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There have been at least seven cases of unambiguously male infants being reassigned as female due to circumcision damaging their penises beyond repair, including David Reimer (born Bruce Reimer, later Brenda Reimer), who was the subject of John Money's John/Joan case. In some cases, a child's gender may be reassigned due to genital injury. The Intersex Society of North America objects to elective surgeries performed on people without their informed consent on grounds that such surgeries subject patients to unnecessary harm and risk. For example, in cases involving male children with micropenis, doctors may recommend the child be reassigned as female. Most surgeries involving children with ambiguous genitalia are sexually damaging and may render them infertile. These surgeries are usually performed for cosmetic benefit rather than for therapeutic reasons. Intersex children and children with ambiguous genitalia may be subjected to surgeries to "normalize" the appearance of their genitalia.
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Main articles: Sex assignment and Intersex surgery Penis enlargement is a term for various techniques used to attempt to increase the size of the penis, though the safety and efficacy of these techniques are debated. Ĭlitoris enlargement may be achieved temporarily through the use of a clitoral pump, or it may be achieved permanently through the application or injection of testosterone. The Hanabira-style (Japanese for petal) is a special form of scarification originating in Japan it involves the decoration of the mons pubis. The genital decoration by scars is an ancient tradition in many cultures, both for men and women. Similar to tattooing, genital scarification is primarily done for aesthetic reasons by adding cosmetic scars to the skin.
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Similarly, pearling involves surgical insertion of small, inert spheres under the skin along the shaft of the penis for the purpose of providing sexual stimulation to the walls of the vagina. Genital piercings and genital tattooing may be performed for aesthetic reasons, but piercings have the benefit of increasing sexual pleasure for the pierced individual or their sex partners. Ĭontemporary, western women with clitoral hood piercing and genital tattooing (left) and Hanabira (right) This claim is currently very controversial with numerous research papers and fatawa (religious legal ruling) arguing over the permissibility and purpose of female genital cutting. However, many traditional cultures in East Africa and other Muslim jurisdictions have made such claims for female genital cutting.
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The vast majority of genital cutting in the world is done for religious motives (though not all members of genital cutting religions adhere to the practice).