Please or to access all these features

Feminism: Sex and gender discussions

Confusing statement about treatment for intersex being a victory for trans community

134 replies

IwantToRetire · 14/06/2025 02:28

I feel a bit bad about making this a thread topic as it is clearly quite something to win the Women's Prize for fiction with your first novel.

And I am not meaning or wanting in any way to make this a personal attack.

But surely calling this trans treatment isn't right? Or have I got it wrong?

Van der Wouden revealed in her acceptance speech that she is intersex. “I was a girl until I turned 13, and then as I hit puberty all that was supposed to happen did not quite happen, or if it did happen it happened too much,” she said. “I won’t thrill you too much with the specifics but the long and the short of it is that hormonally I am intersex.”

“This little fact defined my life throughout my teens until I advocated for the healthcare that I needed. In the few precious moments here on stage I am receiving truly the greatest honour of my life as a woman, presenting to you as a woman and accepting this Women’s prize and that is because of every single trans person who’s fought for healthcare, who changed the system, the law, societal standards, themselves. I stand on their shoulders.”

https://www.theguardian.com/books/2025/jun/12/womens-prize-debut-yael-van-der-wouden-the-safekeep-rachel-clarke-the-story-of-a-heart

And this isn't the Guardian twisting her words, because other papers have posted snippets and this seems the fullest.

So my confusion is whether it is true that the treatment for a biological women with DSD has only become (more) available since medical intervention for men who want to transition has become more common.

If she wants to identify as part of the trans and queer community that's her right.

I am just hoping someone with the right medical knowledge can explain what she might be referring to.

Sorry if this is a really ignorant question. Blush

Women’s prize for fiction goes to debut novelist Yael van der Wouden’s The Safekeep

Nonfiction award goes to Rachel Clarke’s ‘beautiful and compassionate’ The Story of a Heart, about a lifesaving transplant seen from all sides

https://www.theguardian.com/books/2025/jun/12/womens-prize-debut-yael-van-der-wouden-the-safekeep-rachel-clarke-the-story-of-a-heart

OP posts:
Floisme · 14/06/2025 18:17

If that was indeed what happened to Van der Wouden @BunnyOnTheOnion then I think that's a fair point.

I don't suppose anyone knows whether Van der Wouden had spoken publicly before about having this medical condition? Anyway I will ponder what you've said.

AnnaMagnani · 14/06/2025 18:15

Hormonally intersex sounds awfully like someone who classes PCOS as intersex.

Unfortunately the discourse has been muddied by activists so much, the term intersex is meaningless. Which is probably what they wanted.

SinnerBoy · 14/06/2025 18:09

AidaP · Today 03:35

Grow up, eh? What's so mature about posting misinformation about trans suicide rates?

BunnyOnTheOnion · 14/06/2025 17:30

I have a huge amount of sympathy for someone who found out at puberty that their genetic make up means that they are technically the opposite sex to that which they (and everyone in their life) believes they are. I can 100% see why someone would wish to use hormones/ surgery to prevent having to change their percieved sex after living 'as a woman' since birth. If my teen 'daughter' received a DSD diagnosis and wanted to remain presenting as female / keep a female name / pronouns etc I would support them.

I think this is a world away from a middle aged man, enjoying male privilege while simultaneously claiming to believe they are (meant to be) a woman.

If women writers are overlooked for awards it's not because of their chromosomes but because they are believed to be women/ look like women / becasuse society has certain expectations of their writing. Up until the point that this author spoke out about their personal medical situation they had experienced all the prejudice that women writers do.

SionnachRuadh · 14/06/2025 17:28

"Hormonally intersex" is nonsense on its face.

Dominoodles · 14/06/2025 17:26

Nevertrustacop · 14/06/2025 17:24

This silly twit is not intersex. Because there is medically no such thing. She has presumably a dsd. A named dsd which clearly defines her as either male or female. She sounds confused or more likely disingenuous

I'm very confused. How can you be hormonally intersex anyway? Surely you'd just be a woman with high testosterone or a man with high oestrogen. I'm sure DSDs relate to physical development not aligning with your genetic sex. Hormones alone wouldn't be a DSD, right?

