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Pedants' corner

Sex 'assigned' at birth

129 replies

catelina · 26/05/2022 09:48

Surely it's 'observed' and 'recorded'?

OP posts:
DinosaurTime · 26/05/2022 11:22

Imaginary · 26/05/2022 11:16

I knew my child's sex from around 12th week of pregnancy (did NIPT), so it definitely was not "assigned" at birth.

But that’s exactly the point: it takes that long to find out because you have to wait for the hormones to take affect.

DinosaurTime · 26/05/2022 11:23

RoseslnTheHospital · 26/05/2022 11:21

99.8% is pretty accurate. It's not a guess, nor is it infallible. But you're not going to get a much higher accuracy rate than that for a test like this.

Why would they tell you anything about sex selection at the start of the IVF process, when sex selection is only used for medical reasons where there is a known risk of a serious genetic disease?

Because people ask when they will find out what the sex of the baby is? Seems like a reasonable question doesn’t it?

bloodyunicorns · 26/05/2022 11:24

Only TRAs use assigned. Everyone else uses 'recorded'.

Franca123 · 26/05/2022 11:24

DinosaurTime has a lot of 'friends' with extremely rare conditions and in vanishingly rare situations. 😆

DinosaurTime · 26/05/2022 11:25

Franca123 · 26/05/2022 11:24

DinosaurTime has a lot of 'friends' with extremely rare conditions and in vanishingly rare situations. 😆

So you don’t know a single woman who’s had breast cancer or a single woman who’s had IVF?

Fuzzyheid · 26/05/2022 11:27

DinosaurTime · 26/05/2022 11:02

There‘s so much misinformation in this thread: if you give a man oestrogen, he will grow breasts – what further information do you need that sex is clearly not binary and we’re all just a bunch of cells?

If you give a man too much pizza and beer, he'll grow "breasts" too! And a belly that looks like he's about to give birth! Still doesn't make him female! It's soooo simple!!

Franca123 · 26/05/2022 11:28

I know plenty and had ivf. But I don't know anyone with a VSD nor anyone with a genetic diseases which warranted sex selection of an embryo.

BobLep0nge · 26/05/2022 11:29

So you don’t know a single woman who’s had breast cancer

Is this about the XY woman friend you have? Curious as to why your friend didn't realise something was very wrong when she failed to go through female puberty?

titchy · 26/05/2022 11:29

Sperm 'washing' isn't 100%. Genetic testing is 100%.

If IVF clinics say they cannot guarantee that a genetically sex selected embryo isn't the sex they say, that's to cover their arses insurance wise. Mistakes do happen - the wrong embryo can be implanted for example. But DNA testing these days is absolutely accurate and pretty easy.

DinosaurTime · 26/05/2022 11:30

Fuzzyheid · 26/05/2022 11:27

If you give a man too much pizza and beer, he'll grow "breasts" too! And a belly that looks like he's about to give birth! Still doesn't make him female! It's soooo simple!!

That’s just called fat 😆I didn’t say it turns them into a woman, I just said they would grow breasts – it’s just a biological fact.

RoseslnTheHospital · 26/05/2022 11:30

DinosaurTime · 26/05/2022 11:23

Because people ask when they will find out what the sex of the baby is? Seems like a reasonable question doesn’t it?

Oh dear, no. Sex selection in the UK is illegal except for medical situations where a serious genetic disease exists. So during normal IVF where this is not a consideration, the sex of the embryos won't be identified or discussed. They would find out the sex of any resulting baby the same way other women who are pregnant do, through early screening tests like NIPT or through scans at 20 weeks or so.

DinosaurTime · 26/05/2022 11:31

BobLep0nge · 26/05/2022 11:29

So you don’t know a single woman who’s had breast cancer

Is this about the XY woman friend you have? Curious as to why your friend didn't realise something was very wrong when she failed to go through female puberty?

I don’t understand the scrutiny here at all. Why would I know how her puberty went if I only met her 5 years ago? Do people tell you about their puberty when they meet you? Do you only have friends from secondary school?

BobLep0nge · 26/05/2022 11:34

I don’t understand the scrutiny here at all. Why would I know how her puberty went if I only met her 5 years ago? Do people tell you about their puberty when they meet you? Do you only have friends from secondary school?

It's just that you claimed she only found out she was XY when she had breast cancer..which wouldn't be the case at all, she'd find out during the adolescent years.

DinosaurTime · 26/05/2022 11:35

RoseslnTheHospital · 26/05/2022 11:30

Oh dear, no. Sex selection in the UK is illegal except for medical situations where a serious genetic disease exists. So during normal IVF where this is not a consideration, the sex of the embryos won't be identified or discussed. They would find out the sex of any resulting baby the same way other women who are pregnant do, through early screening tests like NIPT or through scans at 20 weeks or so.

They didn’t get to pick, they just get informed?

RoseslnTheHospital · 26/05/2022 11:36

The point about your friend is that if they have the condition you have described, they would have noticed when they were a teenager due to not starting a normal female puberty. This would have happened prior to them developing breast cancer as an adult.

ancientgran · 26/05/2022 11:36

DinosaurTime · 26/05/2022 10:28

It’s an interesting question and it has an interesting answer!

The reason is because sex is not strictly binary when it comes to the human body. All human embryos are not formed to one sex, and actually an embryo starts to develop with everything required to be female. It’s not until much later in the pregnancy when hormones are formed that then start to adjust features. This is why men are born with nipples, because the body was preparing for breasts, but without oestrogen they won’t form and remain dormant.

