At birth, the attendants cannot really know that the baby before them with the ambiguous genitalia is Klinefelters syndrome, or hermaphrodite or cah girl or whatever all the other conditions are that cause the anomolies with the genitalia. All they know is that they cannot make any decision about what sex the baby is from the appearance. That can only be fully determined with genetic blood tests which as we know take many days to come back. They can hazard guesses in the meantime, but mostly I guess that the sensible medical staff would shy away from speculating until those blood tests come back and the true sex is confirmed. Even then at the end of the day the child is still Intersexed. What do we call the baby in the meantime in the first few days before results are received back,"It?" Parents need to be knowing right away that something is not as it should be and that things needs further testing. That unfortunately is where the medical people slap the "Intersex" label on the records. They have to record what is happening and justify the further testing and poking and prodding that they do in words on a medical file. To say that that term is offensive to us with cah children is really not enough in itself. For all we know parents of kids born with ambiguous genitalia due to klinefelters syndrome may find the term equally as offensive also. Indeed take ALL those condtions and put yourself in each parents shoes at birth and ask yourself the same. If Intersex is so distasteful to some parents with cah girls, do you suppose they like it any better? I say this because some parents seem to disassocaite themselveses from the word competely and claim that cah girls are somehow different to all the other kids it applies to. The other parents may feel exactly the same as some cah parents do! They have little babies too! They have midwives saying, "Oh s***" instead of "It's a boy" or "It's a girl" too! They are just as devastated and really when you REALLY try to understand what they must be going through ask yourself this: Do they feel any less devastated than cah parents with the diagnosis? You say many are disgusted with the Intersex label. Have any of them been to that URL and put themselves in other parent's shoes. You want to disassociate from all the other condtions and find the word Intersex offensive which for people like myself is interpreted as finding the other conditions offensive really. Nearly ALL of those Intersex conditions are caused by an hormone being missing due to a defect somewhere in the metabolic processes OR the development was delayed by a matter of days and caused ambiguous genitalia. Each child, with the exception of a true hermaphrodite I gather, really belongs biologically to either one sex or the other. All that happened was something similar to cah girls. Something missing or not enough of something. Therefore you have to understand that medically, when presented with ambiguous genitalia CAH is no different than any of the other's within the Intersex label. The prognosis is the same for ALL too. Leave these kids alone and encourage fully informed consent. Time after time we read stories from adults with all the different conditions that caused ambiguous genitalia (most are happy with the word Intersex I may add) stating that they should not have had surgery. That is all that matters.