Androgen insensitivity syndrome: clinical features and molecular defects

Angeliki Galani, Sophia Kitsiou-Tzeli, Christalena Sofokleous, Emmanuel Kanavakis, Ariadni Kalpini-Mavrou

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The end-organ resistance to androgens has been designated as Androgen Insensitivity Syndrome (AIS), an X-linked disorder caused by mutations in the Androgen Receptor (AR) gene. It is generally accepted that defects in the AR gene prevent the normal development of both internal and external genital structures in 46,XY individuals …

Gender identity disputed in the court of justice: a story of female to male sexual transformation in the hellenistic period, described by Diodorus Siculus

Anastasia K. Armeni, Vasiliki Vasileiou, George Markantes, Christina Damoulari, Angelina Mandrapilia, Fotini A. Kosmopoulou, Varvara Keramisanou, Danai Georgakopoulou, Neoklis A. Georgopoulos

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Cases of sexual reassignment in Greco-Roman antiquity, presenting as a pubertal female-to-male gender transformation, are described in the “classical” literature. Textual evidence concerning a case of androgynism, garnered by Diodorus Siculus, among other similar accounts …

Baubo: a Case of Ambiguous Genitalia in the Eleusinian Mysteries

Neoklis A. Georgopoulos, George A. Vagenakis, Apostolos L. Pierris

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In an Orphic account of the constitutive mythology of the Eleusinian Mysteries, there occurs the relation of a remarkable tale of sacred obscenity. The Baubo affair is pivotal for a more in-depth understanding of the symbolism involved in the most awesome mysteric cult of the ancient Greek world …

Macrosomia and ambiguous genitalia: a long overdue answer to the citizens of Frusino

Vasiliki Vasileiou, Anastasia K. Armeni, Apostolos L. Pierris, Neoklis A. Georgopoulos

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In the literature of the Roman Era, a case of macrosomia and genital ambiguity in a newborn is described. Textual evidence concerning this case of androgynism and its symbolism is provided in the present study. Medical interpretation of such cases covers the entire spectrum …

Callo: The first known case of ambiguous genitalia to be surgically repaired in the history of Medicine, described by Diodorus Siculus

Georgios K. Markantes, Efthimios Deligeoroglou, Anastasia K. Armeni, Vasiliki Vasileiou, Christina Damoulari, Angelina Mandrapilia, Fotini Kosmopoulou, Varvara Keramisanou, Danai Georgakopoulou, George Creatsas, Neoklis A. Georgopoulos

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Diodorus Siculus (Diodoros Sikeliotes) was a Greek historian and writer who lived in the 1st century B.C. He is renowned for his universal history, “Bibliotheca Historica” (Historical Library), in which cases of sexual reassignment occurring around his time were included …

Delayed diagnosis of disorder of sex development (DSD) due to P450 oxidoreductase (POR) deficiency

Vasiliki Koika, Anastasia K. Armeni, Neoklis A. Georgopoulos

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CASE PRESENTATION: A 36-year old man, operated on for cryptorchidism at the age of 8 years, was referred to the Outpatient Clinic of Reproductive Endocrinology for investigation of infertility. Clinical examination revealed ambiguous genitalia: penis 4-5 cm, testicular volume 2-3 ml, hypospadias, hypertrophic foreskin and scrotum bifida. Mild hypertension was confirmed. No skeletal malformations were detected …

The male bride: a story of Sexual Female-to-Male Transformation at marriage from the Hellenistic period, recorded by Phlegon of Tralles

Konstantina Barouti, Georgios K. Markantes, Anastasia K. Armeni, Vasiliki Vasileiou, Neoklis A. Georgopoulos

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Phlegon of Tralles was a Greek historian and writer, born in Tralles, a city of Lydia in Asia Minor. He was a freedman of the emperor Hadrian, who lived in the 2nd century AD. Besides his magnum opus, “The Olympiads”, among other writings of which only fragments have survived to date, he also produced a compilation of marvelous and abnormal natural or human phenomena presented as paradoxical stories in his collection called “Book of Marvels” …

Menophila: a poetic description of genital ambiguity in Hellenistic literature

Anastasia K. Armeni, Danai Georgakopoulou, Georgios K. Markantes, Konstantina Barouti, Leonidas Liarakos, Vasiliki Vasileiou, Neoklis A. Georgopoulos

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In Ancient Greece, up to the Classical era, hermaphrodites were regarded as “monstrous” beings, messengers of evil or a sign of divine anger. They were consequently socially marginalized, being treated cruelly or even put to death …