I Was Born With Male And Female Parts "Congenital Adrenal Hyperplasia" Female External Genitalia

In The Womb Stephanie Now Age 28. Was Meant To Develop Male. But An Issue With Her Adrenal Glands Reversed The Process. So I Was Born With Male and Female Parts Congenital Adrenal Hyperplasia in Men Which Cause Female External Genitalia. So I Right Now Have All Male DNA And ALL Testing Shows I Have Male Sex Chromosomes Also As You Can See From This Photo Of A Un-Named Male With Congenital Adrenal Hyperplasia This Is A Genetic Disorder And This Man Have Fully Working Female External Genitalia Below. But For This Video You Are Watching Now. I Stephanie Do Not Want To Show You My Naked Body At ALL... Thank You For Watching My Video In 2025.

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Womb Development Surprise
Stephanie's case is an example of an intersex condition where the development of sex organs does not follow the typical male or female pattern. In the womb, Stephanie was initially meant to develop male due to genetic factors, but an issue with her adrenal glands reversed the process, leading to ambiguous genitalia or a mix of male and female characteristics.

During fetal development, all embryos start with a similar set of genital structures. Around weeks 7 to 8 of pregnancy, these structures begin to differentiate based on the presence of the Y chromosome and the hormone testosterone in male embryos.

Without the influence of testosterone, female sex organs develop. In Stephanie's case, the adrenal gland issue disrupted the typical development process, resulting in a condition that is not strictly male or female.

Intersex traits, which include ambiguous genitalia or a mix of male and female characteristics, are present in about 1.7% of births, according to some research. These traits can be subtle and may not be discovered until later in life, such as during puberty or even adulthood. (1 in Every 18,000 Birth Diagnosed Today).

I am a medical doctor. Thank you for posting this. I actually learn a lot from people when they are open about their medical issues on social media. It helps me to be more understanding and compassionate with my patients. It helps me to connect with them better and understand what they need. You are awesome.

I found out that I had a male testicle instead of an overy when my husband and I were in a Dr's office while we were trying to get pregnant. My husband had a worse problem with it than I had. He left me that day and threatened to kill me. I had to call the police. He went to jail that day, and I moved to Alaska to get away from him. I've lived off grid in Trapper Creek Alaska ever since. It's been 40 years now, and I've never hidden this from anyone. I've been with the same man for 38 years now. He doesn't care that I once had a testicle. I never had children, only because I only had one ovary. I'm 62 now. You are a beautiful human being!!!

You had the exact opposite experience that I did. When I was 11, I started to grow breasts. I'd started puberty but it was female puberty. My natural testosterone level eventually stalled it but it confirmed what I'd always known: I was part boy & part girl. This was in the early 70's so they didn't have any kind of "treatment" for it. They didn't start giving me supplemental estrogen until a year and a half ago. I really wish we could have done it sooner but it is still so much better than it was. I had to keep this to myself for 40+ years, present totally male and it was okay but now that I can mix my female side into my everyday life, I am infinitely happier! Thank you for sharing this! Every time we share our story, it helps someone else with theirs!

And i have flat breast like a Men with CAH may have normal fertility if they have been optimally treated, but some may require additional help to have children. Once i get pregnant, women with CAH may require a caesarean section to deliver, and genetic counseling may be beneficial for families.

So Much Hate In The World Today ? Is There No More Love In The World Today ? Our We All Enemy Of The State Now Or Do We Have To Hate Each Other So Much Today ? So I'm I Male ? Or I'm I Female ? Or I'm I Intersex Person ? Trump Say Only 2 Sexes And We At This Channel Think How About 3 Sexes ? So Fran Blanche Said... I Shouldn't Have To Make This Video. It Is Not Fair ? So Now (How Many Genders Are There XX-XY-XYX-YX-YY)Etc. So Is Or Has Mental Illness Gone Wild Today ?. Executive Action: Federal Government to Define Sex as Only Male or Female on Official Documents. Trump has ordered federal agencies to fundamentally alter how they define gender by mandating that only “biological sex” as assigned at birth is recognized on federal documents and in government policy. Federal identification documents, including passports, must reflect this change. This action denies the existence of transgender and nonbinary people, reversing progress on LGBTQ+ rights and harming legal protections.

Our We All Enemy Of The State ? How Many Genders Are There ? Intersex And Its Meaning ? - https://rumble.com/v6jprzy-our-we-all-enemy-of-the-state-how-many-genders-are-there-intersex-and-its-m.html

How We’re Fighting Back:
This is a state-sponsored erasure of trans people. Our office is working with the State Department and has done outreach with local LGBTQ+ organizations. Congress must protect and promote the legal recognition for trans and nonbinary Americans. The beliefs that have driven the hatred towards trans-people in recent years are not based on science - despite erroneous claims that they are - but on fear - Fear of that which they do not understand and actions that their lack of knowledge and education create. So here I go, yet again. Talking about This Stuff! Here is an infallible argument for you. If I hate trans-gendered people so much why do I watch your videos? You seem to think all the conservatives hate trans-people. That to me is sad.

If you place the number 6 on the ground and look at it from the bottom... its the number six... Wow its the number 6 ? But if you look at same number 6 from the top... its the number nine... Wow its the number 9 ? So now The democrats say 6 and republicans say 9... no its a 6, no its a 9, no its a 6, no its a 9 etc. etc. etc. so this goes on forever ?

