When a child or family begins to stand out because of patterns in history or physical findings, physicians must determine whether to take a closer look at the situation.
In the same way that we learn about normal variations in blood pressure, we need to learn about “normal” variations in sexual interests and practices. We want to avoid clueless questions or unintentionally inflammatory statements.
Every physician should know that erotic pleasures occur in more diverse situations than one can imagine and that gender identity is a complicated idea.