Gender Identity in a Female With Intersex Disorder of Sexual Development Due To Congenital Adrenal Hyperplasia: A Management Dilemma
Patients with an intersex disorder of sexual development (DSD) present the urologist with complex evaluation and management challenges. The patient's phenotype, psychosexual differentiation, and chromosomal sex assignment are all important considerations. The timing of gender assignment in the patient's development should be a multidisciplinary decision that includes the patient and family members. The authors present a rare case of a female with intersex DSD due to congenital adrenal hyperplasia of the simple-virilizing (non salt-losing) form. The patient's unique presentation and challenging management, including sex assignment, are described.
KEYWORDS: Female disorder of sexual development; Congenital adrenal hyperplasia; Intersex.
CORRESPONDENCE: Professor N. K. Mohanty, M.S., M.Ch, Additional DG and Head of Department, Vardhman Mahaveer Medical College and Safdarjung Hospital, C – II /124, Motibagh, New Delhi, India - 110021
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CITATION: Urotoday Int J. 2010 Apr;3(2). doi:10.3834/uij.1944-5784.2010.04.06
ABBREVIATIONS AND ACRONYMS: CAH, congenital adrenal hyperplasia; DSD, disorder of sexual development; MRI, magnetic resonance image
