De I van LHBTI

Intersekse

Sinds enige tijd zet het COC zich ook in voor mensen met een intersekse-conditie. De positie van personen met een intersekse-conditie verschilt op veel punten met die van LHBT-personen, maar de lasten zoals, discriminatie en uitsluiting die voortkomen uit gendernormativiteit en stereotype ideeën over mannelijkheid en vrouwelijkheid in de maatschappij.

Wat is intersekse?
Er zijn veel definities in omloop. De definitie die NNID gebruikt, geeft iedereen voldoende ruimte om een eigen invulling te geven aan het begrip intersekse:
Intersekse is een parapluterm voor diverse aangeboren condities waarbij de ontwikkeling van het chromosomale, gonadale (geslachtsklieren) of anatomische geslacht verschilt van de norm. Mensen met een intersekse-conditie identificeren zich meestal als man óf vrouw. Artsen gebruiken sinds 2006 de term DSD (Disorders of Sex Development), maar steeds vaker wordt het woord Disorders vervangen door Differences. De oude naam (pseudo)hermafroditisme wordt over het algemeen als kwetsend ervaren.
In deze definitie wordt wel gezegd dat artsen het acroniem DSD gebruiken, maar wordt niet ingegaan op de specifieke diagnoses. Dat is belangrijk omdat intersekse los gezien moet worden van medisch handelen.
Intersekse is niet iets wat je ‘bent’, maar wat je ‘hebt’ – het wordt meestal niet gezien als een identiteit. Iemand met een intersekse-conditie heeft geen pijn, gaat er niet aan dood en is ook niet te genezen. Vandaar het woord ‘conditie’ in plaats van ‘aandoening’ of ‘afwijking’. Naast intersekse-conditie is de aanduiding intersekse-status in opkomst, waarmee nog meer afstand wordt genomen van de medische terminologie.
Intersekse is een variatie op de normen die (ten onrechte) gelden voor de ‘diagnose’ mannelijke sekse of vrouwelijke sekse. De norm voor ‘man’ is XY-chromosomen, penis, testes, testosteron en een bepaalde lichaamsbouw, terwijl de norm voor ‘vrouw’ uitgaat van XX-chromosomen, vagina, eierstokken en baarmoeder, oestrogeen en een andere lichaamsbouw. Toch worden er meisjes geboren met XY-chromosomen en jongens met XX-chromosomen. Of jongetjes met een vagina en meisjes met een clitoris die zo groot is, dat net zo goed van een kleine penis zou kunnen worden gesproken.
In die laatste situaties denken artsen en ouders dikwijls dat chirurgisch ingrijpen noodzakelijk is. Toch is er in de meeste gevallen geen medische noodsituatie en wordt alleen om cosmetische redenen geopereerd. Op dat moment wordt een intersekse-conditie gemedicaliseerd.

Voor verdere informatie kijk op de website van de Stichting Nederlands Netwerk Intersekse/DSD (NNID) www.nnid.nl

 

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