It gets very, very complicated. When Jesus told us not to judge, he meant what he said. I think of the parable of the dragnet frequently when questions and situations like the two presented here come up. In that parable, the kingdom was like a huge dragnet that caught all manner of creatures that live in the sea. Once on shore, the fish were sorted into those that were acceptable and those that were not. In explaining the parable, Jesus said it was the angels that did the sorting. I remind myself of that on almost a weekly basis: the fish don’t get to decide which ones get in the net or stay there. The fish never get a vote. God will decide and use His angels to do the sorting.
And sometimes the sorting is so complicated that I can’t see how any human would think they were up for the job. Ready? It’s grownup time…
First questioner’s dilemma:
How do I relate to my family member when he is so messed up? He’s a biological male, married to a biological female. They had 2 children together. He claims she is and always has been a lesbian and that he in fact has always been a straight woman…so he’s a biological male lesbian. (wrap your mind around that one…LOL) I mourn for his/her poor kids that call him Mama-Daddy. He’s now on female hormones and making his ‘transition’. He brags that he’s beat the system in that he can change his gender legally and preserve his marriage so he and his wife will be legally married lesbians in the state of Texas. Go figure…another interesting angle of loopholes in the gov’t/marriage issue.
If you could see his past and its dysfunction this would come as no surprise yet he’s peddling this as a disorder called Gender-Dysphoria and is even getting some insurance coverage for his hormone therapy though his facial feminization surgery is being paid by his own parents (another layer to the story of family dysfunction over the yrs). It’s really warped. I’m very compassionate to folks born w/a proclivity for homosexuality and gender confusion…the proclivity is as real as the proclivity to be angry, selfish, a gossip or sexual pervert of other kinds, or addict…but to run w/it like this…it’s just crazy. It has really really hurt our family. He was loosely raised C of C and is now Unitarian Universalist but lives so immorally minus even this whole angle that I know he doesn’t even see the existence of sin any longer. My cousin even posted a graphic organizer thing to try to explain how sexual identity is totally separate from sexual orientiation…thus he thinks for him/her it is normal to be attracted to woman yet actually be a woman himself though his DNA says opposite. Anyway, thoughts about this topic sparked by your blog. Keep your writing. You’re awesome and look forward to this topic…
Second questioner’s dilemma:
I have another question. This may be a confusing question so I’ll try to give some explanation to it. What defines a man and what defines a woman? Everybody kinda starts out as a female and what makes you male is the Y chromosome that gives you testosterone. However, there are so many things that can vary the amount of testosterone in a developing child. Let’s say that there is an XX fetus (female) what happens if there is something that adds testosterone to this developing baby? The mother could have some sort of steroid problem or the adrenal glands could be overproducing. So, you could have a baby that could be born XX but had a bunch of testosterone that was introduced to it as it was developing. Wouldn’t it be born a boy with the body of a girl? Even if it was a girl, couldn’t she be attracted to other females because of her male characteristics due to the extra levels of testosterone? You can also have an XY fetus (which would be a man) that may have some kind of insensitivity inability to process the testosterone that is there. So even though they are XY, aren’t they born pretty much as a female? Are you supposed to define them by their outside appearance or by their chromosomes. Both systems are flawed. For example: Jamie Lee Curtis was born with a Y chromosome but still has the qualifying parts to be a woman. Being religious, you would understand that it is thought to be 1 man and 1 woman, but what defines a man and a woman?
Everybody’s eyes crossed yet? And I haven’t exhausted the questions and heartbreaking letters by any measure. Most of them are just too hard to strip free of personal information for me to answer generally on this site so I try to answer privately. Sons who want to be daughters – and are certain that they ARE female. Daughters who feel male and who have some doctors back that up after running some blood and hormone tests. Men who left behind wives and children as they sought out their true identity, fearful of what they might find… It goes on. My inbox is an interesting place.
What is going on? Before we jump to any conclusions, you need to know something: this is monstrously complicated. I will strip it down to three main causes/accelerants to make things as simple as possible.
1. The reality of intersex – mixed genetic/sexual identity due to physical causes.
2. Epigenetics – behaviorally caused changes in DNA structure that can be passed on for generations.
3. Social change.
Let’s start with intersex. Intersex is a real thing and it is far more common than you might imagine. One of the best known examples of this is the story of David Reimer as told in “As Nature Made Him: the boy who was raised as a girl” by John Colapinto. Born with both female and male characteristics, doctors arbitrarily made the decision which sex he would be the rest of his life. He knew something was very wrong with him throughout his life until he finally found out his medical history. Changing and living as a boy gave him peace. You can get copies of this book for a dollar or so used on Amazon and I recommend it, but there are many, many other sources of information on intersex people. Our best numbers on the incidence of intersex in newborns show it to be more common than you might think.
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Here is a short table. It comes from the Intersex Assoc.:
Not XX and not XY
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one in 1,666 births
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Klinefelter (XXY)
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one in 1,000 births
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Androgen insensitivity syndrome
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one in 13,000 births
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Partial androgen insensitivity syndrome
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one in 130,000 births
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Classical congenital adrenal hyperplasia
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one in 13,000 births
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Late onset adrenal hyperplasia
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one in 66 individuals
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Vaginal agenesis
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one in 6,000 births
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Ovotestes
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one in 83,000 births
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Idiopathic (no discernable medical cause)
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one in 110,000 births
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Iatrogenic (caused by medical treatment, for instance progestin administered to pregnant mother)
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no estimate
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5 alpha reductase deficiency
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no estimate
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Mixed gonadal dysgenesis
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no estimate
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Complete gonadal dysgenesis
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one in 150,000 births
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Hypospadias (urethral opening in perineum or along penile shaft)
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one in 2,000 births
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Hypospadias (urethral opening between corona and tip of glans penis)
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one in 770 births
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Total number of people whose bodies differ from standard male or female
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one in 100 births
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Total number of people receiving surgery to “normalize” genital appearance
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one or two in 1,000 births
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Note the last two entries. One in 100 births have some level of intersex issue but only one in 1000 or so are surgically addressed early on. By the way, surgery does NOT fix most intersex issues. It is done only to “normalize” the baby and make it easier to raise it. And some intersex issues do not arise until puberty or later, making it impossible to catch before the person becomes confused and alienated.