The Left/Right paradigm isn't only exposed by race and immigration issues. The Left and Right are in lockstep on every issue that really matters: The IRS. Income tax. Federal Reserve system. Endless wars. Endless expansion of tyranny and ever contracting liberty. Chronically wide-open borders. Suicidal immigration policies. Don't you see? The democrats and republicans exist only to provide the illusion of choice. A strong "us versus them" simulation in every election. It's ritualized tribalism. But the joke is, it doesn't matter which team wins, because both sides have the same agenda. God, guns and gays are phony "issues" to bolster the illusion of "difference" between the parties. The only thing that makes all this possible is that people aren't aware of the scam. Just knowing they are either "Team Red" or "Team Blue" liberates them from the responsibility of having to actually know or think anything. Then they feel righteous when their team wins, or despondent when they loose. It's no coincidence that the system works exactly like sports. There comes a point when ignorance and apathy become treason. We are past that point, people.

When our son was just starting to learn his numbers, he had a really hard time with the number “6”. In fact, he refused to acknowledge it. If we showed him a picture of a “6”, he would flip it around and say it was a “9”. The more we insisted it was a “6”, the more determined he was to show us it was a “9”. He even went so far as to skip “6” entirely when counting to 10.

We began explaining to him that the “9” can actually be two different things, depending on how you look at it. If you turn it upside down, it becomes a “6.” It all depends on how you look at it. We told him some things can actually be seen in more than one way.

It took a while, but one day he just got it. He looked at a “6” on a flash card and called it a 6!! He started counting to 10 and including the 6!! And one day he said, “Mommy, the 6 is an upside down 9!!” Something amazingly beautiful had begun. He started saying that a “W” was an upside down “M”, and that a “P” was an upside down “d”!!!

Perspective
In a very elementary way, our son was learning the meaning of perspective, and how sometimes we aren’t looking at something the wrong way, we are just looking at it differently because of where we are in relation to it. Sometimes when we disagree on something we believe so firmly, we deny any other perspective. We eliminate the “6” from the number line and look at you like you are crazy, just as our toddler looked at us.

I later came upon an image captioned “the 6/9 perspective” and it made me think of my son and his own personal, literal experience with it. You will find numerous versions of this image on the internet, some with a quote about perspective and some suggesting revisions to such quote(s). We all have different perspectives even on the matter of perspective!

However, the context provided discusses various aspects of mental illness, including its prevalence and impact. For instance, the National Institute of Mental Health (NIMH) reports that more than one in five U.S. adults live with a mental illness (59.3 million in 2022; 23.1% of the U.S. adult population).
This indicates a significant portion of the population experiences mental health conditions, which can range from mild to severe.

What Are the 72 Other Genders? https://www.medicinenet.com/what_are_the_72_other_genders/article.htm

In today’s age, one does not need to fit in with regards to their choices, including their gender identity.

Gender is no more regarded as a binary concept where one can either be a male or a female.
It has emerged as a continuum or spectrum where one can identify themselves as any of the gender identities.
The term gender identity means how a person identifies themselves concerning their gender. It may be regardless of their anatomy or genetics. Thus, a person may identify themselves as male, female, none, both, or some other category independent of their genitals.

The idea is to make everyone feel comfortable in their skin irrespective of what gender they were assigned at birth.

I was absolutely riveted to this video. I’m a 63 year old white male with a post graduate education. This puts me in the demographic most likely to “benefit” from the policies of this administration. It also appalls me to no end. Thank you for speaking out. Since I don’t have the microphone you do, I am making a point to speak louder. Stop apologizing. "Staying in your lane" is how America got here. Always speak up and speak out. It's always the time. Anyone who bullies you over this is an insecure hack. Fran, you are Fran. Period. Nothing is gonna change that. Keep doing what you’re doing. We love you just the way you are. We are one step away from a civilization where we better not comment on social media. I am new to you and your channel. But I saw someone in another video say something to the effect of "If your creators just keep making normal videos in a time like this, then you have to question why". I understand the desire not to mix politics into content, normally. But there is nothing normal about these times, and only a coward would not speak up! We need people to speak up! Thank you for speaking up!

The Prison Industrial Complex just loves rape, violence and cruelty.
And so does the majority of Americans. Can't tell how many times I've heard or read comments by various fellow citizens who proselytize for prisoners to be raped and violated, particularly if they are in there for specific offenses.
No one, even rapists, should either rape or be raped. Just because one is in prison, doesn't mean that prison should not be a safe environment for the prisoners and those employed there.

Too many of my fellow Americans are utterly thoughtless, ignorant, reactionary and extremely vocal with their uninformed, cruel and foolish opinions. But, then again, "The Cruelty Is The Point". I am watching this video beside my husband (He's the science-y guy) so I'm new to your channel, but I'm glad to have seen this one! We're the parents of a trans guy and a couple gender-creative kids and I'm so glad you spoke up. I understand keeping the toxicity that some folks bring along to conversations away from your channel, but sometimes we have to speak up to reduce the ignorance in the world. Besides a turd i n the punchbowl there I'm glad to see that most people were glad to see you do what you need to.

I'm so sorry we got the people who are just determined to make life as a different person harder to live. Thanks so much for speaking up for all the people without a megaphone.

Intersex: Its Meaning and Definition ? Current research estimates that intersex people compose 1.7% of the population, which makes being intersex as common as having red hair.

While many people don’t know what it means to be intersex, most people have heard the term before.

What does it mean to be intersex? Can you be intersex without knowing it? How do you find out if you are intersex?

Let’s dive into these questions below.

What Is Intersex?
At a basic level, the word intersex is used to describe someone who is born with variations in sex characteristics – such as chromosomes, genitals, gonads, or sex hormones – that do not fit the typical definitions for “male” or “female” bodies.

Intersex people break the male/female binary, proving that sex exists as a spectrum of biological traits that present along a continuum.

