FatwaSelangorMedicine & Health
Isu Kekeliruan Jantina Congenital Adrenal Hyperplasia dan Testicular Feminization Syndrome
What is the ruling on sex correction surgery for individuals with Congenital Adrenal Hyperplasia or Testicular Feminization Syndrome?
Short answer
For Congenital Adrenal Hyperplasia, surgery to return to the original female genetic sex is permitted because it can be done through hormone treatment and surgery.
A reference, not a fatwa. First sentence of the summary below — read the original fatwa and consult your state authority before acting.
- Authority
- Selangor State Mufti Department
- Status
- Gazetted
- Series
- Keputusan Fatwa Diwartakan
- Topic
- Medicine & Health
Gazette evidence in the source: Sel. P.U. 337
Summary
For Congenital Adrenal Hyperplasia, surgery to return to the original female genetic sex is permitted because it can be done through hormone treatment and surgery. For Testicular Feminization Syndrome, returning to the original male genetic sex is difficult, but surgery is permitted as long as it causes no psychological or biological harm. If detected in adulthood, the person may live normally and their sex is recognised by physical appearance and external genitalia. Removal of the testes (if present) is allowed to avoid risks such as cancer, and a marriage involving a spouse with the syndrome need not be separated.
Written in our own words from the original fatwa — check the source before acting on it.
Bagi kes Testicular Feminization Syndrome yang dikesan ketika dewasa, individu tersebut boleh menjalani kehidupan seperti biasa dan jantina mereka diiktiraf berdasarkan fizikal dan genitalia zahir mereka.
Read the full fatwa on the Selangor website (new tab)
How to cite
Cite the original fatwa and its authority. Rujuk Fatwa is only where you found it.
Selangor State Mufti Department. “Isu Kekeliruan Jantina Congenital Adrenal Hyperplasia dan Testicular Feminization Syndrome”, date not stated. https://www.muftiselangor.gov.my/2023/10/28/isu-kekeliruan-jantina-congenital-adrenal-hyperplasia-dan-testicular-feminization-syndrome/. Found via Rujuk Fatwa: https://rujukfatwa.com/en/fatwa/ruling-sex-surgery-cah-and-tfs/