Thank you for submitting your questions on Sunday, July 9th. Five Questions were submitted having to do with the Transgender Issue discussed last Sunday (39 questions overall for all the subjects). Three of them had to do with physical abnormalities at birth related to XX, XY chromosomes or varying degrees of physical deformations.
Q. Why does God allow this kind of deformity?
A. There is evil in the world and the effects of the fall are all around us and in us. God does not reverse all the results of the fall of man. In other words, many deformities and birth defects occur as a result of the fall. This is a reality. When Christ returns, no deformities will exist at all.
Q. What about babies born with ‘biological’ sex confusion, deformities, hermaphrodites, etc?
A. This is an important question. In other words, there is some level of biological transgender issues that nature itself has created. I’m not an expert in this, and correct me if I’m wrong, but I do think most biological confusion is corrected or treated early on by doctors and specialists, and that most transgender people are not, in fact, the result of such biological confusion from birth. In other words, theirs is a psychological transgender issue. I do not know how many transgender persons are actually the result of biological confusions at birth, but my sense is that the number is very, very small compared to those who simply developed the belief that they were in the wrong body.
Q. How common is intersex? From Intersex Society of North America
A. To answer this question in an uncontroversial way, you’d have to first get everyone to agree on what counts as intersex —and also to agree on what should count as strictly male or strictly female. That’s hard to do. How small does a penis have to be before it counts as intersex? Do you count “sex chromosome” anomalies as intersex if there’s no apparent external sexual ambiguity?
Here’s what we do know: If you ask experts at medical centers how often a child is born so noticeably atypical in terms of genitalia that a specialist in sex differentiation is called in, the number comes out to about 1 in 1500 to 1 in 2000 births. But a lot more people than that are born with subtler forms of sex anatomy variations, some of which won’t show up until later in life.
Below we provide a summary of statistics drawn from an article by Brown University researcher Anne Fausto-Sterling.2 The basis for that article was an extensive review of the medical literature from 1955 to 1998 aimed at producing numeric estimates for the frequency of sex variations. Note that the frequency of some of these conditions, such as congenital adrenal hyperplasia, differs for different populations. These statistics are approximations.
- Not XX and not XY one in 1,666 births
- Klinefelter (XXY) one in 1,000 births
- Androgen insensitivity syndrome one in 13,000 births
- Partial androgen insensitivity syndrome one in 130,000 births
- Classical congenital adrenal hyperplasia one in 13,000 births
- Late onset adrenal hyperplasia one in 66 individuals
- Vaginal agenesis one in 6,000 births
- Ovotestes one in 83,000 births
- Idiopathic (no discernable medical cause) one in 110,000 births
- Iatrogenic (caused by medical treatment; for instance, progestin administered to pregnant mother), no estimate
- 5 alpha reductase deficiency, no estimate
- Mixed gonadal dysgenesis, no estimate
- Complete gonadal dysgenesis one in 150,000 births
- Hypospadias (urethral opening in perineum or along penile shaft) one in 2,000 births
- Hypospadias (urethral opening between corona and tip of glans penis) one in 770 births
Q. Isn’t it possible that someone could be impacted by the sin of the fall and in fact have the brain of the opposite sex than their biological birth sex?
A. Yes. But, this is not somehow a unique situation. ALL of us are born with ‘sin on the brain’ so to speak. We all must battle temptations and tendencies that have been passed down to us, or that is a manifestation of the sin nature that we each were born with. No one is exempt. Each of us has our own sinful tendencies to fight through.
Q. Body dysmorphic disorder is the correct term. Body dysphoria means ‘depressed’.
A. According to Britain's National Health Service… Body dysmorphic disorder (BDD), or body dysmorphia, is an anxiety disorder that causes sufferers to spend a lot of time worrying about their appearance and to have a distorted view of how they look.
Gender dysphoria is a condition where a person experiences discomfort or distress because there is a mismatch between their biological sex and gender identity.