Causes of Being Intersex
There are several possible causes of being intersex, as described below.

1. Reproductive Anatomy
Among intersex people, there can a diverse range of variations in reproductive anatomy. Often, this is caused by one of the factors described below, but sometimes, it in and of itself is used as an indicator of being intersex.

While the majority of people are born with either “female” reproductive parts (including a vagina, uterus, and ovaries) or “male” reproductive parts (including a penis and testicles), those who are intersex may have different combinations of genitalia.

In some cases, intersex babies are born with a phallus that could be either a small penis or a large clitoris. Because reproductive anatomy involves both internal and external components, these intersexed variations may or may not go undiagnosed.

Examples of how intersex reproductive anatomy include, but are not limited to:

Ambiguous genitalia
A small phallus or “micropenis”
An enlarged clitoris or “clitoromegaly”
Labial fusion (partial or complete)

2. Hormones
A common cause of being intersex is hormonal variation, for example Congenital Adrenal Hyperplasia (CAH). This condition is caused by an over-production of androgens by the fetus or the mother’s adrenal glands.

Androgens are male sex hormones, such as testosterone, that regulates the appearance and maintenance of male characteristics.

When androgens are produced in high levels during pregnancy, a female newborn may be born with an enlarged clitoris/phallus, making the genitals sexually ambiguous. In some cases, these newborns may appears to have a phallus (small penis), as well as a scrotum due to the labia fusing together.

With this condition, people often, although not always, maintain reproductive capacity.

Another example is progestin induced virilization, a condition that is caused by exposure to exogenous androgens, most commonly progestin, during pregnancy.

Numerous other hormonal variations may also exist among intersex people.

3. Enzymes
Several types of intersex conditions are caused by enzyme deficiencies. The two most common examples are 5-alpha deficiency and 17-beta dehydrogenase deficiency.

Both of these enzyme deficiencies give rise to male infants that frequently get labelled as female infants, as they are typically not born with penises.

With these conditions, the deficient enzymes do start to be produced when the individual nears puberty. This creates masculinization during one’s teenage years.

Although commonly labeled as “female” at birth, many people with these conditions elect to live their lives as men once they reach maturity.

4. Androgen Receptor Variability
Another cause of being intersex is variations in androgen receptor capacity. In biology, receptors are structures found in cell membranes that bind to specialized molecules to initiate signaling or a chemical response.

An example of this type of intersex condition is Androgen Insensitivity Syndrome (AIS), which can be either partial or complete.

Because androgens are male sex hormones that regulate the appearance of masculine characteristics, people with AIS may produce androgens but not create male sexual differentiation due to their body’s inability to respond to them.

Thus, these individuals tend to be labelled female at birth, even though they have testes that produce testosterone. When puberty occurs during the teenage years, these androgens gets converted into feminizing estrogens, which can cause breasts to develop. People with partial androgen insensitivity may also develop a small phallus when they hit puberty.

With this condition, many different physical appearances can occur, depending on the total androgen volume this is produced and whether the individual has either a partial or complete insensitivity to them.

5. Genetic Variation
Some people are born intersex because of genetic variation, specifically chromosomal makeup. Sex chromosomal variations may exist as a result of the loss, damage, or addition of one or both of the sex chromosomes.

While cis women tend to have XX chromosomes and cis men tend to have XY, intersex people may have different combinations of chromosomes. (A cisgender person is someone who identifies with the same gender that they were assigned at birth.)

X and Y chromosomes

Common intersex chromosomal makeups include:

XXY, sometimes called Klinefelter syndrome.
XXXY, XXXXY and XYY, known as Klinefelter variants.
XO, where the O indicates a sex chromosome (originally either an X or Y) is missing. This is sometimes called Turner syndrome.
However an even wider range of sex chromosome variations are naturally occurring, including:

45, X, known as Turner syndrome
45,X/46, known as XY mosaicism
46, XX/XY
47, XXX, known as Trisomy X
47, XXY, known as Klinefelter syndrome
47, XYY with normal phenotype, known as a Klinefelter variant
48, XXXX
48, XXXY, known as a Klinefelter variant
48, XXYY
49, XXXXY, known as a Klinefelter variant
49, XXXXX
XX Male Syndrome
XX Gonadal Dysgenesis
XY Gonadal Dysgenesis
As described above, some intersex people present with “XX Gonadal Dysgenesis” or “XY Gonadal Dysgenesis”. In this case, gonadal dysgenesis refers to reproductive tissue (gonads) being replaced by non-reproductive fibrous tissue during prenatal development.

While chromosomes are a characteristic that some people try to use to explain the male/female binary, chromosomes are actually varied across the human species.

List of Intersex Conditions
Now that we’ve explored causes of being intersex, let’s explore common intersex conditions.

Below is a list of intersex conditions, presented in alphabetical order:
5-alpha reductase deficiency – Inability to convert testosterone to dihydrotestosterone (DHT) to create male sexual differentiation in utero.

Androgen Insensitivity Syndrome (AIS) – A partial or complete insensitivity to androgens, such as testosterone.

Aphallia – Born without a penis.

Clitoromegaly – Born with a large clitoris.

Congenital Adrenal Hyperplasia (CAH) – The adrenal gland over-produces androgens, which can create ambiguous genitalia in female newborns.

Gonadal Dysgenesis (Partial or Complete) – Reproductive tissue (gonads) is replaced by non-reproductive fibrous tissue during prenatal development.

Gypospadias – The urethral meatus (“pee-hole”) forms along the underside of the penis, instead of at the tip.

Klinefelter Syndrome – An extra X chromosome is inherited, creating a XXY karyotype .