A body can display different sexes. For example you might be male but have XX chromosomes. You might be female but have XY. With intersex people, you could be born with a womb but also a penis. Most of the time it’s pretty clear and you can just observe it as you say, but sometimes it’s not possible, sometimes a doctor has to decide the sex of the baby for the baby, taking into consideration all the evidence they have at the time. If a baby is born intersex, the doctors will make a call on which way to assign the sex, and perform surgery that they think will make it easier for the child as they grow up, by removing body parts that don't line up with the sex they chose.

Recently a lot of intersex people have said that they wish they had been able to make this choice for themselves, because they obviously didn't consent to it as they were only a few days old. Malta is the first country in the world to respect this law, so now intersex people can grow up with all their body parts intact, and then when they are are consenting adult, they can choose to have surgery.

So because although most of the time it’s pretty easy to tell, when you have lots of different evidence that conflict with each other, a person has to make the decision: hence it is assigned and not observed.

Hope that makes sense!

I know a case like this, baby born with mixed sex organs. After some days doctors recommended the baby be a girl and surgery was performed. She is an adult and a lesbian and from what I've heard (I don't ask questions so just hear bits in passing) she is considering transitioning. Seems very sad.

I don't know about her chromosomes but presumably whatever caused the physical confusion might have had some effect mentally. I don't know but it does seem they might have made the wrong decision and yes her sex was assigned.

DinosaurTime · 26/05/2022 11:36

BobLep0nge · 26/05/2022 11:34

I don’t understand the scrutiny here at all. Why would I know how her puberty went if I only met her 5 years ago? Do people tell you about their puberty when they meet you? Do you only have friends from secondary school?

It's just that you claimed she only found out she was XY when she had breast cancer..which wouldn't be the case at all, she'd find out during the adolescent years.

Very good point! I’ll be sure to ask her about that next time I see her.

cottagegardenflower · 26/05/2022 11:37

Midwives and doctors don't use the term unless there attempts conflicting signs

RoseslnTheHospital · 26/05/2022 11:39

Embryos for IVF are selected based on which are the "best", the healthiest, judged on several specific criteria. The sex of the embryo is not one of them.

loislovesstewie · 26/05/2022 11:42

DinosaurTime · 26/05/2022 11:02

There‘s so much misinformation in this thread: if you give a man oestrogen, he will grow breasts – what further information do you need that sex is clearly not binary and we’re all just a bunch of cells?

You are confusing sex and gender. No male becomes female by taking oestrogen. They develop certain characteristics, but that doesn't make them female. They don't suddenly lose penis/testicles and grow a uterus and ovaries and external genitalia, do they? A man who wants to present as a woman is doing precisely that; they don't change sex, but gender.
(Had to get that off my chest)

Hallyup89 · 26/05/2022 11:44

Well, yes. Of course there are exceptions which have to be proved by genetic testing, in which case the sex will be recorded as undeterminable, but generally sex is observed at birth.

There are people on here who need to go and read a basic biology book before spouting so much crap though.

BobLep0nge · 26/05/2022 11:46

Very good point! I’ll be sure to ask her about that next time I see her

I find it strange that despite supposedly knowing so much about it, you didn't pick up/ question what you were told. Odd.

nightwakingmoon · 26/05/2022 11:51

DinosaurTime · 26/05/2022 10:35

Oh I’m just going from what an endocrinologist told me, which bits do you think they got wrong?

The sex of the embryo is determined at conception. In a small number of people, either a genetic error in the sex chromosomes, or specific errors in gene replication, affect the sexual development of the embryo and can cause a condition with a variation of sexual development (VSD or DSD). Endocrine disruption can also cause differences in the pattern of sex development.

The development of the embryo moves along a specific pathway with various aspects of sex development switching on at different times - VSDs and endocrine disruption can affect this, but the development of male nipples etc. is a red herring, because it happens whether an embryo develops along the usual sex pathways or not.

The idea of intersex you talk about here is very outdated, and for a very long time now it has not been practice to decide to operate to “confirm” a child with a VSD in a specific sex, without extreme care and genetic confirmation, and a very detailed treatment programme. The kind of thing you’re talking about - doctors just “making a call” and removing body parts - hasn’t been the case for a long time, decades - at least since the early 1980s.

DinosaurTime · 26/05/2022 11:51

BobLep0nge · 26/05/2022 11:46

Very good point! I’ll be sure to ask her about that next time I see her

I find it strange that despite supposedly knowing so much about it, you didn't pick up/ question what you were told. Odd.

Sorry I’m not an expert on biology, I’m just going by what I’ve read and been told? I didn’t know I had to interview my friends on their biological properties 😆

ancientgran · 26/05/2022 11:52

When I was young, 60s I think, there was a famous case of a female skier who had been brought up as a girl and passed the sex tests at the time (basically they would have to take their pants down and a doctor looked at genitals) was found to be male when genetic tests came in, late 60s early 70s?

I seem to remember she decided to have surgery and live as a man and I think became a father.

Not sure why she didn't know she was a male but with her genitals being internal instead of external but one explanation I can think of is that very often very fit athletes don't menstruate so maybe that was it. Or maybe we were all a bit less knowledgeable back then.

I'll have a google and see if I can find it. I think she was Austrian.

Actually I don't know if I should say he or she, obviously when she was a famous skier we knew her as female.

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