Imagine living your whole life as a man
for 66 years only to discover that you
were actually a woman all along?
This was exactly what happened to a
66-year-old who lived his whole life as a
man until he was given a surprising
diagnosis after visiting the doctor in
Hong Kong with a swollen abdomen – he
was a woman.
Doctors realised the patient was female
after they found the swelling came from
a large cyst on an ovary, according to a
report in the Hong Kong Medical Journal.
The condition was the result of two rare
genetic disorders.
The subject had Turner syndrome,
which affects girls and women and
results from a problem with the
chromosomes, with characteristics
including infertility and short stature.
But he also had congenital adrenal
hyperplasia, increasing male
hormones and making the patient, who
had a beard and a "micropenis",
appear like a man.
"Were it not due to the huge ovarian
cyst, his intriguing medical condition
might never have been exposed," seven
doctors from two of the city's hospitals
wrote in the study.
The 1.37 metres tall patient, who grew
up as an orphan, was found to
have no testes, a history of urinary
leakage since childhood, and
stopped growing after puberty at the
age of 10.
The doctors said there have been only
six cases where both genetic disorders
have been reported in medical literature.
Turner Syndrome on its own affects
only one in 2500 to 3000 females.
The Vietnam-born Chinese patient
decided to continue "perceiving
himself as having a male gender with
the possible need of testosterone
replacement", according to the journal.
Most men have a X and a Y chromosome
and most women have a pair of X
chromosomes. But people with Turner
Syndrome tend to have only one X
chromosome or are missing part of their
second X chromosome.
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