Nevertrustacop · 14/06/2025 17:24

This silly twit is not intersex. Because there is medically no such thing. She has presumably a dsd. A named dsd which clearly defines her as either male or female. She sounds confused or more likely disingenuous

theilltemperedmaggotintheheartofthelaw · 14/06/2025 17:17

www.theguardian.com/books/2025/jun/13/womens-prize-winner-yael-van-der-wouden-its-heartbreaking-to-see-so-much-hatred-towards-queer-people

"On the question of the supreme court ruling on gender rights, she adds: “To subject that to law feels baffling to me, especially as it is accompanied by legal, verbal and physical violence.”

🙄

Rufflebar · 14/06/2025 17:00

...many instances are also unlikely to show on an ultrasound, and may need karotype testing to confirm.

Rufflebar · 14/06/2025 16:58

KeepTalkingBeth · 14/06/2025 16:22

“I was a girl until I turned 13, and then as I hit puberty all that was supposed to happen did not quite happen, or if it did happen it happened too much,”

Vague and confusing enough to be meaningless, but it means that she has garnered sympathy in certain circles.

Also how old is she? Many DSDs become apparent in utero during routine antenatal scans. How likely is it that her mother didn't have any scans during pregnancy? Would her parents have been aware of this DSD and kept it from her? Or are we no talking about a DSD after all?

Depending on the DSD and whether it is mosaic in nature, it may not become apparent until puberty, or until someone is trying to start a family.

LemondrizzleShark · 14/06/2025 16:56

KeepTalkingBeth · 14/06/2025 16:22

“I was a girl until I turned 13, and then as I hit puberty all that was supposed to happen did not quite happen, or if it did happen it happened too much,”

Vague and confusing enough to be meaningless, but it means that she has garnered sympathy in certain circles.

Also how old is she? Many DSDs become apparent in utero during routine antenatal scans. How likely is it that her mother didn't have any scans during pregnancy? Would her parents have been aware of this DSD and kept it from her? Or are we no talking about a DSD after all?

Routine 20 weeks scans started in the mid-80s, and I’m not sure how good they were back then. The machines I was using 20 years ago were a pile of shit compared to the ones we have now.

LemondrizzleShark · 14/06/2025 16:54

No that was how I interpreted her speech as well. Androgen insensitivity, or something along those lines.

theilltemperedmaggotintheheartofthelaw · 14/06/2025 16:45

KeepTalkingBeth · 14/06/2025 16:22

“I was a girl until I turned 13, and then as I hit puberty all that was supposed to happen did not quite happen, or if it did happen it happened too much,”

Vague and confusing enough to be meaningless, but it means that she has garnered sympathy in certain circles.

Also how old is she? Many DSDs become apparent in utero during routine antenatal scans. How likely is it that her mother didn't have any scans during pregnancy? Would her parents have been aware of this DSD and kept it from her? Or are we no talking about a DSD after all?

Internal testes aren't visible on fœtal ultrasound. NHS website says problem may only become apparent at puberty.

KeepTalkingBeth · 14/06/2025 16:22

“I was a girl until I turned 13, and then as I hit puberty all that was supposed to happen did not quite happen, or if it did happen it happened too much,”

Vague and confusing enough to be meaningless, but it means that she has garnered sympathy in certain circles.

Also how old is she? Many DSDs become apparent in utero during routine antenatal scans. How likely is it that her mother didn't have any scans during pregnancy? Would her parents have been aware of this DSD and kept it from her? Or are we no talking about a DSD after all?

WhereAreWeNow · 14/06/2025 16:02

I read the article this morning and was confused by the conflation of trans and DSDs too. I don't know what surgery or hormones the author has had or whether she (he?) was born female? Very confusing.

illinivich · 14/06/2025 15:08

Nameychangington · 14/06/2025 11:31

Bernard Reed of GIRES was trying to co opt 'intersex' organisations years ago. He was trying to sell trans as a form of 'intersex of the mind' and speaking over and for DSD organisations who didn't want him to do so. This thread has a bit of background:

https://www.mumsnet.com/talk/womens_rights/3463920-Lets-go-back-to-2007?page=5

I find this blog on how TQ+ has swamped DSDs helpful, the description of the least (or non) affected getting the most attention and funding is TQ+ in a nutshell:

https://differently-normal.com/

Over the years TRA have used DSD to further their cause id different ways.

As you say, the idea that trans is a form of DSD of the brain, but also to justify why surgical and medical treatments are not a prerequisite for 'transitioning', and to justify treatments being available on demand. The idea that patients with dsd can choose their pathway, and so can trans people.