Micropenis – A small or undersized penis.
Mosaicism involving “sex” chromosomes – Variation in sex chromosome combinations.

MRKH – A congenital disorder of the female reproductive system, with ovaries present but a missing or undersized uterus.

Ovo-testes – Both ovarian and testicular tissue are present.

Progestin Induced Virilization – This condition is caused by exposure to exogenous androgens, most commonly progestin, during pregnancy.

Turner Syndrome – Only one X chromosome present and functional.

XX Gonadal Dysgenesis – No functional ovaries are present to induce puberty in a female with a normal XX karyotype.

XY Gonadal Dysgenesis – Also called Swyer Syndrome, these people are born without functional gonads.

Of course, there are many other biological combinations that can also be naturally occurring among intersex people. This list is not meant to be comprehensive, but to highlight experiences that may be relevant.

How Do You Know if You’re Intersex?
While some people have external factors letting them know that they are intersex, others do not. One way to explore your biology is to get a DNA test to look into your chromosomal makeup. If you suspect that you may be intersex, talk to an LGBT-friendly doctor about potentially getting a test done.

Of course, many types of intersex conditions will not appear on a DNA test, so this is not a comprehensive screening method.

You could also consider testing your hormone levels, although this type of blood work won’t reveal what conditions were present during your prenatal development, so it has limited utility as well. Or, you could do medical testing to determine if you have an enzyme deficiency.

Because there are many causes for being intersex, evaluating your physical characteristics, such as internal and external genitalia, body structure and development patterns, and secondary sexual characteristics may provide useful information.

Finally, it could be helpful to talk to your parents about your birth and early development. In some cases, they may know information that you do not.

No matter what your gender identity is, you can be intersex. Intersex people can be cisgender or transgender depending on the gender they were assigned at birth. Cisgender intersex people would identify with the gender that the doctors put on their birth certificate, while transgender intersex people would identify with a different one.

Of course, you don’t need to tell anyone that you’re intersex, unless you want to. If you do find out you’re intersex and want to share with others though, there are large communities of people like you online.

There are also university scholarships for intersex people.

Misconceptions About Intersex People
Whether or not you know about intersex people, you’ve likely have heard some common misconceptions about them before. Some of these misconceptions are disheartening and can be painful if you think you may be intersex.

One of these misconceptions is that intersex people have both male and female sexual organs. This is exceedingly rare. Intersex people simply have differing combinations of biological characteristics that place them outside the male/female binary, as we discussed before.

Another common mistake that people make when thinking about intersex people is believing that all of them have had surgeries at birth or during early development. This is false. While many intersex babies are operated on (without consent!), others are left alone.

Most importantly, there’s nothing to “correct”. Intersex people are naturally occurring humans, just like the rest of the population.

Intersex vs. Nonbinary
Another common misconception about intersex people – one that warrants deeper discussion – is that being intersex is the same thing as being nonbinary. These two identities are unrelated to one another entirely.

Nonbinary people are those that do not identify with either of the binary genders that a person can be assigned at birth. They see gender as the spectrum that it is and identify as elsewhere on that spectrum. Some common nonbinary identities are genderfluid (gender can change under different conditions), bigender (both genders at once), or gender non-conforming (an umbrella term that is often abbreviated as “GNC”).

These nonbinary individuals can have full sets of regular male or female genitalia.

On the other hand, intersex people, as we talked about before, have variations in their biological characteristics. Intersex people can be nonbinary if they identify as such, but many intersex people identify as binary men or women.

Like anyone, intersex people can be cis or trans depending on how they were defined at birth.

Frequently Asked Questions
What does intersex mean?
Intersex means that a person was born with variations in their sex characteristics, such as the biological markers described above, including but not limited to internal and external genitalia, gonads, chromosomes, hormone levels, or enzyme production.

Can someone who is intersex have a baby?
In some cases yes, and in some cases, no. It depends on the biological structure and characteristics of the individual person. It should be noted that among non-intersex people, this is equally true: some people can reproduce, while others cannot.

How common is it to be intersex?
Intersex people compose an estimated 1.7% of the population. Most likely this number is low, as not all intersex people are diagnosed and the definition of intersex is open to interpretation.

What is it like to be intersex?
The answer is that it varies for each individual, but in many cases, either medical providers or your family may have hidden or tried to change things about your body. For this reason, it is empowering to learn more about yourself, explore your medical history and connect with other intersex people.

Global acceptance and equality will take time to achieve. Female-to-Male Transition Top Surgery The female-to-male breast surgery is known as a subcutaneous mastectomy and there are several techniques that are used. The patient's breast size and body build determine which technique is ideal for him. On occasion, when breasts are so large as to cause severe and incapacitating back, neck, and shoulder pain, the breast reduction procedure may be a covered service by your insurance policy. We can help you determine if you have these benefits in your plan. Male-to-Female Transition Top Surgery The male-to-female transsexual generally has worn external breast prostheses for several years prior to making a decision to have breast augmentation surgery. She has developed a very accurate image of the size breast that looks best on her body which makes the decision of choosing the proper implant size much easier than for the usual small-breasted woman requesting breast augmentation.

https://rumble.com/playlists/ECzdZA8o_bQ

How Many Genders Are There XX-XY-XYX-YX-YY And AI-Robots Inclusive Pronouns ? - https://rumble.com/v2iemq4-how-many-genders-are-there-xx-xy-xyx-yx-yy-and-ai-robots-inclusive-pronouns.html

So at LGBT Pride Weekend in West Hollywood to ask people some of the most debated questions that are relevant to the community. It got.. crazy. When I presented on issues facing LGBTQ college students at UVM’s Mental Health Matters conference this spring, I knew I had my work cut out for me. When the feedback was mixed, I wasn’t overly surprised.

