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What Makes These Dominican Children Grow Penises at Puberty?

By Michele Debczak

guevedoces

In the Dominican Republic, the phenomenon of children who were raised female appearing to swap sexes at puberty is so common it even has a name. Guevedoces roughly translates to “penis [or “balls”] at 12,” and it’s the result of a rare enzyme deficiency that delays crucial steps of male sexual development until puberty.

When guevedoces are born, they appear to have external female genitalia even though their genes and internal reproductive organs are male. Parents assume their children are girls and raise them as such. But when these children begin producing large amounts of testosterone at puberty, their testes descend and they grow a penis—in addition to all the other changes that come along with male adolescence. 

Sexual development normally begins in the womb, and the same is true for guevedoces. Whether the fetus has one X chromosome or two, for the first several weeks of development its genes follow the same blueprint for both sexes. Then, sometime around the eight-week mark, the sex chromosomes get to work. For males, the undeveloped gonads become testicles and they start to release male hormones, including testosterone. In a structure called the tubercle, an enzyme called 5-alpha-reductase converts the testosterone to a stronger hormone called dihydrotestosterone (DHT), which is necessary to develop external genitalia. It’s this hormone that turns the tubercle into a penis; without it, it develops into a clitoris.

The rare enzyme deficiency found in guevedoces leaves them unable to develop external male genitalia in the womb. They still produce plenty of testosterone, which triggers the development of internal structures like the epididymis and vas deferens, but the lack of DHT makes the babies appear female at birth. It’s not until the second surge of testosterone these children receive at puberty that they grow testes and a penis.

The condition is thought to be genetic, tracing back to the female founder of a small village in the Dominican Republic’s mountainous hinterland. Outside of the nation, it’s incredibly rare.

For some guevedoces, being raised as female wasn’t an easy experience. “I never liked to dress as a girl, and when they bought me toys for girls, I never bothered playing with them,” Johnny, who had grown up as Felicita, told BBC Two, which features these kids in the second episode of the series Countdown to Life: The Extraordinary Making of You. “When I saw a group of boys, I would stop to play ball with them.” When Johnny, now 24, began to undergo physical changes, he was taunted at school and called nasty names by his classmates. He’s had a number of short-term girlfriends since going through puberty and dreams of one day getting married and starting a family. Another child named Carla began the process of transitioning to Carlos at age 9; he can be seen receiving a smile-inducing haircut in the photo above.

Most people with this condition live out their adult lives as men, but some choose to undergo surgery and remain female. The discovery of this disorder in the 1970s led to the development of a best-selling drug called finasteride, which is commonly prescribed to treat benign enlargement of the prostate and male pattern baldness. (You may know it by the brand name Propecia.) The drug mimics the enzyme deficiency by blocking the action of 5-alpha-reductase.

You can learn more about this rare condition and the people who have it on the BBC Two series Countdown to Life: The Extraordinary Making of You.

Complete Article HERE!

Life as a sex worker for people with disabilities

By Vanessa Brown

WHEN Fleur first started working in the sex industry, receiving a phone call from a parent or guardian on behalf of a potential client was “unusual”.

“It’s not an experience that many people have to go through, arranging a sexual experience on the behalf of someone else,” she told news.com.au.

Miss Fleur, as she calls herself, became a sex worker at 18. Ten years later, she’s built up a diverse client base, including many people with disabilities.

“In a lot of ways, there’s no difference,” Fleur said of her clients. “I’m dealing with adults who have a fantasy that they haven’t been able to explore. The main thing that’s different is that sometimes, but not always, appointments are facilitated through parents or carers.

“Carers listen to their clients and take their needs seriously. But it’s not that these people are arranging appointments without consent. They are doing it on the instruction of the person with the disability.”

Rachel Wotton

Rachel Wotton is a sex worker who works with people with disabilities.

About 4 million Australians, or one in five people, are living with a disability. More than million of these people are aged between 15 and 64.

In Australia and overseas, disability advocacy groups are trying to raise awareness about disabled people and sex.

