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SOCIAL SERVICES -
This is a story of a 22 years
old patient who was born to less educated parents in remote area
and reared as Female in early life. She passed all her exams in
both her school and graduation level. Not a single instance has
come in her life when she ever felt ambiguity in her sexual
behaviour. As a normal human being, she continued her studies and
went to Mumbai. She applied for a job in CISF as a female
candidate and luckily got selected for the job. After selection,
she started her training in the training college.
During training, abnormality of genital was noted by examining
doctors, who referred her case to detailed examination to bigger
hospital. During her examination, detailed ultrasound revealed
absence of uterus. She was referred to AIIMS, New Delhi for expert
opinion. After expert opinion, she was asked to leave the training
as her selection was cancelled on the grounds that she applied as
female while her generic sex was 46 XY, which was consistent with
males.
During her medical examination, abnormality of genitals was noted
by examining doctor and detailed examination was advised. During
this examination ultrasound of abdomen revealed absence of uterus.
She was referred to AIIMS in Delhi for expert opinion. After
expert opinion, she was asked to leave the training as her
selection was cancelled on the ground that she applied as 'female'
while her genetic sex was 46XY (consistent with male). At this
stage, she contacted us for help through a senior doctor.
Medical status: At AIIMS, she was diagnosed as having a rare
hormonal disease. There are two conditions:-
1 5 alpha reductase deficiency: This is a rare disease where male
sex hormone is not converted to another male hormone (testosterone
(Te) in not converted to Dihydrotestosterone (DHT), this
conversion is by enzyme '5 alpha reductase' and in absence of this
enzyme, DHT is not formed in the body. DHT is an essential hormone
especially for exact formation of external genitals of male. If
DHT is not there, external genitals of male looks like a female.
Severity of abnormality depends upon severity of deficiency, in
severe cases, genitals may be like just female) reversal of sex is
known phenomenon in this rare disease and the most common reversal
is change of sex from female to male. This rare condition is not
common in India but we see few cases in a year. Treatment of this
condition is surgery. DHT creams are not available in India.
2. Partial androgen resistance: this disease is again very rare in
general population and occurs as one in few million people. In
this condition, male hormone (Te) is not fully effective and there
is partial resistance to the actions of this hormone. As a result,
there is problem in formation of external as well as internal
genital organs. Severity of this condition depends upon degree of
resistance to actions, if resistance is complete, Pt will present
as complete ‘female’ with external genitals of female but no
uterus and ovary but both testes are present in abdomen and
genetic structure is 46 XY (male). Complete resistance is also
known as Testicular feminization syndrome or complete androgen
resistance. In partial resistance, genitals are in between male
and female. Sex reversal is again known phenomenon I this
condition. Treatment of this condition is surgery. Sex of rearing
depends upon ambiguity of genitals and wish of patient.It is very
difficult to differentiate between these two conditions as special
genetic tests are required.
Conclusion:
Now this Girl wishs to lead a normal life of a boy, Doctors are in
full support of her and according to the team of treating doctors,
CISF should not discriminate her on the basis of her current
gender, other important issue is that this girl gave her 12th
board exam a female so she was forced to do further studies as a
female. Considering her background CISF should take her back to
the service and also she should be transferred to CISF in Delhi so
her further medical needs can be take care.
To espouse her case, few of the points even raised by me being
among the member of a social organization called
caremycolostomy.org, the same read as under:
In our fast changing world, inequalities and human suffering are
not slowing down. Instead every leap forward and every innovation
is highlighting the gap between the people on this earth. The
fundamental questions remain the same despite the enormous
progress we have made as human beings. How can we fight
inequality? How do we ensure a stronger life for the weaker? How
do we create a hopeful life for the desperate? The Human race has
overcome so many challenges over the years that nothing seems
impossible! However, we at “Care My Colostomy” personally believe
that we have not even achieved one tenth of what is possible when
it comes to creating socially acceptable living condition for all.
Alleviating current social burden to unfold the full potential of
communities should be the guiding spirit of all of us as humans.
Lets take the present issue of this poor girl who despite having
made no offence being victimized from all corners.
Gender differences is a distinction of biological and / or
physiological characteristic typically associated with either
males or females of a species in general. In the study of humans,
social – political issues arises in classifying whether a sex
difference result from the biology of gender. For example, men are
taller then women on average, but an individual woman may be
taller then an individual man. Similarly, women give birth to
babies; men never do. Gender archaeology itself is based on the
ideas that even though nearly all individual are naturally born
either male or female that there is nothing natural about gender.
It is believed that gender is actually a social construct which
varies between cultures and changes through times.
The existence of a gender difference does not necessarily identity
whether the trait is due to nature or environment. Some traits are
obviously innate (for example, reproductive organs), others
obviously environmental (for example, given names), while for
others the relationship is either multi causes or unknown.
Sex, race and sexual orientation are all characteristic that – in
almost all instances – have absolutely no bearing on societal
functioning (and are in no way chosen by the one holding the
characteristic). The fact that the job applicant is a women, or of
particular national origin, or is a gay, have no bearing on the
performance of a job at hand. While there are admittedly some
instance where such a factor might be relevant (surrogate
motherhood, for example), those are extraordinary few – and must
be shown by actual evidence to be relevant. So there is a crystal
clear line as to when we can choose to deny rights to citizens.
Citizens who have (a) fulfilled the conditions for full
citizenships, and (b) have done nothing criminal to justify the
removal of any of those rights, are entitled to all the rights
guaranteed to any other citizens. Furthermore, the use is
restricted to contexts in which societal, rights are in a position
to be denied or restricted (jobs, government, education etc). As a
participants in a society, we are welcome as individual to
associate with whom we like so long as that association is
completely voluntary and unconnected to one of the aforementioned
contexts. In our proposed example, however, the idea of
“discriminating” against someone who has committed a crime is a
complete red herring – it has absolutely no connection whatsoever
to the question at hand (and, in fact is improper use of the word
“discriminate”). The removal of an individual’s right (for
example, by incarceration) is based on actual, relevant
information – the determination of criminal offence by the court
of law. The decision making factors are directly related to the
decisions directly made. But in the present case no felony has
been committed by the applicant still she is being subjected to
all mental and physical suffering.
To lesson the grievance of the female herein, we at
caremycolostomy.org has initiated a crusade, wherein a helping
hands have been invited from all corners of the world. To espouse
her cause one of our founder member namely Mr. Rahul Verma has
even uploaded one petition for the information of the public at
large for support of this noble cause.
Share Pain of Little Vishesh Gupta
PIL in Hon'ble Delhi High Court
Shocking Condition of Pediatric Surgery in
India
www.caremycolostomy.org |
