After 26 years of misgendering, the bride-to-be was shocked to find out that she was a man before marriage, and the cruel truth was exposed
On a sunny weekend, 26-year-old Song Luofei was ready to go to the hospital for a premarital medical check-up. She and her fiancé made an appointment to go together in the afternoon, full of longing and anticipation for a better future along the way.
"Husband, do you think we'll have any surprises?" Song Luofei asked her fiancé Zhang Cheng, with a hint of expectation in her eyes.
Zhang Cheng smiled and grabbed her shoulders, "What surprise do you want?" We're both healthy big babies, there's nothing to worry about. ”
After arriving at the hospital, Song Luofei and Zhang Cheng underwent a series of examinations successively, until it was her turn to take a blood test, and the doctor's expression suddenly became serious.
"Miss Song, please wait a moment, I need to check your information again." The doctor's tone was tinged with seriousness.
Song Luofei nodded a little puzzled, looking at the back of the doctor leaving, and began to feel a little uneasy in her heart.
After a while, the doctor came back and said to Song Luofei with a solemn expression: "Miss Song, I'm sorry to tell you the news, but according to our test results, your chromosomal sex is male. ”
1. Why is the appearance of a female and the chromosomes really male? Why is there such a difference?
May be due to congenital physiological abnormalities. Under normal circumstances, a person's sex is determined by their chromosomes, with males usually having XY chromosomes and females having XX chromosomes.
However, some people may be born with chromosomal abnormalities that cause their outward and inner sex to not match.
This condition can be due to a genetic mutation or a chromosomal abnormality.
For example, in some rare diseases, individuals may carry the XY chromosome, but due to some physiological abnormalities, their appearance is feminine. The disorder may involve abnormal development of the gonads, resulting in inconspicuous or incomplete development of sex characteristics.
Chromosomal abnormalities can also lead to confusion of the sexes.
For example, an individual may have an XYY chromosome, in which case it may be male in appearance but may exhibit female traits in some ways, or vice versa.
This condition can be caused by chromosome errors during fertilization.
Song Luofei's eyes widened, she didn't expect to hear such news at all. "It's... How is this possible? She stammered.
The doctor gently patted her on the shoulder and comforted, "It's rare, but it does exist. You should have further tests done as soon as possible to confirm this result. ”
2. What is congenital adrenal hyperplasia?
Congenital adrenal hyperplasia is a rare genetic disorder characterized by an overgrowth of the adrenal cortex, resulting in abnormal hormone levels. This disorder is often associated with dysplasia of sex, which can lead to a patient's external sex not being consistent with the internal sex.
In this condition, the patient's adrenal cortex abnormally produces large amounts of androgens or estrogen, resulting in abnormal development of sex characteristics.
In males, precocious puberty or dysplasia of the genitals may be present; In women, virilized external sex features, such as enlarged clitoris and a deep voice, may be present.
In addition to abnormal sex development, congenital adrenal hyperplasia can cause a range of other health problems. Patients may be potentially life-threatening.
For example, adrenal crisis, which is a serious pathological reaction caused by excessive hormone secretion by the adrenal cortex, such as high blood pressure, arrhythmias, etc.
Patients may also be affected by endocrine disorders, resulting in problems such as stunted growth and development, skeletal deformities, and metabolic disorders.
Because abnormal hormone levels can affect various systems in the body, patients may also develop complications such as neuropsychiatric disorders and immune system abnormalities.
On the way home, Song Luofei and Zhang Cheng fell silent. Her heart was full of doubts and uneasiness, while Zhang Cheng held her hand tightly and silently accompanied her.
After returning home, Song Luofei began to rummage through past medical records and photos, trying to find some clues. She looked in the mirror, examining her body, as if searching for some answer.
"My dear, no matter what happens, I will always be there for you." Zhang Cheng said softly, his eyes full of determination and comfort.
3. What should I do if I have congenital adrenal hyperplasia?
Early diagnosis is crucial. Once diagnosed, patients need to closely follow their doctor's recommendations to develop a personalized treatment plan.
Treatment options usually include medication and surgical intervention. Medication may involve hormone replacement therapy to help balance hormone levels, reduce symptoms, and promote normal sex development.
For some patients, surgery may be necessary, such as removing abnormal adrenal tissue or dealing with other problems related to hormone production.
In addition to medication and surgical treatment, patients can manage their symptoms through lifestyle modifications. This includes maintaining a healthy diet, maintaining an appropriate weight, exercising regularly, avoiding smoking and alcohol, getting enough sleep, etc.
Patients should also receive regular follow-up and monitoring by their doctor to ensure that the condition is effectively controlled and that any potential complications are identified and managed in a timely manner.
END
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