The idea that medical progress for trans has led to improved care for patients with DSD is a shift. Its suggesting that they are not the same and the money is in trans care, not the dsd medicine.

marshmallowpuff · 14/06/2025 14:34

AidaP · 14/06/2025 02:44

That is mostly correct, while exact numbers of intersex and transgender people is not known, just this number would not tell the whole story as many intersex people never even know about the fact, not to mention go into the trenches to pick up the good fight.

Transgender people on the other hand are way more likely to take that stand, and do so loudly, as the respect in rights, and access to medical interventions (if wanted) are literally life saving (there are tons of studies showing the correlation between access to those and suicide rates). And when transgender people gain rights, generally so do intersex people, although UK still remains quite backwards in this regard.

Now whether an intersex person counts themselves as transgender is entirely down to them and either approach as valid.

What are you on about? How do people with DSDs (intersex is a very outmoded term) not have “rights” in the U.K.?

You’re talking absolute bollocks.

SionnachRuadh · 14/06/2025 14:28

Of course the waters are muddied by a large number of trans people who claim to have unspecified DSDs, or who say they might have a DSD, when that almost certainly isn't the case.

SionnachRuadh · 14/06/2025 14:17

NotBadConsidering · 14/06/2025 14:05

I think it's plausible that people who grow up with DSDs might identify as trans in adulthood at a higher rate than the general population. I've known at least one, probably two, people like that, which is purely anecdotal but feels significant given we're talking about a tiny minority of a tiny minority.

The gender clinic in Melbourne checked the karyotype of its patients and found no DSDs.

I'm aware of that. Any overlap is, by definition, going to be a tiny minority of a tiny minority. And since DSDs are rarer than trans identification, a survey of trans identified people could very easily turn up no DSDs.

Floisme · 14/06/2025 14:12

Regarding the argument that male writers have no physical advantage, it's worth remembering that The Women's Prize for Fiction, originally the Orange Prize, came about after the 1991 final Booker Shortlist didn't feature a single woman writer. You might argue that 30+ years on, there is no longer a need for the award. I'd listen to such an argument. But, if that's the case, then the correct course of action would be to open it to both sexes and to be transparent about it.

NotBadConsidering · 14/06/2025 14:05

I think it's plausible that people who grow up with DSDs might identify as trans in adulthood at a higher rate than the general population. I've known at least one, probably two, people like that, which is purely anecdotal but feels significant given we're talking about a tiny minority of a tiny minority.

The gender clinic in Melbourne checked the karyotype of its patients and found no DSDs.

SionnachRuadh · 14/06/2025 13:54

It's difficult to know, because she hasn't really given us enough information to tell. And she appears female...

It's just that (again, cynicism) if I see an article about a woman winning a women's prize, these days I want to be sure that it actually is a woman, and if the woman in question describes herself as "intersex" and goes out of her way to big up transactivism, that also sets an alarm bell off.

Yes, I know, it's not like physical sports, but sometimes representation is the whole point of fairness. I sometimes mention chess, where we don't quite know why it's so male dominated, but there are 2000 grandmasters in the world and only 40 of them are female. When female representation is very low (this might be chess competitions or literary prizes) you need a separate female category simply to ensure fairness, and it doesn't take many males blagging their way in to undermine the purpose of the category.

Grammarnut · 14/06/2025 13:54

Pressed post to soon: feminizing of his genitals.

Floisme · 14/06/2025 13:51

I would agree except that, of all the writing awards in all the world, the one in question is The Women's Prize for Fiction.

Edited to add that this was in answer to @JuneJustRains post

Grammarnut · 14/06/2025 13:48

JuneJustRains · 14/06/2025 13:35

I'm not going to criticise (for the hypothetical actions of the judges) someone who has won an award for writing. There isn't the physical advantage that makes some male dsds unfair in female sport. I think I'll read the book.

No, writing isn't affected by physical differences between men and women (unless psychologically). But if this is a prize for women and if the person in question has a male DSD that made them present as a girl until puberty then they should have refused the prize because they have taken it from an actual woman (and we don't have that many prizes). This is the same problem as we have with Caster Semenye et al - they present as 'not male' and are brought up as girls, but they are male. It's another prize that has not gone to a woman because a man has taken it (even if he has had surgery to feminise him because he has a DSD and was brought up as a girl).
But whatever the truth of this situation, he/she is not trans and trans ideology has nothing whatsoever to do with it - except possibly the feminising of her genitals.

Swipe left for the next trending thread