容貌甜美，身材婀娜，25岁的张丽(化名)女人味十足。不过她也有自己的小秘密：从来没有来过例假。当她决心为此就医时，才知道自己身上隐藏着一个更大的秘密：医学检查证实她的染色体为46XY，她实质上是男人(女性为46XX)。

Looks sweet,Graceful figure,25 zhang li(alias)The woman flavour is dye-in-the-wood.But she also have their own little secret:Never been to official holiday.When she was determined to therefore when go to a doctor,Know yourself hide a bigger secret:Medical examination confirmed that her chromosome for 46 xy,She is in essence a man(The female is 46 xx).

　　张丽在荆门一家单位工作。25岁的她从没来过例假，她对此虽也有过困惑，但认为就是“原发性闭经”。直到近来家里催婚，她想到将来要生小孩，才决定到大医院详查。

Zhang li in jingmen a unit work.25 she had never been to official holiday,Though she has also had confused,But that is"Primary amenorrhea".Until recently home urge marriage,She thought of going to have children,Just decided to go to large hospital sift.

　　10月初，她来到武汉大学人民医院。该院妇产科洪莉教授建议她做B超，检查结果让所有人大吃一惊：张丽没有子宫，卵巢呈多囊性改变，腹部两个球状阴影极可能是隐性睾丸。再经性激素和染色体检查发现，张丽的染色体核型分析为46XY。这意味着，从生物学上讲她是个“纯爷们”。

At the beginning of October,She came to wuhan university people's hospital.The hospital HongLi professor in the department of obstetrics and gynecology suggested that she do B to exceed,Test results for all shocked:Zhang li no uterine,Polycystic ovary is change,Abdominal two ball shadow is most likely recessive testis.Then through sex hormones and chromosome examination revealed,Zhang li of karyotype analysis for 46 xy.This means that,From a biological speaking she is a"Pure the yes".

　　为什么这位“纯爷们”没有喉结和男性生殖器，反而有阴道卵巢，甚至外表如此女性化？该院整形外科王松山教授解释，张丽的情况称为两性畸形，即体内同时具有睾丸与卵巢。张丽虽有隐睾且睾酮偏高，但其机体对雄激素并不敏感，卵巢的存在又制造了雌激素，综合下来，让张丽生理外观上女性化严重，“这也称为男身女相，非常罕见。”

Why did the"Pure the yes"No Adam's apple and the male genitals,But for the vaginal ovarian,Even so feminine appearance?The hospital plastic surgery WangSongShan professor explanation,Zhang li situation called hermaphroditism,At the same time that the body has testis and ovary.Zhang li although have cryptorchidism and testosterone is on the high side,But its body is not sensitive to androgens,The existence of the ovarian estrogen and made,Comprehensive down,Let zhang li physiological appearance serious feminine,"It also known as the reflection of male body,Very rare."

　　张丽详细了解了自己的情况后，经过一番思考，决定继续做女人。10月20日，该院泌尿外科、妇产科、整形外科的专家集体上阵，为她实施了腹腔镜双侧盆腔肿物切除术。病检结果证实，这两个肿物正是睾丸组织。

Zhang li details about his situation,After some thinking,Decided to continue to be a woman.On October 20,,Hospital uropoiesis surgical department/Department of gynaecology and obstetrics/Plastic surgery expert the collective,For she implemented a laparoscopic bilateral pelvic neoplasm resection.Disease inspection results confirm,The two neoplasm is testicular tissue.

　　昨日张丽痊愈出院，乐观的她笑称手术“像切阑尾一样轻松”。医生说，她可以拥有包括性生活在内的正常女性权利，但仍有一个遗憾：由于先天无子宫，她无法生育。

Zhang li yesterday healed up and left hospital,Optimistic she laughingly called surgery"Like cutting as easily as appendix".The doctor said,She can have sex, including the normal women's rights,But there are still a pity:Due to congenital no uterus,She could not give birth to.

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　　王松山教授指出，张丽长期认定自己的女性身份，加上女性特征明显，继续做女人是非常明智的选择。但多数两性人很难认定自己的性别，在“不男不女”的纠结里煎熬。他们中的一些人就算通过手术明确了性别，心理创伤仍难消除。

WangSongShan professor noted that,Zhang li long believed that a female identity,Plus women feature is apparent,Continue to be a woman is a very wise choice.But most bisexual person that it is difficult to their gender,in"Don't male not female"In the realm of suffering.Some of them even through the surgery has been clear about the gender,Psychological trauma is still difficult to eliminate.

　　并非所有的两性畸形者都无法生育。资料显示，很多此类患者性腺发育良好，子宫卵巢俱在，即便不通过手术矫正，生育几率也可达70%-80%。曾有国外文献报道，有一位两性畸形患者，由于男女两套生殖器官健全，先后组成过两个家庭，分别作为丈夫和妻子生育了两个孩子。(楚天都市报讯 记者陈凌燕 通讯员杜巍巍 杨岑)

Not all of the amphoteric deformity person can birth.Data shows,A lot of these patients gonad development good,Uterine ovarian available,Even if not through the surgical correction,Birth probability also can amount to 70% - 80%.There have been reported in the literature abroad,There is a gender malformation patients,Because men and women two sets of reproductive organs sound,Successively composition in two families,As a husband and wife were birth two children.(Chutian metropolis daily reporter ChenLingYan correspondent DuWeiWei Yang cen)