In one episode of the late FOX TV show “House” there was a beautiful young girl who suffered a variety of life threatening issues along with psychological issues that alienated her and confused her. Dr. Gregory House eventually found that she had testicles as well as ovaries and that the conflict between these sexual parts was causing the problem. This is NOT as rare as you might think.
Take, for example, anorchia – not even listed in the list above but appearing more frequently over the last fifty years. In anorchia, the fetus is XY which means it is male, but its gonads dissolve away around week 14. The baby is born with male markers, but feminine characteristics. It is then left to parents and doctors to decide – usually around the time puberty would normally occur – which hormones they are going to give the child. Regardless, the child will fight sexual identity issues at some level for life but they will also fight other mental and physical battles due to the fact that they are not receiving clear messages from their own genetics.
Also not listed above are chimerism and Mosaicism, two different conditions. In both, the child is born with some cells showing XX and others showing XY. Want to try to sort that one out with a simplistic bumper sticker slogan?
In Persistent Mullerism Duct Syndrome, the child has a penis (perhaps small, perhaps normal sized) and they have XY chromosomes and some male characteristics but they also have a uterus and fallopian tubes.
We could go on and on here. While it isn’t a generally good site for science, Wikipedia does have a decent, very brief and undetailed list of intersex conditions, many of which are not listed in the list above.
Oh, and none of the above make you a hermaphrodite. That is when you have fully developed female and male organs and is considered separate from intersex.
And neither of these is transgender. You can be transgender and intersex but they aren’t exactly the same thing. In the first situation at the top of this blog, that fellow seems to have both issues plus a sexual orientation issue. Yes…sexual orientation is separate from sexual identity. You can say you are a male and your body can agree, but you still want to be with males. THAT is orientation. Having female body parts might help you decide on a sexual identity (if there aren’t other issues going on internally) but you might still decide you are attracted to other females.
It is confusing. Some have asked me if these conditions have always been with us and the simple response is: in some measure, yes, but in these numbers…who knows? It could be that the farther away we get from creation the more diseases and weaknesses and conditions we get. All of us have wondered about the burst of autoimmune diseases and new (we think) cancers over the last one hundred years. Or how about the vast number of allergies that have arisen, many of which are fatal? Could it be that the farther away we are from Eden, the more junk our DNA accumulates and the more we break down? I don’t know.
Because it gets more confusing still. The new science of epigenetics is amazing. We have always wondered how much of “us” is due to nature vs. nurture. In other words, are we prisoners to our genes or to our upbringing… or both? Most of us had high school biology so we know that DNA is made up of four different molecules arranged in a double helix formation but we now know that that isn’t the whole story. There is a group of molecules known as the methyl group that attach to DNA and adjust how DNA works…often in profound ways. And here’s the kicker – epigenetic change is often/usually passed on from parent to child. Why is this important? Because methyl groups are added during your life. In other words, the way you were treated or fed or the experiences you have gone through cause changes which can then be passed on to your children. If you were abused as a child, the personality changes and issues you suffered as a result can be passed on to your children. Twenty years ago, we didn’t know that.
(an excellent introduction to epigenetics with some really cool graphics and illustrations is in the May 2013 Discover magazine. Authors is Dan Hurley)
Here is a quote from that article: “…traumatic experiences in our past, or in our recent ancestors’ past, leave molecular scars adhering to our DNA. Jews whose great grandparents were chased from their Russian shtetls; Chinese whole grandparents lived through the ravages of the Cultural Revolution; young immigrants from Africa whose parents survived massacres; adults of every ethnicity who grew up with alcoholic or abusive parents – all carry with them more than just memories. [Those experiences] are never gone, even if they have been forgotten. They become a part of us, a molecular residue holding fast to our genetic scaffolding…You might have inherited not just your grandmother’s knobby knees, but also her predisposition toward depression caused by the neglect she suffered as a newborn.”
Yikes. However…and here it gets even more interesting…if your grandmother had then been adopted by loving parents, some of those methyl molecules will probably leave their post on her DNA and she won’t pass her depression on to you.
New drug treatments are being tested on mice that show some promise in removing the methyl colonies that clutter up our DNA like a junk drawer. As one researcher said it, no matter what damage was done to your great grandfather and no matter what trauma your mother went through as a child, we might be able to remove the methyl molecules in your brain just as we shake an Etch-A-Sketch. In time. Maybe. The drug of choice so far is trichostatin A, in case you want to look it up.
As Hurley put it, “What if an epigenetic pill could free you of all the cheated childhoods of your ancestors?”
The point of this in this blog is that we do not know the history, DNA, or the methyl molecules of the person across the table from us or those of the people protesting us across the street. “Judge not” seems to be not just scripture but good science, too.
The last of the three causes I mentioned was social change. There is no question that some cultures, including that of the US and UK, are now so fearful of judging anything that everything goes. I am not sure to what extent this plays a hand, but I know it does. When you combine social acceptance of anything and biological issues such as intersex and epigenetics, it is best for us to live out the story of Jesus, tell the story of Jesus, love one another, and serve one another sacrificially. We are fish in the net. Let the angels sort some of this out.