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CRYSTAL WAS WORRIED that she had male orgasms. So she came in to the Disorders of Sex Development (DSD) Clinic three years ago for a consultation with a phalanx of specialists: a urologist, a geneticist, an endocrinologist, and me, the psychiatric consultant.

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AS A BIOLOGIST, I have found the arguments against same-sex marriage

misguided—not because the evidence hints at homosexuality being based,

at least in part, on biological roots, but because the same arguments

that are used to keep same-sex marriage illegal could also be applied

to some ostensibly opposite-sex marriages. It may be shocking for some

people to hear that the sex and gender of every individual in our

population does not fit into a conventionally defined box that can be

labeled “male” or “female.”

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