![]() ![]() ages 13 and older, including about 300,000 young people and 1.3 million adults who identify as transgender, according to the Williams Institute. There are more than 13 million people who are lesbian, gay, bisexual or transgender in the U.S. Since 2018, the AAFP has opposed medically unnecessary genital surgeries performed on intersex children. Others might only find out if they run across medical records from their childhood, because many intersex infants and children are subjected to surgeries and treatments without their consent to make their bodies conform to categories of male or female, according to the American Academy of Family Physicians. Some intersex characteristics might not be evident until puberty or later - in fact, sometimes people don’t know they are intersex until they seek treatment for infertility or undergo other unrelated medical procedures. That’s because only about 16 states currently allow a gender marker designation other than “male” or “female” on birth certificates, and not all hospitals have intersex-affirming policies. Not all intersex people are identified as such at birth, and those who are may still be listed as either “male” or “female” on their birth certificate. Intersex people are born with at least one of about 40 naturally occurring variations relating to their genitalia, internal reproductive organs, chromosome patterns or hormones. The estimate includes people with extra or missing sex-linked chromosomes, and those born with other physical variations that don’t fit into categories of “male” or “female.” That estimate is based on a review published in the American Journal of Human Biology that looked at four decades of medical literature from 1955 to 1998. Most advocacy groups estimate that 1.7% percent of people are born intersex - the equivalent of about 5.6 million U.S. ![]()
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