Intersex
Table of Contents
Introduction
While intersex people are not inherently considered to be transgender, many do identify as being transgender. It is not uncommon for intersex people to have complex relationships regarding gender. What an intersex person will identify with or as varies from person to person, though people who are intersex are more likely to identify noncisgender or nonheterosexual than those who are not intersex. On a similar note, intersex people are not inherently considered to be nonbinary, though some intersex people will identify as such. This will vary from person to person, as everyone has their own unique experiences.
Before we continue, no, intersex people and animals are not "biologically nonbinary." Biological intersex variations ≠ human nonbinary gender identity. No, you cannot transition to become intersex (the words you may be looking for could be "altersex" or "salmacian"). See the relevant intersexism page for more information on the struggles of intersex people. Good allies don't use slurs. As always, for more information on topics or terms that you may not be familiar with, click on underlined words or use the alphabet menu at the top of this page.
General Information
Intersex is an umbrella term referring to people who are born with variations of sex traits such as chromosomes, genitalia, and/or hormones. Some intersex variations are obvious at birth. Others become known later in life; such as during puberty or adulthood. These variations fall out of the range of what is typically considered "male" or "female." It is estimated that 1.7% of the population has an intersex trait, with 0.5% having clinically identifiable reproductive or sexual variations.
Intersex Variations
Please note that all intersex variations are conditions that one is born with. You cannot transition to become intersex. Most of these conditions exist on a spectrum, and no two people with the same disorder present exactly the same.
Intersex Pride Flags
Intersex Pride Flag
The colors yellow and purple were chosen for the intersex flag because they were seen as being free from gendered associations.
The circle is described as "unbroken and unornamented, symbolizing wholeness and completeness, and our potentialities."
Close To Androgynous/CTA Flag
Close To Female/CTF Flag
Close To Male/CTM Flag
Close To Neutral/CTN Flag
Ipsogender/Ipso Flag
Ipsogender refers to intersex people who identify as the gender they were assigned. They may or may not identify as cisgender.
Transgender-Intersex/Trans-Intersex Flag
A term for an intersex person whose gender identity does not match the one decided on by their doctors and/or parents at birth, and identifies as transgender and intersex at the same time.
Ultergender/Ulter Flag
Intersex people who do not identify as the gender they were assigned. They may or may not identify as transgender.
Glossary
Note that some additional terms can be find in the primary definition tabs of The Transgender Dictionary.
- Amalgagender - A gender that is affected by or mixed into one’s intersex identity.
- Ambiguous Genitalia - External genitalia that does not look distinctly like a penis or a vulva.
- Duogender - A gender that is a combination of male and female as a result one’s intersexuality.
- D.S.D. - An abbreviation meaning either “difference of sexual development” or “disorder of sexual development.” The latter is generally considered stigmatizing.
- Forced/Coerced H.R.T. - Unwanted H.R.T. given to intersex people to make them appear Dyadic. Often given as a result of IGM.
- Inter-Aligned - A gender alignment for nonbinary intersex people whose gender is aligned with being intersex instead of or alongside being masc-aligned or fem-aligned.
- Interandrogyne - A form of Androgyne that is connected or influenced by one’s intersexuality.
- Ipsofeminine/Ipsofem - Intersex people who are of a feminine gender identity or are transitioning femininely.
- Ipsomasculine/Ipsomasc - Intersex people who are of a masculine gender identity or are transitioning masculinely.
- Sex Reversal Syndrome - A term that is sometimes used in medical contexts when a person is born with XX chromosomes and a penis (such as de la Chapelle Syndrome) or when a person is born with XY chromosomes and a vulva & vagina (such as Swyer Syndrome or Complete Androgen Insensitivity Syndrome).
- Ulterfeminine/Ulterfem - Ultergender people who are of a feminine gender identity or transitioning femininely.
- Ultermasculine/Ultermasc - Ultergender people who are of a masculine gender identity or transitioning masculinely.
- Ulterneutral - Ultergender people who are of a neutral/both masc and fem gender identity or transitioning neutrally.
External Links
The resources below have been provided for education, information sourcing, and entertainment purposes. The views expressed in these videos, websites, etc, do not inherently reflect those of The Transgender Dictionary. These resources are not sponsored, nor endorsed.
Intersex Organizations
Books/Journals/Studies/etc
- bogireadstheworld - intersex in our own voices books (https://www.bogireadstheworld.com/intersex-ownvoices-books/)
- Davis, G. (2015). Contesting intersex: The dubious diagnosis (Vol. 10). NYU Press. (https://www.jstor.org/stable/j.ctt15zc7ht) - Davis, Georgiann. Contesting Intersex: The Dubious Diagnosis. NYU Press, 2015. JSTOR, http://www.jstor.org/stable/j.ctt15zc7ht. Accessed 22 Apr. 2025.
