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Prenatal Genetic Testing for Intersex Conditions in Canada
Katie M Saulnier1, Hortense Gallois1, Yann Joly1
1Centre of Genomics and Policy, McGill University, Montréal, QC.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|February 28, 2021
Summary
Intersex individuals experience discrimination. Increased prenatal screening necessitates better healthcare provider training and policies to prevent harm and support intersex people.
Area of Science:
- Medical Ethics
- Human Rights
- Genetics
Background:
- Intersex individuals worldwide face discrimination and stigmatization.
- While infant diagnosis is rare, up to 1.7% of the population may be intersex.
- Non-invasive prenatal screening (NIPS) increases potential for early intersex detection.
Purpose of the Study:
- Address ethical challenges of increased prenatal detection of intersex variations.
- Highlight underdeveloped best practices and policies for intersex patient care.
- Advocate for improved healthcare provider training on intersex issues.
Main Methods:
- Commentary analyzing current ethical and policy gaps.
- Review of existing literature on intersex healthcare.
- Emphasis on incorporating intersex community voices.
Main Results:
- Current medical practices and policies inadequately protect intersex individuals.
- Lack of Canadian-specific guidance for healthcare providers.
- Genetic counseling can aid parental understanding but is insufficient alone.
Conclusions:
- Urgent need for enhanced healthcare provider training on intersex variations.
- Development of best practices and policies is crucial to prevent discrimination.
- Integrating intersex community perspectives is essential for ethical care.
