone a little, but not what is expected / typical for men (eg people with PAIS) ? Where is the cut off. What about other types of VSC?
What if the person is on hormone replacement therapy, how does that affect their advantage? Etc.

OP posts:
WickieRoy · 01/08/2024 18:37

I haven't been able to face a lot of the commentary today, but a lot of the "men have penises and women have vaginas" crew have made hypocrites of themselves today.