- Holmes, M. (Ed.). (2016). Critical intersex. Routledge. (https://www.taylorfrancis.com/books/edit/10.4324/9781315575018/critical-intersex-morgan-holmes) - Holmes, M. (Ed.). (2009). Critical Intersex (1st ed.). Routledge. https://doi.org/10.4324/9781315575018
- Horlacher, S. (2016). Transgender and intersex: Theoretical, practical, and artistic perspectives (pp. 1-27). Palgrave Macmillan US. (https://link.springer.com/book/10.1057/978-1-349-71325-7)
- Lock Swarr, A. (2023). Envisioning African Intersex: Challenging Colonial and Racist Legacies in South African Medicine (p. 245). Duke University Press. (https://link.springer.com/article/10.1007/s10912-023-09794-1) - Reis, E. Envisioning African Intersex: Challenging Colonial and Racist Legacies in South African Medicine, by Amanda Lock Swarr. Durham, NC: Duke University Press, 2023. J Med Humanit 44, 581–583 (2023). https://doi.org/10.1007/s10912-023-09794-1
- Orr, C. E. (2022). Cripping Intersex. UBC Press. ("https://www.ubcpress.ca/cripping-intersex)
- PubMed: A national study on the physical and mental health of intersex adults in the U.S (https://pubmed.ncbi.nlm.nih.gov/33035248/) - Rosenwohl-Mack, Amy et al. “A national study on the physical and mental health of intersex adults in the U.S.” PloS one vol. 15,10 e0240088. 9 Oct. 2020, doi:10.1371/journal.pone.0240088
- PubMed: Characterization of Thyroid Disease Prevalence Among Transgender and Gender-Diverse Patients - Christensen, John David et al. “Characterization of Thyroid Disease Prevalence Among Transgender and Gender-Diverse Patients.” Journal of the Endocrine Society vol. 5,Suppl 1 A837–A838. 3 May. 2021, doi:10.1210/jendso/bvab048.1709
- Queer Books for Teens - Intersex (https://queerbooksforteens.com/find-books/?fwp_gender=intersex) - list of books with intersex characters
- Reis, E. (2021). Bodies in doubt: An American history of intersex. JHU Press. (https://www.press.jhu.edu/books/title/12645/bodies-doubt)
- Viola Amato (2016) JSTOR: Intersex Narratives: Shifts in the Representation of Intersex Lives in North American Literature and Popular Culture (https://www.jstor.org/stable/j.ctv1xxrsz) - Amato, Viola. Intersex Narratives: Shifts in the Representation of Intersex Lives in North American Literature and Popular Culture. transcript Verlag, 2016. JSTOR, http://www.jstor.org/stable/j.ctv1xxrsz. Accessed 22 Apr. 2025.
Additional Resources
- American Progress: Caroline Medina, Lindsay Mahowald: 10/26/2021: Key Issues Facing People With Intersex Traits
- GLAAD Media Reference Guide – In Focus: Intersex People
- Healor: 09/07/2023: Understanding Hormone Disorders and Their Impact on Transgender Hormone Therapy - Hormone disorders can impact transgender hormone therapy by affecting the body’s ability to absorb, metabolize, and utilize the hormones administered. Hormone disorders can occur when the body produces too much or too little of certain hormones or when there is an imbalance in the levels of hormones in the body. This informative article will discuss thyroid disorders, polycystic ovary syndrome (PCOS), adrenal disorders and hypogonadism and their effect on transgender hormone therapy.
- HRC - Understanding the Intersex Community
- Intersex Wiki
- itch.io - 404luxio - tiny pixel pride flags - link to flags used on this page
- Our Bodies Ourselves - Genital Variation: The Myth of Binary
- Rational Wiki - Intersex
- Reddit - r/intersex
- The Intersex Roadshow: 04/29/2011: Intersex Genitalia Illustrated and Explained
- The Trevor Project: 12/03/2021: The Mental Health and Well-being of LGBTQ Youth who are Intersex
- Trans Language Primer - “Disorder of Sex Development” (DSD)
- Trans Language Primer - Endosex / Dyadic / Perisex
- Trans Language Primer - Infant Genital Mutilation (IGM)
- Trans Language Primer - Intersex
- Trans Language Primer - Intersex Erasure
- Trans Language Primer - Ipsogender
- Trans Language Primer - Intergender
- tumblr: gonyadaldysgenesis: 03/27/2025: link to google drive regarding non-graphic examples of long term effects of intersex IGM scarring
- tumblr: intersexfairy: 01/13/2021: Intersex Terminology Masterpost
- tumblr - intersex-support - FAQ
- tumblr - ipso-faculty - Intersex Resources List
- Wikipedia - Aromatization
- Wikipedia - Disorders of Sex Development
- Wikipedia - Gynecomastia
- Wikipedia - Hypospadias
- Wikipedia - Intersex
- Wikipedia - Thomas(ine) Hall
- YouTube Playlist: 1989 - An Interview with intersex and nonbinary people
- YouTube Video: As/Is: 03/28/2015: What It's Like To Be Intersex
- YouTube Video: hi, hello, hans: 05/28/2019: Intersex explained (Part 1) [+CC Español, Türkçe]
- YouTube Video: hi, hello, hans: 06/02/2019: What do intersex bodies look like? (Pt 2) [+CC Español, Türkçe]
- YouTube Video: Ramquest: 05/02/2025: Breaking the Binary - A intersex documentary
Additional Resources (explicit!)