Veteran sex worker Rachel Wotton is one of the co-founders of Touching Base, an organisation that allows people with disabilities to connect with sex workers.

She says the stigma surrounding the sex lives of people with disabilities is disheartening.

“It’s ridiculous. Just because someone can’t walk the same way as others, or doesn’t have the same technique to use their voice, doesn’t mean they haven’t got the same sexual desires as other people,” Ms Wotton told news.com.au.

“We are sexual human beings. How dare someone tell another person how they should or should not feel. The most beautiful thing about skin to skin contact is the idea of being.

“People need to move away from the idea that sex is intercourse. Our sexuality is expressed in many different ways,” said Ms Wotton, who has worked in the industry for more than 20 years and was featured in the documentary Scarlet Road.

achel’s client John died in November 2011. They both appeared in the documentary Scarlet Road.

Rachel’s client John died in November 2011. They both appeared in the documentary Scarlet Road.

Her clients live with a wide range of disabilities. One of her regulars, 61-year-old Colin Wright, came from a family that didn’t talk about sex. In the SBS documentary I Have Cerebral Palsy and I Enjoy Having Sex, Colin revealed that he found his first sexual partner through a carer.

“There was a lady who I felt close to so, one day, while we were alone, I asked Kerry if she would organise for me to visit a lady,” he told SBS. “To my surprise, straight away, she said ‘yes’.”

Ms Wotton says this is common in her line of work.

“Imagine if you had to ring your mother or carer and say ‘this is what I’d like to do, can you help me?’” Ms Wotton said.

“Imagine the fear of opening up about your sexual desires, as a middle-aged man or woman, to your family. Some of the parents have been amazing, and really work through this stigma. It’s very brave of them.”

Colin Wright is a client of Rachel Wotton.

Colin Wright is a client of Rachel Wotton.

When a carer or parent contacts a sex worker or sex work organization, they must provide the worker with complete consent from the client before the appointment can be scheduled.

“If someone’s father organises for me to see their adult son, I don’t care if he has paid me money. I’m going to make sure my client is consenting to the services,” she said.

“The only person who can give consent is the very person themselves. No one can give consent on their behalf.

“Some clients will contact me directly. Otherwise it’s parents or carers or support workers contacting on behalf of someone.”

Ms Wotton says the same protocols apply to any other service.

“It’s like any other appointment. The client is asking for available times, payment options, letting them know if it’s a home appointment and we discuss the disability of the client.

“The appointment is set up exactly the same as if they were ringing up for a dental appointment, hairdressing appointment or a tattoo,” she said.

“Of course people are nervous, because they have to speak with a sex worker and because of the myths around the industry. But once they talk to us, they see that we are general members of society like anyone else.”

Rachel 2

Rachel Wotton has been a sex worker for over 20 years.

Ms Wotton and her colleagues will spend a good percentage of the discussion talking about what they can and can’t do with their clients.

“There is a stigma around sex work that we will do anything. That’s not true. We are negotiating, it’s a mutually consensual adult activity,” she said.

“People often think that if they can’t verbalise yes or no, they can’t give consent. That’s just ridiculous because there are so many ways that people can communicate. There’s boards, eye movement, nodding heads, hand signals, apps and even iPads.

“We know how people consent when they understand what services and experiences they are consenting to. They have the right to withdraw consent, and that’s for the sex worker as well.

“The sexual desires of those with a disability are in line with the rest of society. It’s as far as their imaginations go.”

Fleur says more education is needed about the sex lives of disabled people.

“Adults with disabilities have all the same needs and desires as anyone else,” she said.

“I think people should take a moment to think about their own lives, and if their needs and desires would change if they became disabled. We are only a car accident away from it.”

Rachel uses a board with her late client, Mark.

Rachel uses a board with her late client, Mark.

Touching Base is a charitable organisation that requires support from the public to continue their work. More information can be found here.

Complete Article HERE!

