Sexual orientation and medical history among Iranian people with Complete Androgen Insensitivity Syndrome and Congenital Adrenal Hyperplasia

作者：Khorashad Behzad S^*; Roshan Ghasem M; Reid Alistair G; Aghili Zahra; Hiradfar Mehran; Afkhamizadeh Mozhgan; Talaei Ali; Aarabi Azadeh; Ghaemi Nosrat; Taghehchian Negin; Saberi Hedieh; Farahi Nazanin; Abbaszadegan Mohammad Reza

来源：Journal of Psychosomatic Research, 2017, 92: 55-62.

DOI：10.1016/j.jpsychores.2016.12.002

• Disorders of sexual development
• Congenital Adrenal Hyperplasia
• Complete Androgen Insensitivity Syndrome
• Sexual orientation

Objective: To report sexual orientation, relationship status and medical history of Iranian people with Differences of Sex Development (DSD) who were raised female.
Methods: Our participants consisted of nineteen 46,XY individuals with Complete Androgen Insensitivity Syndrome (CAIS) and eighteen 46,XX individuals with Congenital Adrenal Hyperplasia (CAH) who were raised as females and older than 13 years. As well as their relationship status and detailed medical history, an expert psychiatrist assessed their sexual orientation by a semi-structured psychiatric interview with them and, where applicable, their parents.
Results: Five percent of CAH participants and 42% of CAIS participants were in a relationship, which was significantly different. All CAH individuals had been diagnosed at birth; 89% of CAIS had been diagnosed after puberty and due to primary amenorrhea and 11% were diagnosed in childhood due to inguinal hernia. Genital reconstructive surgery had been performed in 100% of CAH participants and 37% of CATS. Regarding sexual contact experiences and sexual fantasies (androphilic, gynephilic or both), no significant differences were found. However, CAH females had significantly more gynephilic dreams (P = 0.045).
Conclusion: This study, notable as one of the rare from a non-western culture, described sexual, medical and socioeconomic status of 46,XX CAH and 46,XY CAIS individuals living in Iran. Although broadly in line with previous findings from Western cultures, Iranian CAH individuals had fewer romantic relationships, but in contrast to previous studies their sexual orientation was only different from CAIS in the contents of sexual dreams.

• 出版日期2017-1