An Independent Publisher Book Awards Gold Medal Winner A Progressive Book of the Year A TechCrunch Favorite Read of the Year "Deeply researched and thoughtful." -Nature "An extended exercise in myth busting." -Outside "A critique of both popular and scientific understandings of the hormone, and how they have been used to explain, or even defend, inequalities of power." -The Observer Testosterone is a familiar villain, a ready culprit for everything from stock market crashes to the overrepresentation of men in prisons. But your testosterone level doesn't actually predict your appetite for risk, sex drive, or athletic prowess. It isn't the biological essence of manliness-in fact, it isn't even a male sex hormone. So what is it, and how did we come to endow it with such superhuman powers? T's story begins when scientists first went looking for the chemical essence of masculinity. Over time, it provided a handy rationale for countless behaviors-from the boorish to the enviable. Testosterone focuses on what T does in six domains: reproduction, aggression, risk-taking, power, sports, and parenting, addressing heated debates like whether high-testosterone athletes have a natural advantage as well as disagreements over what it means to be a man or woman. "This subtle, important book forces rethinking not just about one particular hormone but about the way the scientific process is embedded in social context." -Robert M. Sapolsky, author of Behave "A beautifully written and important book. The authors present strong and persuasive arguments that demythologize and defetishize T as a molecule containing quasi-magical properties, or as exclusively related to masculinity and males." -Los Angeles Review of Books "Provides fruitful ground for understanding what it means to be human, not as isolated physical bodies but as dynamic social beings." -Science

What happens when a baby is born with "ambiguous" genitalia or a combination of "male" and "female" body parts? Clinicians and parents in these situations are confronted with complicated questions such as whether a girl can have XY chromosomes, or whether some penises are "too small" for a male sex assignment. Since the 1950s, standard treatment has involved determining a sex for these infants and performing surgery to normalize the infant's genitalia. Over the past decade intersex advocates have mounted unprecedented challenges to treatment, offering alternative perspectives about the meaning and appropriate medical response to intersexuality and driving the field of those who treat intersex conditions into a deep crisis. Katrina Karkazis offers a nuanced, compassionate picture of these charged issues in "Fixing Sex," the first book to examine contemporary controversies over the medical management of intersexuality in the United States from the multiple perspectives of those most intimately involved.

Drawing extensively on interviews with adults with intersex conditions, parents, and physicians, Karkazis moves beyond the heated rhetoric to reveal the complex reality of how intersexuality is understood, treated, and experienced today. As she unravels the historical, technological, social, and political forces that have culminated in debates surrounding intersexuality, Karkazis exposes the contentious disagreements among theorists, physicians, intersex adults, activists, and parents--and all that those debates imply about gender and the changing landscape of intersex management. She argues that by viewing intersexuality exclusively through a narrow medical lens we avoid much more difficult questions. Do gender atypical bodies require treatment? Should physicians intervene to control the "sex" of the body? As this illuminating book reveals, debates over treatment for intersexuality force reassessment of the seemingly natural connections between gender, biology, and the body.