The extraordinary case of the Guevedoces

Catherine and his cousin Carla, Guevedoces in the Dominican Republic

Catherine and his cousin Carla, Guevedoces in the Dominican Republic

The discovery of a small community in the Dominican Republic, where some males are born looking like girls and only grow penises at puberty, has led to the development of a blockbuster drug that has helped millions of people, writes Michael Mosley.

Johnny lives in a small town in the Dominican Republic where he, and others like him, are known as “Guevedoces”, which effectively translates as “penis at twelve”.

We came across Johnny when we were filming for a new BBC Two series Countdown to Life, which looks at how we develop in the womb and how those changes, normal and abnormal, impact us later in life.

Like the other Guevedoces, Johnny was brought up as a girl because he had no visible testes or penis and what appeared to be a vagina. It is only when he approached puberty that his penis grew and testicles descended.

Johnny, once known as Felicita, remembers going to school in a little red dress, though he says he was never happy doing girl things.

“I never liked to dress as a girl and when they bought me toys for girls I never bothered playing with them – when I saw a group of boys I would stop to play ball with them.”

When he became obviously male he was taunted at school, and responded with his fists.

“They used to say I was a devil, nasty things, bad words and I had no choice but to fight them because they were crossing the line.”

We also filmed with Carla, who at the seven is on the brink of changing into Carlos. His mother has seen the change coming for quite a while.

“When she turned five I noticed that whenever she saw one of her male friends she wanted to fight with him. Her muscles and chest began growing. You could see she was going to be a boy. I love her however she is. Girl or boy, it makes no difference.”

Child on swing

 

 

So why does it happen? Well, one of the first people to study this unusual condition was Dr Julianne Imperato-McGinley, from Cornell Medical College in New York. In the 1970s she made her way to this remote part of the Dominican Republic, drawn by extraordinary reports of girls turning into boys.

When she got there she found the rumours were true. She did lots of studies on the Guevedoces (including what must have been rather painful biopsies of their testicles) before finally unravelling the mystery of what was going on.

When you are conceived you normally have a pair of X chromosomes if you are to become a girl and a set of XY chromosomes if you are destined to be male.

For the first weeks of life in womb you are neither, though in both sexes nipples start to grow.

Then, around eight weeks after conception, the sex hormones kick in. If you’re genetically male the Y chromosome instructs your gonads to become testicles and sends testosterone to a structure called the tubercle, where it is converted into a more potent hormone called dihydro-testosterone This in turn transforms the tubercle into a penis. If you’re female and you don’t make dihydro-testosterone then your tubercle becomes a clitoris.

Foetus at 12 weeks

When Imperato-McGinley investigated the Guevedoces she discovered the reason they don’t have male genitalia when they are born is because they are deficient in an enzyme called 5-alpha-reductase, which normally converts testosterone into dihydro-testosterone.

This deficiency seems to be a genetic condition, quite common in this part of the Dominican Republic, but vanishingly rare elsewhere. So the boys, despite having an XY chromosome, appear female when they are born. At puberty, like other boys, they get a second surge of testosterone. This time the body does respond and they sprout muscles, testes and a penis.

Imperato-McGinley’s thorough medical investigations showed that in most cases their new, male equipment seems to work fine and that most Guevedoces live out their lives as men, though some go through an operation and remain female.

Another thing that Imperato-McGinley discovered, which would have profound implications for many men around the world, was that the Guevedoces tend to have small prostates.

This observation, made in 1974, was picked up by Roy Vagelos, head of research at the multinational pharmaceutical giant, Merck. He thought this was extremely interesting and set in progress research which led to the development of what has become a best-selling drug, finasteride, which blocks the action of 5-alpha-reductase, mimicking the lack of dihydro-testosterone seen in the Guevedoces.

My wife, who is a GP, routinely prescribes finasteride as it is an effective way to treat benign enlargement of the prostate, a real curse for many men as they get older. Finasteride is also used to treat male pattern baldness.

A final interesting observation that Imperato-McGinley made was that these boys, despite being brought up as girls, almost all showed strong heterosexual preferences. She concluded in her seminal paper that hormones in the womb matter more than rearing when it comes to your sexual orientation.

