Raised a eunuch: a case report of testicular loss without androgen replacement in a pre-pubescent boy
Bibliographic record
Abstract
Introduction & Importance: Bilateral testicular torsion with testicular loss is a rare condition in prepubertal youth. This case represents one of the only documented cases of a modern, pre-pubertal youth raised as a eunuch through adolescence. Case Presentation: This is a case of a pre-pubertal boy (Z) who suffered bilateral testicular torsion and gonadal loss who was raised as a eunuch through adolescence. Clinical Discussion: Throughout his adolescence, Z demonstrated no deficits in psychosocial functioning, and displayed no intellectual or learning deficits. Compared to his peers and younger brother, Z was less interested in physical and competitive activities, preferring more supportive, pro-social behaviors, like caring for children. Conclusion: In this case, hormonal deprivation and delayed puberty did not appear to impact neurodevelopmental processes or psychosocial development. This case has potential issues for other areas of healthcare where concerns have arisen around long-term pubertal suppression.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.004 | 0.004 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".