Most intersex people will identify
as a man or a woman, and some will identify as non-binary or use a
self-designated gender descriptor. Be aware that intersex people are not a homogeneous ‘third sex’.
Human anatomical and physiological
variations do not in themselves constitute medical problems. Medical language,
(such as using ‘disorders’, or ‘conditions’ for normal variations), can alter
or undermine people’s informed consent to medical treatment.
People with intersex variations may
describe themselves as intersex, but may also use other terms. It is preferable
to use the term ‘intersex’ unless asked otherwise. Avoid leading with terms such
as ‘hermaphrodite’, or ‘disorders of sex development’ which can convey negative
connotations about intersex people.
Intersex is about physical sex
characteristics, so avoid language that confuses intersex with transgender, or
with sexuality. For example, avoid referring to someone’s intersex status as
their gender. Terms like ‘diverse gender and sexuality’ do not include
intersex. Talk about ‘intersex’ and ‘bodily diversity’ specifically.
With appropriate timing and manner,
you could ask ‘how do you see yourself, what language do you prefer?’ Be guided
by the language the person uses, including use or non-use of pronouns. Ask
privately whenever possible, and ensure you are asking for sound reasons, and
in context.
Avoid using terms that are often
used to describe LGB people’s sexuality, such as ‘coming out’. Most intersex
people do not have the type of experiences often associated with LGB people’s
coming out. Intersex people are often informed by parents or medical professionals
who may have held (or withheld) this information for some time, rather than a
coming out process of self-discovery.
Inform yourself, and while creating
openness to talk about many aspects of being intersex, be careful not to place
the onus of your education upon the people you are supporting. Be aware of the
context of asking questions to ensure you are not asking for your own curiosity
or from judgement. Refer to information from intersex-led organisations
(Rainbow Identity Association) to assist you to work in respectful,
client-directed ways.
As with any client, it is intrusive
to ask about intimate details such as genitals or sex and reproductive organs.
Most people, including intersex people consider their physical characteristics
as personal information that would not be disclosed in general conversation.
Many intersex people may have only
discussed their intersex experiences and bodies in medical contexts. Speaking
of these experiences in counseling settings may be useful for later sharing in
other settings and relationships, and may help individuals to develop
non-medical ways of discussing being intersex. Be affirming about intersex as a
natural variation.
If a person learns of their intersex
status later in life, they may need support to help understand their variation,
as well as how it relates to their past, to current relationships and to their
understanding of themselves.
Some people may have health needs arising
from their intersex variation or medical interventions. These can include
developmental delays, pain, trauma and bone health issues relating to medical
interventions.
In working with sex and intimacy, be
aware that intersex related surgeries and treatments may have affected sexual
function and sensation. This can have effects on self-esteem, sexual well being
and relationships. Families and careers of intersex infants, children and
adolescents also need affirmative support, and may also benefit from counseling. Access to peers and adults with intersex variations can help
families and individuals to make better, more informed, choices about health
needs.
Rainbow Identity Association (RIA), an
organisation that aims for the inclusion of transgender and intersex people as
respected and valued members of society brought about through partnership
building, advocacy, training education within and across the region celebrates
IDAHOT (International Day Against Homophobia Transphobia and Biphobia on the 17th
of May 2017 at G west community hall from 8am to 2pm. 
