Heart Lexicon

Sex assigned at birth - meaning and definition

Alsoassigned sexbirth sexsex recorded at birthassigned at birthnatal sexbiological sexbirth-assigned sex

Definition

The sex, usually female or male, recorded for a baby at birth, typically based on the appearance of the external genitals.

At a glance

  • It is a record made shortly after birth, usually by a midwife, doctor or registrar.
  • The assignment is normally based on a quick look at the body, not on chromosome or hormone tests.
  • The wording describes an event in the past without saying who the person is now.
  • For most people it matches their gender identity, but for trans and some non-binary people it does not.
  • For some intersex people the assignment involved uncertainty or was later revised.

In detail

Sex assigned at birth is a record made by a midwife, doctor or registrar shortly after a baby is born. In most cases it is based on a quick visual check of the body rather than on chromosomes, hormones or internal anatomy, which are rarely tested unless there is a medical reason.

The phrase is used because it describes what happened without making claims about who the person turns out to be. For most people the assigned sex matches their gender identity; for transgender and some non-binary people it does not. For intersex people, the assignment may have involved more uncertainty or later revision.

In a sentence

  • The form asks for your sex assigned at birth separately from your current gender.
  • My doctor explained that some screening invitations are based on sex assigned at birth.

Not to be confused with

  • Gender identity

    Sex assigned at birth is a record made about a person; gender identity is a person's own inner sense of their gender.

Common questions

Why do people say assigned at birth instead of born male or born female?

Assigned at birth describes what actually happened: someone recorded a sex based on a quick check. It avoids suggesting that this record decides a person's gender for life, and it fits the experience of intersex people, whose assignment may have been uncertain.

Is sex assigned at birth the same as biological sex?

Not exactly. Biological sex involves several characteristics, such as chromosomes, hormones and anatomy. The assignment at birth is usually based on external appearance only, so it is a simplified record rather than a full description of a person's body.

Related terms

Sources

  1. American Psychological AssociationTransgender people, gender identity and gender expression