Male to Female Sex Reassignment Surgery Live ** Very Graphic ** Think Twice Guys ? - https://rumble.com/v2hpw3e-male-to-female-sex-reassignment-surgery-live-very-graphic-think-twice-guys-.html

WoW This Looks Fun Lady's Keyhole Top Surgery For Female to Male Transgender -- https://rumble.com/v2zsoao-wow-this-looks-fun-ladys-keyhole-top-surgery-for-female-to-male-transgender.html

New Mandate Law To Force All U.S.A. Female To Get Sex Genital Mutilation Survivors - https://rumble.com/v2hjog8-new-mandate-law-to-force-all-u.s.a.-female-to-get-sex-genital-mutilation-su.html

Defending Women from Gender Ideology Extremism
"Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government" is an executive order signed by Donald Trump on January 20, 2025, the day of his second inauguration as president of the United States.

The order promotes the concept of "sex-based rights" and the rejection of "gender ideology," which it defines as an effort to "eradicate the biological reality of sex" in language and policy.

The executive order requires federal departments to recognize gender as a male-female binary only (determined by biological sex assigned at conception) and mandates the replacement of all instances of "gender" with "sex" in materials.

It also directs federal agencies to cease all funding for gender-affirming care, prohibit gender self-identification on federal documents such as passports, and stop the funding or promotion of "gender ideology".

Additionally, the order instructs agencies to cease applying Bostock v. Clayton County, which provided Title VII protections for LGBTQ+ individuals.

The U.S. Equal Employment Opportunity Commission (EEOC) has announced that it is returning to its mission of protecting women from sexual harassment and sex-based discrimination in the workplace by rolling back the Biden administration's gender identity agenda.

This includes enforcing laws governing sex-based rights, protections, opportunities, and accommodations to protect men and women as biologically distinct sexes.

The executive order has also directed the secretaries of state and homeland security to ensure that passports, visas, and other official government documents reflect male and female as the only two sexes.

Agencies are prohibited from promoting gender transition, and prisons are instructed not to use taxpayer funds for gender transition services.

The order defines "gender identity" as "an internal and subjective sense of self" and directs agencies to take steps to eradicate the use of the term and to implement regulations, guidance, forms, and communications to comply with this order.

https://www.whitehouse.gov/presidential-actions/2025/01/defending-women-from-gender-ideology-extremism-and-restoring-biological-truth-to-the-federal-government/

If A Man Or Woman Of The Same Sex Shall Lay Down With Another Man Or Woman Of The Same Sex Let Him Be Stoned To Death... God Or Jesus Said ( You Must Kill Them) Per The Bible... Say Us The Lord ?

The Bible does not say "thou shalt not kill," but rather "thou shalt not murder" in the original Hebrew.

The commandment in Exodus 20:13 is often mistranslated as "thou shalt not kill," which can lead to misunderstandings about its meaning.

The commandment specifically prohibits murder, not all forms of taking life, which allows for exceptions such as self-defense, manslaughter, and capital punishment.

What Does the Bible Say About Says The Lord?

The Bible contains many instances where God speaks through prophets or directly to individuals, often prefaced with "Thus says the Lord." For example, in Jeremiah 1:11, God speaks to Jeremiah through a vision, saying, "Thus says the Lord, the God of Israel, ‘Like these good figs, so I will regard the captives of Judah, whom I have sent out of this place into the land of the Chaldeans’”.

Additionally, the Bible often emphasizes that God is with His people, as seen in Isaiah 41:10, which states, "So do not fear, for I am with you; do not be dismayed, for I am your God. I will strengthen you and help you; I will uphold you with my righteous right hand”.

https://www.openbible.info/topics/if_a_man_shall_lay_with_another_man_let_him_be_stoned

By the authority vested in me as President by the Constitution and the laws of the United States of America, including section 7301 of title 5, United States Code, it is hereby ordered:

Section 1. Purpose. Across the country, ideologues who deny the biological reality of sex have increasingly used legal and other socially coercive means to permit men to self-identify as women and gain access to intimate single-sex spaces and activities designed for women, from women’s domestic abuse shelters to women’s workplace showers. This is wrong. Efforts to eradicate the biological reality of sex fundamentally attack women by depriving them of their dignity, safety, and well-being. The erasure of sex in language and policy has a corrosive impact not just on women but on the validity of the entire American system. Basing Federal policy on truth is critical to scientific inquiry, public safety, morale, and trust in government itself.

https://www.whitehouse.gov/presidential-actions/2025/01/defending-women-from-gender-ideology-extremism-and-restoring-biological-truth-to-the-federal-government/

Accordingly, my Administration will defend women’s rights and protect freedom of conscience by using clear and accurate language and policies that recognize women are biologically female, and men are biologically male.

Sec. 2. Policy and Definitions. It is the policy of the United States to recognize two sexes, male and female. These sexes are not changeable and are grounded in fundamental and incontrovertible reality. Under my direction, the Executive Branch will enforce all sex-protective laws to promote this reality, and the following definitions shall govern all Executive interpretation of and application of Federal law and administration policy:

(a) “Sex” shall refer to an individual’s immutable biological classification as either male or female. “Sex” is not a synonym for and does not include the concept of “gender identity.”

(b) “Women” or “woman” and “girls” or “girl” shall mean adult and juvenile human females, respectively.

(c) “Men” or “man” and “boys” or “boy” shall mean adult and juvenile human males, respectively.

(d) “Female” means a person belonging, at conception, to the sex that produces the large reproductive cell.

(e) “Male” means a person belonging, at conception, to the sex that produces the small reproductive cell.

