An abdominal incision revealed an enlarged adrenal. This adrenal was pouring forth hormones which brought about the change in sex. The abnormal portion of the adrenal was removed. This at once removed the source of the hormones which were bringing about the alteration in the woman's sexual characteristics. In time the hair on the face and arms disappeared, the voice recovered its feminine tone, and she developed into a normal woman.

Another interesting case of pseudohermaphroditism was recently reported. This is the case of a 21-year two-sexed individual who is now attempting to assume the role of a male after having been reared as a female. This individual was tomboyish but never questioned his femaleness until secondary male characteristics appeared at the age of 13, breasts failed to develop and menstruation did not occur. He tried to act as a girl, had dates with boys, and even became engaged at the age of 16. His interest was increasing in girls, and he felt little grief when his fiance was killed. He was tormented by the thought that there was something abnormal about him as a girl, and was embarrassed upon overhearing others express the opinion. For eight years he lived as a female and during all this time he was far from happy; he was confused, anxious and depressed.

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At length he went to a doctor to have this state of confusion about his sex cleared up. The doctor concluded that he was anatomically more feminine than masculine and suggested further study at a medical center. The results of such study favored the change to the masculine role.

He was studied at the medical center and the following facts came to light. From early puberty on, his personality was that of a boy. However, his social attitudes and outlook was that of a girl. Sexually his feelings were that of a male.

He was treated surgically to correct his sexual organs, by means of endocrines to reinforce his male sexuality, and psychologically to help him adjust himself to becoming a male. In time he was able to assume his rightful place as a male and is now happy, well adjusted and emotionally free of anxiety.

Dr. Broster, tracing the steps which have led to the formation of the highlyspecialized adrenal, found it appears first in fish, then increases in importance, and becomes essential to life in the higher animals. In man, the adrenals reach their maximum development at birth, when each is about one-third the size of the kidney above which it lies. In time the size of the gland is reduced to one-thirtieth that of the kidney.

Dr. Broster found that in sixty cases of virilism in women heredity played a definite part. In a quarter of the cases, family history proved the females all suffered from hair on the face, arms and legs. Among other interesting facts that Dr. Broster brought to light are the foilowing:

1. Women with virilism are invariably sterile.

2. Virilism is not a disease, but a definite deviation from the normal evolutionary process.

3. Altered sex outlook which reverts to normal after operation has to be taken into consideration.

4. Its presence in man suggests a retrograde movement since it tends toward the intersex type.

Most interesting is Dr. Broster's speculation on whether virilism is on the increase. If such is the case there may be an evolutionary process drifting slowly and inevitably towards a neuter sex. Chemical trends and changes in the human body bring about many alterations in the physical and psychological makeup of the individual. Among the most important of these is his sexual constitution and nature.

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