中间性 - 中间性性象谱

中间性的原因- 激素因素

男性性激素失敏性综合征  (Androgen Insensitivity Syndrome, AIS)

治疗与援助

治 疗
甚至在个体的婴儿期，也有能够探测男性性激素失敏性综合征的医学检验方法。但是，男性性激素完全失敏性综合征通常在儿童期不会引人注意，并因此而罕有在这个时期被确诊的。男性性激素部分失敏性综合征更有可能早期被发现。一旦被确诊，这个孩子在上述已经提及的男性性激素失敏性综合征程度表中的位置会有助于决定是将其作为男孩抚养还是作为女孩来抚养。对于男性性激素完全失敏性综合征的病例(呈现女性器官)和略微轻度的男性性激素部分失敏性综合征的病例(呈现男性性器官)，这种取舍会比较容易；而对介于这两者之间的其他病例，要做出性别取舍则相当困难。依据个案不同，并且在对所有的选择仔细斟酌后，在青春期给予某些激素治疗也许是有用的，并且已经证明随着年岁的增长再来做出性别的取舍会令人满意，某种额外的外科手术也可有助于把男性或女性身体外貌固定下来。不过，近年来，如果这种外科手术按照常规并施行得过早的话，许多罹患男性性激素部分失敏性综合征的成年人已经开始对这种治疗持批评态度了。(隐睾症的外科移动手术则是另外的一个病理问题，并且在适当的年龄段施行手术可能是必要的。)无论如何，在进行性别取舍时，寻求有关各方的意见和保持与相应的援助社团接触是明智之举，这其中需要医生、家长和患者本人的公共参与。

援助社团
过去，患有男性性激素失敏性综合征的男性及其家人常常感到孤立无助，也发现难以获得更多的有关病症知识。然而，近年来，已经成立了许多援助社团。这些团体会乐意提供额外的知识，它们也在其他相关的网站建立超级链接，以提供帮助。这样的团体的例子有(请点击下面的图标)：

男性性激素失敏性综合征援助社团(AISSG)

Intersexuality - The Intersexual Spectrum

Causes of Intersexuality - Hormones

Androgen Insensitivity Syndrome (AIS)

Treatment and Support

Treatment
There are medical test that can detect AIS even in babies. However, CAIS is usually not suspected and thus rarely discovered in childhood. PAIS is more likely to be diagnosed early. Once a correct diagnosis has been made, the child’s position on the already mentioned AIS grading scale will help in deciding whether it should be raised as a boy or a girl. In the case of CAIS (female sex organs present) and some mild cases of PAIS (male sex organs present), the decision is easy, in others quite difficult. Depending on the individual case, and after carefully weighing all options, some hormonal treatment may be useful in puberty, and where a sex assignment has proved satisfactory over the years, some additional surgery may also help in consolidating the male or female physical appearance. However, in recent years, many adults with PAIS have become critical of this kind of surgery if it is performed routinely and too early. (The surgical removal of undescended testicles is another matter and may become necessary at some point.) In any case, it is advisable for all concerned – doctors, parents, individuals with AIS - to seek and maintain contact with the relevant support groups.

Support Groups
In the past, persons with Androgene Insensitivity Syndrome (AIS) and their families often felt isolated and found it difficult to learn more about the condition. However, in recent years, a number of support groups have organized. They will gladly supply additional information as well as links to other related sites. For example this group (click on logo):