(f) “Gender ideology” replaces the biological category of sex with an ever-shifting concept of self-assessed gender identity, permitting the false claim that males can identify as and thus become women and vice versa, and requiring all institutions of society to regard this false claim as true. Gender ideology includes the idea that there is a vast spectrum of genders that are disconnected from one’s sex. Gender ideology is internally inconsistent, in that it diminishes sex as an identifiable or useful category but nevertheless maintains that it is possible for a person to be born in the wrong sexed body.

(g) “Gender identity” reflects a fully internal and subjective sense of self, disconnected from biological reality and sex and existing on an infinite continuum, that does not provide a meaningful basis for identification and cannot be recognized as a replacement for sex.

Sec. 3. Recognizing Women Are Biologically Distinct From Men. (a) Within 30 days of the date of this order, the Secretary of Health and Human Services shall provide to the U.S. Government, external partners, and the public clear guidance expanding on the sex-based definitions set forth in this order.

Woman with Male Chromosomes
Being a woman with male chromosomes, or XY chromosomes, is a condition known as androgen insensitivity syndrome (AIS) or can be part of a broader category of disorders of sex development (DSD). People with AIS have XY chromosomes but develop as females due to a genetic mutation that affects the body's response to male hormones.
This condition can go unnoticed until puberty, when differences such as the absence of menstruation or the inability to conceive may become apparent.
Some individuals with AIS may not be diagnosed until adulthood.

Congenital Adrenal Hyperplasia in Men
Congenital Adrenal Hyperplasia (CAH) in men is a genetic disorder affecting the adrenal glands, which are located above the kidneys. The most common form of CAH is due to a deficiency in the enzyme 21-hydroxylase, leading to a lack of cortisol and aldosterone production, and an excess of androgens.

In men with CAH, symptoms can include excessive facial hair, a functional and average-sized penis, and in some cases, under-virilization, which may cause female external genitalia.
Additionally, men with CAH may experience infertility due to testicular adrenal rest tumors, which can cause severe testicular damage.

Quality of life (QoL) in men with CAH due to 21-hydroxylase deficiency has been studied, showing that disease severity and poor treatment control are inversely associated with QoL.
Men with CAH often require glucocorticoid substitution to manage androgen production and maintain a normal QoL.

Treatment for CAH in men typically involves glucocorticoid replacement therapy to restore normal hormone levels and prevent complications. Long-term follow-up and monitoring are essential to ensure optimal treatment and to manage any potential fertility issues.

Men with CAH may have normal fertility if they have been optimally treated, but some may require additional help to have children.
Once pregnant, women with CAH may require a caesarean section to deliver, and genetic counseling may be beneficial for families.

Congenital Adrenal Hyperplasia in Females
Congenital adrenal hyperplasia (CAH) is a group of genetic disorders affecting the adrenal glands, which are located above the kidneys. In females with CAH, the adrenal glands produce excessive amounts of male hormones, or androgens, leading to a range of symptoms and complications. These can include ambiguous genitalia, early puberty, and altered development of secondary sex characteristics.

The most common form of CAH is caused by a deficiency in the enzyme 21-hydroxylase, which affects about 95% of cases.
This deficiency leads to a reduced production of cortisol and aldosterone, while increasing the production of androgens. Females with this condition may have external genitalia that appear more masculine, which can cause significant psychological and social challenges.

In addition to physical symptoms, females with CAH may also experience early puberty, which can lead to rapid growth and early closure of growth plates, potentially resulting in shorter stature.
Hormonal imbalances can also affect fertility and menstrual cycles.

Treatment for CAH in females typically involves hormone replacement therapy to correct the imbalances and manage symptoms. This may include the administration of glucocorticoids and mineralocorticoids to normalize hormone levels and prevent complications.

Congenital adrenal hyperplasia (CAH) refers to a group of genetic disorders that involve the adrenal glands, a pair of small organs located above the kidneys. Endocrinologists Amir Hamrahian and Roberto Salvatori and endocrine surgeon Lilah Morris-Wiseman explain the diagnosis, causes and treatments of CAH.

What is congenital adrenal hyperplasia?
Healthy adrenal glands produce important hormones, including:

Cortisol, which regulates your body’s response to stress or illness.
Aldosterone, which balances salt and fluids in your body and regulates your blood pressure.
Sex hormones, such as DHEA-S, testosterone and androgens needed for growth and development of both boys and girls.
Adrenaline (also called epinephrine) — and to a lesser degree noradrenaline (norepinephrine) — the “fight or flight” hormones that help your body respond to stress.
In people with CAH, a genetic condition leads to a lack of one of the enzymes (a step in the building process) needed to produce one or more of the above hormones. There are two major types of CAH:

Classic congenital adrenal hyperplasia: This form is usually diagnosed soon after birth. Infants with classic CAH may have ambiguous external genitalia (i.e., females who don’t have typically female-appearing external genitalia), and they may make too little cortisol and aldosterone and too much male hormone (androgens).
Nonclassic congenital adrenal hyperplasia: This form is milder, more common, and often diagnosed in later childhood or early adulthood. Usually, women with nonclassic CAH present only with signs of too much androgens (i.e., excess body hair, early puberty, irregular periods). Men often have no symptoms.
What causes congenital adrenal hyperplasia?
The most common cause of CAH is a genetic mutation (change) in the 21-hydroxylase enzyme. The adrenal gland needs 21-hydroxylase to make appropriate amounts of hormones. If someone doesn’t have enough 21-hydroxylase, called 21-hydroxylase deficiency, this can result in decreased cortisol production. To compensate for low cortisol levels, the body stimulates the adrenal glands. The resulting adrenal stimulation leads to increased production of androgens (male hormones).