This is still a controversial topic and one I explore later in the film when I meet Mati, who decided from the earliest age that though “he” looked like a boy, Mati was really a girl.

As for Johnny, since he developed male genitalia he has had a number of short term girlfriends, but he is still looking for love. “I’d like to get married and have children, a partner who will stand by me through good and bad,” he sighs wistfully.

Complete Article HERE!

Sharing childcare ‘improves sex lives’ of couples

Couple in bed

Sharing childcare makes for happier couples with better sex lives, US research suggests.

In a study of 487 families, parents who split childcare duties evenly reported greater satisfaction, both sexually and emotionally.

But in couples where the woman did most of the childcare, both men and women reported being less content.

The researchers said men doing a greater share of childcare did not have the same impact.

The conclusions have been drawn from a study called the 2006 Marital and Relationship Study, which was a survey into marriage and relationships among heterosexual couples.

Who does the childcare?

The data, being presented at a meeting of the American Sociological Association, shows that couples where the women performed more than 60% of childcare – specifically in terms of rule-making, praising and playing – fared the worst on scores of relationship satisfaction and conflict, as well as being less happy about the quality of their sex life.

The study leader, Dr Daniel Carlson, an assistant professor of sociology at Georgia State University, said: “One of the most important findings is that the only childcare arrangement that appears really problematic for the quality of both a couple’s relationship and sex life is when the woman does most or all of the childcare.”

The team found that fathers could in fact take on most or all of the childcare responsibilities without negatively affecting the quality of the couple’s relationship.

The study did not look at who performed tasks such as feeding and bathing the children.

The academics are planning more research into why those couples with more equal childcare responsibilities seem to have better relationships.

“We are trying to understand what is it about sharing that couples view so positively,” Dr Carlson added.

The ‘new man’

Prof Sir Cary Cooper, an expert in organisational psychology and health at Manchester Business School, said the findings made sense, but they might reveal more about the kind of couples who shared their responsibilities.

“If you have a ‘new’ man who is happy to share childcare, he probably invests more in the relationship anyway,” he said.

He added that it was becoming increasingly acceptable for men to opt for more flexible working and to take on more of the responsibility for family and domestic life.

“Increasingly there’s a lot of pressure on men who wouldn’t normally do that – the question is would that make a difference in the relationship. I think it could do.”

The 487 couples in the study were selected at random and included low-to-moderate income couples who had children living with them and where the woman was under 45 years.

A total of 605 couples were interviewed, but the researchers only included in this study those where both partners had completed the full survey.

Complete Article HERE!

Loosey Goosey

Name: Anne
Gender: female
Age: 28
Location:
My question is kind of embarrassing, but here goes. I gave birth to a nine pound beautiful baby four weeks ago. I am happy to report that both mother and baby are doing fine. That is except for the fact that my vagina is still stretched out of shape. My question is can I hope to have it return to its previous shape? Also, I’ve heard that new mothers should wait for six weeks after a birth to start having sex. The problem is that my husband is really horny and he doesn’t want to wait. So I’m wondering will it hurt if I start sooner? Another thing, does breast-feeding interfere with my sex drive? I don’t feel really sexy these days. Sorry for so many questions in a row.

In the immoral words of Prissy in Gone With the Wind, “I know nutthin’ about birthin’ babies, Miss Scarlett.”

Congratulations on the birth of your child, Anne. Wow, nine pounds, huh? Pretty hefty! I’ll bet he’s adorable. Everyone here at drdicksexadcice.com is betting that your child is a boy? Us boys tend to give our mommas a hard time right from the get go. At least that’s what my own dear sainted mither used to say.

kegels

I’m also gonna make another assumption, this is your first child, right? Well, the size of the baby as well as the number of children the woman has carried certainly does affect the elasticity of her vagina. No rocket science there, I suppose. Birthin’ babies is pretty traumatic to your pelvic musculature. These muscles lose tone with each successive delivery. But never fear darlin’, there are muscle-toning exercises known as kegels that will help you tighten things up in jiffy.

geisha_balls_pix_7-1Excuse me for a moment, Anne; I think I’m losing the males in my audience. Here’s a tip for all you guys out there who are reading this and rolling your eyes and getting ready to turn the page because you think this is some kinda Oprah — V-Jayjay moment. Listen up you monkeys; kegel exercises aren’t just for the ladies. Us men folk have pelvic muscles too. So pay attention, you’re gonna want to know about kegels too.

