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The (DoDI) 6130.03, 2018, section 5, 13f and 14m is the writing which bars persons with "true hermaphroditism" (ovotesticular disorder of sex development), "pseudohermaphroditism" and "pure gonadal dysgenesis" from serving in the United States Armed Forces.
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Enclosure 4 of "Induction in the Military Services; dated April 10, 2010" instruction, entitled "Medical Standards For Appointment, Enlistment, Or Induction", is the one that identifies the preclusion of some intersex people from serving in the military. [20] [21]
The 2014 book Operative Pediatric Surgery states that "societies that have accepted intersex individuals culturally may still have issues with whether or not to accept them in the military", this being due to the difficulties in determining where to place them as well as the complex medical issues they may pose. [2]
Intersex people in the United States have some of the same rights as other people, but with significant gaps, particularly in protection from non-consensual cosmetic medical interventions and violence, and protection from discrimination.
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The DoD report notes that DoDI 6130.03 provides "baseline accession medical standards" and touts that it "is reviewed every three to four years by the Accession Medical Standards Working Group" but later notes the "standards were consistent with DSM-III" (published in 1980) and that "[d]ue to challenges associated with updating and publishing a ...