The severity of CAH relates to how much the genetic mutation affects this enzyme’s activity. In people with non-classic forms of CAH, the enzyme’s activity is reduced, but sufficient to make enough cortisol and aldosterone. However, the level of male hormones remains elevated.

Congenital Adrenal Hyperplasia Symptoms
Signs and symptoms of CAH vary, depending on which gene is defective and the level of enzyme deficiency.

Classic CAH
Female infants with classic CAH might be born with an enlarged clitoris or external genitalia. Conversely, male infants with classic CAH do not have any genitalia changes.

Both male and female infants can be affected by a lack of cortisol, aldosterone or both. Low cortisol and aldosterone levels may lead to low appetite, nausea, dizziness, fatigue and other symptoms. In addition, it may lead to “adrenal crisis” — a medical emergency that needs immediate treatment. Adrenal crisis can cause:

Low blood pressure
Low blood sugar
Dehydration
Vomiting
Diarrhea
Call 911 or seek medical care immediately if you or a loved one is experiencing symptoms of adrenal crisis.

The adrenal crisis often happens when people with CAH are sick, have a fever or an infection, undergo surgery or stop their medications.

Nonclassic CAH
In individuals with nonclassic CAH, often there are no signs when they are born. The condition is not diagnosed during routine infant blood screening, and usually becomes evident in late childhood, teenage years or early adulthood.

Both boys and girls can present with early appearance of pubic hair, acne and rapid growth during childhood, which may result in a shorter final height.

Teenage and adult females may experience irregular or absent menstrual periods and excessive facial and body hair and deepening voice.

Males and females with either form of CAH may also have fertility problems.

How is CAH diagnosed?
CAH may be diagnosed before or after a baby is born.

Diagnosing CAH Before Birth (Prenatal Testing)
There are several tests that can be used to detect CAH in fetuses, including amniocentesis and chorionic villus sampling (needle sampling of the fluid surrounding the fetus). This invasive testing is only performed before birth when a fetus is at risk for CAH due to their parents having a genetic mutation or a sibling having CAH.

Diagnosing CAH After Birth
Routine newborn screening for CAH during the first few days of life is mandatory in the United States. This test identifies only the classic form of CAH; therefore, diagnosis of the classic form is almost always made soon after birth. Any infant with a screening test suggestive of CAH should undergo further evaluation.

Routine screening tests are not able to identify the nonclassical form of CAH. The diagnostic workup of nonclassical CAH in older children and adulthood may include several blood tests, such as:

Morning 17-hydroxyprogesterone (17OHP)
ACTH stimulation test
Genetic testing
Congenital Adrenal Hypoplasia Treatment
The goal of CAH treatment is to reduce excessive androgens and replace deficient hormones. People with classic CAH need to take hormone replacement medications throughout their lives, while people with nonclassic CAH may or may not require treatment based on their symptoms and gender. Medications may include:

Corticosteroids (e.g., hydrocortisone, prednisone, dexamethasone) to replace deficient cortisol.
Fludrocortisone to replace missing aldosterone and help the body retain salt and keep blood pressure normal.
Salt supplements, which help increase intravascular volume (fluid in your vessels) and blood pressure.
Oral contraceptive pills for regulating menses.
Anti-androgen drugs such as spironolactone to treat excess androgen levels.
Your health care provider will adjust your medications based on regular physical exams, blood tests to check hormone levels, and monitoring for treatment side effects.

Your doctor will provide information on what to do if you get sick. For example, if you have fever or vomiting, or plan to undergo surgery, you might need to take higher doses of the medicines you normally take.

Girls with CAH may wish to alter the appearance of their genitalia for functional or cosmetic reasons.

Differences in sex development
Differences in sex development (DSD) is a group of rare conditions involving genes, hormones and reproductive organs, including genitals. It means a person's sex development is different to most other people's.

Sometimes the term Disorders of Sex Development is used, as is Variations in Sex Characteristics (VSC) or Diverse Sex Development. Some people prefer to use the term intersex.

Why does DSD happen?
You or your child may have sex chromosomes (bundles of genes) usually associated with being female (XX chromosomes) or usually associated with being male (XY chromosomes), but reproductive organs and genitals that may look different from usual.

This happens because of a difference with your genes or how you respond to the sex hormones in your body, or both. It can be inherited, but there is often no clear reason why it happens.

The most common times to find out that a person has a DSD are around the time of their birth or when they're a teenager.

Types of DSDs
There are many different types of DSD. Some examples are:

Usual female pattern genes with genitals that look different to girls' genitals
Some people have XX (usual female) chromosomes with ovaries and a womb, but their genitals may not look the same as many females.

For example, they may have a more developed clitoris and their vagina may be closed.

Doctors refer to this condition as 46,XX DSD.

The most common cause is congenital adrenal hyperplasia (CAH). A person who has CAH lacks an enzyme (chemical substance) that their body needs to make the hormones cortisol and aldosterone.

Without these hormones, their body produces more androgens (sex hormones that are naturally higher in males). If the child is female, the raised androgen levels before birth can cause their genitals to look different, such as a larger clitoris and a vagina that is not open in the usual place.

CAH can also cause serious health issues, such as life-threatening kidney problems that need to be treated as soon as possible

Find out more:

The Great Ormond Street Hospital for Children: CAH (congenital adrenal hyperplasia)
Living with CAH - what is CAH?
Genes usually seen in males with genitals that look the same as most girls' and some internal male structures
Some people have XY (male) chromosomes, but their external genitals may develop in the usual way for girls or boys.

