Chen, a married Chinese man with stomach aches and blood in
his urine, was told by doctors he was actually a menstruating female. Gender
isn’t always as clear-cut as black and white. Shades of gray exist among men
and women who don’t quite fit into a single gender. A 44-year-old married
Chinese man found out he too wasn’t exactly all male when bouts of stomach pain
and blood in his urine sent him to the doctor for an unexpected diagnosis. The
Chinese man, identified by his surname Chen, discovered he was actually a
female experiencing menstrual cramps, after a CT scan revealed he had a uterus
and ovaries. “He was wearing men’s clothes and had short hair so we didn’t
think that he would be a female at the beginning,” said the Chief of the First
People’s Hospital of Yongkang, according to Shanghaiist.com. The doctors
proceeded to treat Chen like a male patient, until the CT scan and a chromosome
examination showed he not only had female genitalia, but a pair of XX sex
chromosomes, suggesting Chen was genetically female. He learned his feelings of
constant fatigue, accompanied by a swollen face and legs were all due to him
being on his period throughout his life. Although doctors have not confirmed
whether Chen is a hermaphrodite or intersex, he does have two types of
genitalia — a penis and a uterus with ovaries. Typically, people who are
intersex do not have a reproductive or sexual anatomy that fits the definitions
of female or male, says the Intersex Society of North America (ISNA). However,
there are cases of people who are born with genitals that seem to be in-between
the usual male and female types, such as a boy being born with a notably small
penis, or with a scrotum that is divided so that it has formed more like a
labia. Chen claims he has enjoyed an active sex life with his wife of 10 years,
but doctors doubt this since his genitals are different from other men, and he
did not possess an Adam’s apple. People who are intersex sometimes don’t find
out they have intersex anatomy until they reach the age of puberty, find
themselves an infertile adult, or die of old age, and are then autopsied.
According to the ISNA, people live and die with intersex anatomy without anyone
(including themselves) ever knowing. Not only was Chen diagnosed as a female
after 44 years, but doctors also found the married man suffered from the
genetic disorder — congenital adrenal hyperplasia — where the adrenal glands
produce more or less of the hormones that shape the development of genitals and
secondary sex characteristics such as body hair. Doctors found it unusual Chen
possessed little facial hair. Since Chen has lived his entire life without
adequate hormone treatment for his genetic disorder, his adrenal glands
developed benign tumors and were removed, the Daily Mail reported. Furthermore,
genetic testing conducted by doctors at First People’s Hospital of Yongkang
confirmed Chen is a woman, biologically. It is not known whether the man wants
to change his gender identity. Chen’s case isn’t the only one seen in China.
Last year, an unidentified 66-year-old man learned his abdominal pain was due
to an ovarian cyst, revealing he is genetically a woman. The patient was found
to have a rare combination of Turner syndrome and congenital adrenal
hyperplasia, which has interfered with the development of reproductive organs
and secondary sex characteristics, the South China Morning Post reported
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