Intersex advocates regard this intervention as "a clearly coercive process". In the "Nip/Tuck" season three episode "Quentin Costa", it is revealed that Quentin Costa had 5-ARD. Jeffrey Eugenides' Pulitzer Prize-winning 2002 novel "Middlesex" is about a young man with 5-ARD. The character was originally born Calliope and raised as a girl, but upon realizing his genetic sex, he transitions into Cal.