Sorry about that Anne. See what I mean about boys and givin’ folks, not only their mommas, problems? Anyhow, if you’re not already doing kegels, I strongly recommend that you start right away.

What are kegels, you ask? They’re muscle contraction and relaxation exercises designed help restore tone to the muscles that surround the opening of the urethra (see guys, we have one of those), vagina (ok we don’t have one of those, and anus (we sure as hell have one of those). Since this includes the muscle that you use to stop and start the flow of urine, you can check if you’ve identified the right muscle by testing your kegel technique while peeing — if you can stop the flow of urine when tightening, then you know that you’re contracting the correct muscle group. BTW, the main muscle is call the pubococcygeus muscle, or PC muscle for short.kegels-someecard3

Let’s try this for starters. Imagine that you’re trying to stop yourself from farting or trying to hold your pee. Notice the feeling of squeezing and lifting — it’s a sensation of your pelvic muscles tightening and drawing up. Try it now, while you’re reading this. That’s the beauty part of kegels; you can do them anywhere, anytime. If you’re finding it difficult to isolate the muscle group, insert a couple fingers into your vagina before doing a kegel. If you feel pressure around your finger while you are tensing your PC muscle, then you’re on the right track.

However, if you’re tightening your abs, squeezing your legs together, clenching your butt, or holding your breath then you’re not exercising the right muscle group. The object here is to isolate your pelvic floor muscles. Those are the ones you wanna be working.

I want everyone, not just you Anne, to work on both muscle strength and tone. Start with five strong prolonged squeezes (5 seconds apiece). Hold then Relax. Then do a series of 10 rapid contractions in a row. Doing three sets of these two types of kegels twice a day for a week is your goal.

mother-and-childLet’s go over that one more time. Start with five strong prolonged squeezes (5 seconds apiece). Hold then Relax. Then do a series of 10 rapid contractions in a row. Doing three sets of these two types of kegels twice a day for a week is your goal.

When you’ve accomplished this you’re ready to increase the set to eight or ten prolonged squeezes and 20 rapid contractions in a set twice a day for a week. The advanced kegeler is able to vary the type and duration of his/her PC squeezing; slow prolonged clenches to quick flutters.

As an aside, I’d like to turn you on to a swell podcast interview I did, a while back, with the maven of pelvic floor strength, the incomparable, Lara Eardley. You’ll find the shows HERE and HERE.

On to the other issues you raise. Your uterus and cervix underwent significant changes as you were delivering your baby, and they need time to heal. So if your husband is being a bigger baby than the newborn…see what I mean about boys drivin their mommas and everyone crazy…by pressuring you for nookie, make a deal with him. Hand jobs and blow jobs only for the first six weeks after delivery. I’m sure you can sympathize with the big galoot. He’s probably freakin’ nutty from lack of nookie. How long has it been since he had some of your fine pussy?1-week-postpartum-belly-front

As an aside, allow me to turn you on to a terrific product review we featured a while back. Dr Dick Review Crew members, Jack and Karen, were in much the same situation as you and your man when they reviewed the VërSpanken.

Finally, breastfeeding may indeed interfere with your libido, but more likely it’s just the sheer exhaustion of this postpartum period. Nursing your baby every couple of hours, especially during the middle of the night…I mean, how long can that go on before you start looking for your Uzi?

And probably the idea of your husband grabbing at your boobs while they’re still real sore from junior chompin’ away at them probably doesn’t incite great waves of horniness either. Rest assured, this lack of interest in sex won’t last forever. Before you know it, you’ll be feeling all pretty and randy once again and soon you will be inviting and welcoming your hubby’s advances.

Good Luck!

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