Psychiatric Approach Management of Ambiguous Genitalia in Children and Teenagers

Ambiguous genitalia: An approach to its diagnosis

Ambiguous genitalia and intersex.

Intersex disorders are rare congenital malformations with over 80% being diagnosed with congenital adrenal hyperplasia (CAH). It can be challenging to determine the correct gender at birth and a detailed understanding of the embryology and anatomy is crucial. The birth of a child with intersex is a true emergency situation and an immediate transfer to a medical center familiar with the diagnosi...

Surgical management of ambiguous genitalia in the infant and child.

Proper gender assignment to a neonate born with ambiguous genitalia is a social emergency of the newborn period. Once an appropriate sex assignment has been made, the next critical step is performance, if needed, of a reconstructive procedure in a timely fashion. In an attempt to evaluate our experience with this unique group of patients, we have retrospectively reviewed the course of 69 childr...

Ambiguous Genitalia: Evaluation and Management in the Newborn

Infants born with ambiguous genitalia pose challenges to medical providers and can cause parental anxiety and distress. Disorders of sexual development (DSD) are classified into 3 major categories (46,XY DSD, 46,XX DSD, and sex chromosome DSD). A thorough history, physical examination, and appropriate diagnostic testing are needed to identify the underlying etiology. An understanding of normal ...

Complications of Ambiguous Genitalia: Causes, Prevention and Management

Incorrect diagnosis, incomplete investigations and improper surgical reconstruction can lead to complications in the management of patients with disorders of sex development. In this review we present examples and strategies to avoid these problems.