Quote from: Jessica L. on May 15, 2009, 01:00:51 PMComing back to transsexualism: finding one gene involved in sex steroid receptors might be only the tip of a VERY big iceberg. Mutations in the one gene can be perpetuated in a single population (google or wikipedia Founder Mutations for more info on this) but may not exist in other groups of people. In other words, your negative test just means that's not the cause of your transsexualism, it doesn't mean you aren't trans. If you have all the other symptoms for being trans, then guess what, you're trans. All the genetic testing in the world doesn't have much to do with it. There are genetic and environmental components to several things we don't understand well (such as autism).
+1 Insightful.
But wait, you're a geneticist, so of course you'd know this stuff, and in far more detail than I do.
The genetic anomalies in those two articles just show an association: not everyone who's trans has them, and not everyone who has them is trans. Having them makes it more likely you'll be trans, not having them less likely, that's all.
Kids exposed to DES in the womb have a 1 in 5 chance of having some form of gender anomaly. But 4 in 5 do not. Kids exposed to Thalidomide in the womb have about a 1 in 5 chance of phocomelia or other anomaly, but 4 in 5 did not. Thalidomide victims with phocomelia have a slightly increased chance of having children with phocomelia, not because of genetic damage from Thalidomide (as was first feared when this was found out) , but because they have genes that make phocomelia more likely regardless, and almost certain if exposed to Thalidomide. I conjecture the same is true for trans people exposed to DES, and this would be a fruitful topic for research.
It looks like there may be multiple genetic anomalies that may make environmental factors in the womb more or less likely to cause gender anomalies to various degrees. But sometimes it will "just happen", with no obvious pre-disposing factor.
The important thing about these results is that they show that for some cases of transsexuality, there is a definite congenital cause. That suggests (by Occam's razor) that transsexuality is congenital unless proven otherwise.
Post Merge: May 15, 2009, 11:13:03 PM
Quote from: Lisbeth on May 15, 2009, 02:52:49 PMI do not believe that there will ever be a reliable test for transsexuality.
Depends upon what you men by "reliable". I think it quite likely that self-reporting plus fMRI and MRI imaging will give results reliable enough in future for the vast majority of cases.
However, as transsexuality is something with degrees, not a binary, there will always be a minority of cases where only a holistic, multifactorial approach to diagnosis will work adequately. By "multifactorial" I mean no single test is definitive, you have to look at multiple tests.
Right now, self-reporting alone, while unsatisfactory, is the single most reliable diagnostic test. The Dutch clinics have tests that give no false positives, now we need to refine those to minimise false negatives in the less obvious cases.