
The Interplay of Sex and Gender
A quick review of some biological basics will lay a good foundation for a more detailed discussion of the interplay between sex and gender in communication studies.
Sex
As you may recall from a biology or health class, a fetus's sex is determined at conception by the chromosomal composition of the fertilized egg. The most common chromosome patterns are XX (female) and XY (male). After about seven weeks of gestation, a fetus begins to receive the hormones that cause sex organs to develop. Fetuses with a Y chromosome receive androgens that produce male sex organs (prostate) and external genitalia (penis and testes). Fetuses without androgens develop female sex organs (ovaries and uterus) and external genitalia (clitoris and vagina). In cases where hormones are not produced along the two most common patterns, a fetus may develop biological characteristics of each sex. These people are considered intersexuals.
Case In Point
According to the Intersex Society of North America "Intersex" is a general term used for a variety of conditions in which a person is born with a reproductive or sexual anatomy that doesn't seem to fit the typical definitions of female or male. For example, a person might be born appearing to be female on the outside, but having mostly male-typical anatomy on the inside. Or a person may be born with genitals that seem to be in-between the usual male and female types - for example, a girl may be born with a noticeably large clitoris, or lacking a vaginal opening, or a boy may be born with a notably small penis, or with a scrotum that is divided so that it has formed more like labia. Or a person may be born with mosaic genetics, so that some of her cells have XX chromosomes and some of them have XY.
Though we speak of intersex as an inborn condition, intersex anatomy doesn't always show up at birth. Sometimes a person isn't found to have intersex anatomy until she or he reaches the age of puberty, or finds himself an infertile adult, or dies of old age and is autopsied. Some people live and die with intersex anatomy without anyone (including themselves) ever knowing.
Which variations of sexual anatomy count as intersex? In practice, different people have different answers to that question. That's not surprising, because intersex isn't a discreet or natural category.
What does this mean? Intersex is a socially constructed category that reflects real biological variation. To better explain this, we can liken the sex spectrum to the color spectrum. There's no question that in nature there are different wavelengths that translate into colors most of us see as red, blue, orange, yellow. But the decision to distinguish, say, between orange and red-orange is made only when we need it - like when we're asking for a particular paint color. Sometimes social necessity leads us to make color distinctions that otherwise would seem incorrect or irrational, as, for instance, when we call certain people "black" or "white" when they're not especially black or white as we would otherwise use the terms.
In the same way, nature presents us with sex anatomy spectrums. Breasts, penises, clitorises, scrotums, labia, gonads - all of these vary in size and shape and morphology. So-called "sex" chromosomes can vary quite a bit, too. But in human cultures, sex categories get simplified into male, female, and sometimes intersex, in order to simplify social interactions, express what we know and feel, and maintain order.
So nature doesn't decide where the category of "male" ends and the category of "intersex" begins, or where the category of "intersex" ends and the category of "female" begins. Humans decide. Humans (today, typically doctors) decide how small a penis has to be, or how unusual a combination of parts has to be, before it counts as intersex. Humans decide whether a person with XXY chromosomes or XY chromosomes and androgen insensitivity will count as intersex.
In our work, we find that doctors' opinions about what should count as "intersex" vary substantially. Some think you have to have "ambiguous genitalia" to count as intersex, even if your inside is mostly of one sex and your outside is mostly of another. Some think your brain has to be exposed to an unusual mix of hormones prenatally to count as intersex - so that even if you're born with atypical genitalia, you're not intersex unless your brain experienced atypical development. And some think you have to have both ovarian and testicular tissue to count as intersex.
Rather than trying to play a semantic game that never ends, we at ISNA take a pragmatic approach to the question of who counts as intersex. We work to build a world free of shame, secrecy, and unwanted genital surgeries for anyone born with what someone believes to be non-standard sexual anatomy. By the way, because some forms of intersex signal underlying metabolic concerns, a person who thinks she or he might be intersex should seek a diagnosis and find out if she or he needs professional healthcare.
As you know, hormones continue to affect us after birth - throughout our entire lives, in fact. Hormones control when and how much women menstruate, how much body and facial hair we grow, and the amount of muscle mass we are capable of developing. Although the influence of hormones on our development and existence is very real, there is no strong, conclusive evidence that they alone determine gender behavior. The degree to which personality is influenced by the interplay of biological, cultural, and social factors is one of the primary focal points of gender studies.
Gender
Compared with sex, which biology establishes, gender doesn't have such a clear source of influence. Gender is socially constructed because it refers to what it means to be a woman (feminine) or a man (masculine). The fact that females can be masculine or perform masculinity, and males can perform femininity proves that gender is not tied to sex. Traditionally, masculine and feminine characteristics have been taught as complete opposites when in reality there are many similarities. Gender has previously been thought of as a spectrum, as a line; this implies the drastic separation of genders. A better way to think about gender is a circle, where all genders can exist in relation to each other.
The more archaic term for this expression of gender is known as androgyny, the term we use to identify gendered behavior that lies between feminine and masculine - -the look of indeterminate gender. Gender can be seen as existing in a fluid circle because feminine males and masculine females are not only possible, but common, and the varying degrees of masculinity and femininity we see (and embody ourselves) are often separate from sexual orientation or preference. The circle chart illustrates how all genders exist on a sort of plane. They are not arranged in a straight line, with female on one end, and male on the other. There are no set borders to any one gender, and there is open space for people to define themselves however they decide.