Sometimes it's difficult at first to know whether their genitals are more similar to girls' or boys'. A person may have a womb and may also have testicles inside their body. Sometimes the testicles might not work properly.

Doctors refer to this condition as 46,XY DSD.

Many people with 46,XY DSD are boys born with the opening to pass urine towards the bottom of their penis or below it.

For some, the scrotum appears separated into two smaller sacs, one on either side. Doctors call this peno-scrotal hypospadias and boys and men with this DSD can have either fully developed or partially developed testes.

There are several causes of 46,XY DSD. One possible cause is androgen insensitivity syndrome (AIS), where the body "ignores" androgens or is insensitive to them.

Sometimes a person's body does not respond at all or only partly responds to androgens.

Complete insensitivity to androgens makes a person with XY chromosomes female. Partial insensitivity to androgens can mean that some people are male and others are female.

Ordinary looking genitals but different sex development
Some people have a chromosome pattern other than the usual XY or XX. They may have one X chromosome (XO), or they may have an extra chromosome (XXY).

Their internal and external sex organs can be either male or female, but they may not go through a full physical development at puberty. For example, a child with female sex organs may not start having periods.

Doctors call this sex chromosome DSD.

One type is Klinefelter syndrome, which is where a boy is born with an extra X chromosome (XXY).

This can mean they do not produce the usual level of testosterone, the sex hormone responsible for the development of male characteristics, such as the testes and body hair. Testosterone is also important for bone strength and fertility in men.

Another example of this type of DSD is Turner syndrome, which is where a girl is born with a missing X chromosome.

Girls and women with Turner syndrome are often infertile and their height may be shorter than average.

Find out more:

Klinefelter’s Syndrome Association
Turner Syndrome Support Society - What is TS?
Female with usual external genitals, but without a womb
Some females are born with an underdeveloped womb or without a womb, cervix and upper vagina. The ovaries and external genitalia look the same as most girls and women and they develop breasts and pubic hair as they get older.

This is called Rokitansky syndrome. It's also known as Mayer-Rokitansky-Küster-Hauser (MRKH syndrome). The cause is not clear, but girls and women with Rokitansky syndrome/MRKH have XX chromosomes.

Often the first sign of Rokitansky syndrome is that a girl does not start having periods. Sex involving the vagina may also be difficult because the vagina may be shorter than most women's.

Not having a womb means that a woman cannot become pregnant, but it's sometimes possible to take eggs from their ovaries, fertilise them, and implant them in another woman's womb (surrogacy).

You can find more support and information on Rokitansky syndrome at:

DSD Teens – MRKH (a.k.a. Mayer-Rokitansky-Küster-Hauser Syndrome)
MRKH Connect – What is MRKH
Sex characteristics usually seen in males or females
Some people with a very rare type of DSD have both ovarian and testicular tissue (sometimes one ovary and one testis). Their genitals may appear female or male or could look different from either.

Most people with this type of DSD have XX (female) chromosomes. The cause is not usually clear, but some people with the condition have been found to have genetic material that's usually seen on the Y chromosome appearing on their X chromosome.

Doctors refer to this condition as 46,XX ovotesticular DSD.

What happens after the birth of a baby
Doctors will check a baby for DSD soon after birth because of signs such as undescended testicles or if a baby's genitals look different.

Tests may be done to help get a clear diagnosis and find out whether any immediate treatment is needed.

Tests may include:

a further physical examination of your baby done by a specialist
an ultrasound scan to examine their internal organs
blood tests to check their genes and hormone levels
In England you need to register your baby’s birth within 42 days. This is usually enough time to complete the tests, discuss the results with your child’s care team and identify your baby’s sex.

Many forms of DSD do not require any medical care other than understanding the baby's development and knowing what to expect as they grow older.

A specialist nurse in your care team can help you learn about DSD and a psychologist will help you address any concerns you have.

Find out more about what happens when your baby is born with genitals that look different, in the First Days leaflet. This is on the DSD Families Resources website page.

Advice for parents of older children
Sometimes a DSD may be diagnosed if an older child does not go through puberty properly. For example, your child may not start showing the changes linked with puberty, or they may start puberty but not have periods.

Speak to a GP if you have any concerns about your child's development at puberty. They can refer your child to a specialist. This will usually be a consultant paediatric endocrinologist, who specialises in hormones, or an adolescent gynaecologist.

A team of specialist healthcare professionals will work with you to understand your child's condition and offer you and your child support and advice.

A psychologist in the team can talk with you or your child about sexuality, relationships and body image among other subjects.

Some people with DSD may need hormone therapy and psychological support. Some may want to think about altering their existing genitals, for example by using vaginal stretch techniques.

Some people with DSD consider altering the appearance of their genitals by having surgery.

If you think you have a DSD
If you think or know you have a DSD, information and support is available.

Speak to a GP, as they'll be able to refer you to a team of specialist healthcare professionals. They can answer your questions, help you stay healthy and put you in touch with others with DSD if that's something you're interested in.

You can stay with the gender linked to your sex at birth, which is the sex on your birth certificate. But if your legal sex does not represent who you are or how you identify, you may want to discuss your options with your care team.

If you have a DSD and want to explore parenthood, you can also discuss this with your specialist care team.

Where to get support
If you have a DSD or you're the parent of a child with a DSD, you may find it useful to contact a group involving others with the same or similar experiences.

These groups can often offer more information and advice about living with a DSD, and may be able to put you in contact with others who've been in a similar situation to you.

You are welcome to ask your care team about people with experience of your diagnosis in your local area who are happy to be contacted. National DSD support groups include: Congenital Adrenal Hyperplasia Support Group and DSD Families.

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