![]() Why? Because much as Savage might like it to be, the world is not yet a place where most little girls can have a clitoris that looks like a penis and feel entirely at ease. Gender norms have shifted pretty drastically in the 40 years that this operation has been performed, and still more than 95 percent of parents choose it for their children. The vast majority are heterosexual and comfortable as girls. ![]() This claim is a stretch girls with CAH are only slightly more likely to be lesbians or tomboyish when they are young. Savage calls this a conspiracy of “out and out homophobia.” He claims the medical establishment pushes these operations because girls with bigger clitorises are more likely to be lesbian. To his critics, however, these details don’t matter. He was trying to answer a legitimate scientific question about a set of his patients. But that does not make him a child molester. (See the awful stories chronicled by John Colapinto in As Nature Made Him.) Poppas, who did not return calls, likely knew that he would have a hard time getting approval for his experiment. In the small world of children born with abnormal genitals, there is a long history of horrendous postoperative testing, both psychological and physiological. If Poppas found no sensation, he would have no way to reverse the operation. The patients Poppas tested could never benefit from the test.
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