Talk:Sex assignment

The wikipedia text references Hughes et al. Consensus statement on management of intersex disorders. Arch Dis Child. 2006 Jul;91(7):554-63, as a source for the "consensus" use of the "assigned" nomenclature. Even though the use of the term "assigned" is uncontroversial in science/medicine, the referenced article does not introduce or propose a consensus regarding the use of the "assigned" nomenclature. The proposed changes in the nomenclature are clearly stated in the article, and does not include the "assigned" nomenclature. The referenced article uses the nomenclature "assigned" but it does *not* introduce the nomenclature as a proposed consensus. The reference is wrong.

The current article states that "The prevalence of intersex conditions, where a baby's sex characteristics do not conform strictly to typical definitions of male or female, ranges between 0.018% and 1.7%." The upper bound is not correct and references https://interaction.org.au/resource/population-figures/ , which in turn references the original Fausto-Sterling numer of 1,7%, which has been heavily criticized, for example by Sax (referenced in the original text). Moreover the higher number does *not*, not even in the original text by Fausto-Sterling, refer to "where a baby's sex characteristics do not conform strictly to typical definitions". For example the higher number includes late onset CAH. Furthermore the current text references a newer article ( Blackless et al. How sexually dimorphic are we? Review and synthesis ) by, among others, Fausto-Sterling (again), that sets the upper bound to 2%, but this is not intersex conditions but "We surveyed the medical literature from 1955 to the present for studies of the frequency of deviation from the ideal male or female. We conclude that this frequency may be as high as 2% of live births." Deviations from "ideal" female and male is not intersex, and, again, it does not say anything about if the "baby's sex characteristics" conformed to "typical definitions". For example in late onset CAH (one of the most prevalent conditions among the 1,7%) sex characteristics at birth (and throughout life for most females with this condition, since the virilization is mostly light) is congruent with both phenotypic and genotypic sex. Furthermore Witchel (2018). "Disorders of Sex Development" is about "Disorders of sex development", which is not strictly the same as intersex. For example Turner syndrome is included in DSD, but it can be debated if Turner syndrome is "intersex" (girls with Turner syndrome have a high probability of no teleache and no menarche, but otherwise are as female as any other female).

The upper bound is incorrect (as the text is formulated) and should be changed, or at least commented.

In Berglund et al. The epidemiology of disorders of sex development. Best Pract Res Clin Endocrinol Metab. 2025 Jul;39(4):102002. there is at least an honest and scientific approach to the epidemiology of DSD, which, again, is not the same as "intersex".

This article, as it is currently, is biased and not correct based on current science.

Should be explained as mainly XX females at birth! The rare cases of genitals so wrong not being able to tell is a very small amount! ~2026-14157-61 (talk) 10:42, 5 March 2026 (UTC)