Stay up to date with notifications from The Independent

Notifications can be managed in browser preferences.

Hong Kong man visits the doctor - only to learn he is a woman

66-year-old had a cyst on his ovary

James Legge
Wednesday 05 June 2013 14:57 BST
Comments

Your support helps us to tell the story

From reproductive rights to climate change to Big Tech, The Independent is on the ground when the story is developing. Whether it's investigating the financials of Elon Musk's pro-Trump PAC or producing our latest documentary, 'The A Word', which shines a light on the American women fighting for reproductive rights, we know how important it is to parse out the facts from the messaging.

At such a critical moment in US history, we need reporters on the ground. Your donation allows us to keep sending journalists to speak to both sides of the story.

The Independent is trusted by Americans across the entire political spectrum. And unlike many other quality news outlets, we choose not to lock Americans out of our reporting and analysis with paywalls. We believe quality journalism should be available to everyone, paid for by those who can afford it.

Your support makes all the difference.

A 66-year-old in Hong Kong who lived his whole life as a man has only now learned he is - biologically, at least - a woman.

The unnamed patient visited the doctor in with a swollen abdomen but, according to the Hong Kong Medical Journal, doctors realised the he was female after they found the swelling came from a large cyst on an ovary.

The confusion stemmed from the coincidence of two rare genetic disorders: Turner syndrome, which affects girls and women who have only one X chromosome or are missing part of their second X chromosome, with characteristics including infertility and short stature - the patient was only 4'6''; and congenital adrenal hyperplasia, increasing male hormones and making the patient, who had a beard and a "micropenis", appear like a man.

In a study published on Monday, seven doctors from two of the city's hospitals wrote: "Were it not due to the huge ovarian cyst, his intriguing medical condition might never have been exposed."

The Chinese patient, who was born in Vietnam, grew up as an orphan. He was found to have no testes, a history of urinary leakage since childhood, and stopped growing after puberty at the age of 10.

The doctors said there have been only six cases where both genetic disorders have been reported in medical literature, and that the patient decided to continue "perceiving himself as having a male gender with the possible need of testosterone replacement," according to the journal.

Join our commenting forum

Join thought-provoking conversations, follow other Independent readers and see their replies

Comments

Thank you for registering

Please refresh the page or navigate to another page on the site to be automatically logged inPlease refresh your browser to be logged in