Middlesex by Jeffrey Eugenides

This book is multi-generational story narrated by an intersex man, tracing how his grandparents' incestuous marriage in 1922 passes down a mutated gene that ultimately shapes his own gender and sexual identity.

This book contains: activism, alcohol (pervasive), alternate gender/sexual ideologies (pervasive), anxiety (pervasive), auto-erotica, body shaming, bullying, child abuse, cults, controversial cultural, gender, historical, political, racial, religious and social commentary, inflammatory gender, historical and racial commentary, death/grief (pervasive), deception (pervasive), depression, derogatory terms, discrimination/racism (pervasive), divination (pervasive), drugs, explicit sexual activities/nudity (pervasive), hypochondria, incest (pervasive), misogyny /sexism (pervasive), murder, non-sexual nudity, parental neglect, pedophilia (themes), potentially prurient content, profanity, prostitution, psychosomatic illnesses, sexual assault, sex exploitation, sex toys (referenced), smoking (pervasive), suicide ideation, theft, torture, toxic relationships, victim shaming, violence (gore), and voyeurism .