As detailed below, there have been changes in practice in recent years, with many doctors now advising against surgery on infants and young children.
But even so, surgery continues to be practiced on children with atypical sex characteristics too young to participate in the decision, when those procedures both carry a meaningful risk of harm and can be safely deferred.
Now, new research suggests it could be to blame for intersex fish.
Rebecca Klaper, a researcher at the University of Wisconsin-Milwaukee, has been looking to the drug's prevalence in watersheds, as well as exploring its potential effects on wildlife.
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In this report, based on interviews with intersex adults, parents of intersex children, and medical practitioners working with intersex people, inter ACT and Human Rights Watch document the fall-out from that medical paradigm, and the failure of the medical community to regulate itself effectively.
"It is the chemical we found in almost every sample and in the highest concentrations compared to other emerging contaminants -- even higher than caffeine," she said in a recent press release.