J sex marital ther 1998 oct-dec24(4):255-71 ambiguous genitalia, gender- identity problems, and sex reassignment dittmann rw(1) author information: (1) psychosomatic department, children's hospital, university of hamburg, germany this article discusses general issues with regard to gender-identity problems, sex. In genetic males, causes of ambiguous genitalia may include impaired testicle development due to genetic abnormalities, androgen insensitivity syndrome (in which the genital tissues don't respond normally to male hormones, structural problems with the testes or problems with testosterone production, or an enzyme defect. When a child's gender is in question at birth, because genitals may not appear clearly male or female, the child is said to have ambiguous genitalia ambiguous genitalia can be a confusing and scary experience for parents, but these children are usually healthy ambiguous genitalia is more common than most people. The medical term intersex is also used to describe ambiguous genitals the sex of a baby can be tested to help parents raise a child surgery can be used to help clarify a baby's gender please note: dsd's are not the same as transsexualism a transsexual is a person who doesn't see themselves as their defined gender. With a few exceptions, ambiguous genitalia is most often not life-threatening however, it can create social problems for the child and family for this reason, a team of experienced specialists, including neonatologists, geneticists, endocrinologists, and psychiatrists or social workers will be involved in the child's care.
Sometimes the phrase “ambiguous genitalia” is substituted for “intersexuality,” but this does not solve the problem of frequency, because we still are left struggling with the question of what should count as “ambiguous” (how small must a baby's penis be before it counts as “ambiguous”) for our purposes, it is simplest to. When a child's gender is in question at birth, because genitals may not appear clearly male or female, the child is said to have ambiguous genitalia. Infants born with ambiguous or abnormal genitalia may have indeterminate phenotypic sex dsds, formerly termed intersex prompt diagnosis of the underlying cause of dsd is essential 75% of those with 21-hydroxlase deficiency have salt-wasting nephropathy gender identity is not necessarily the.
Survey results disclosed that all considered themselves healthy and physically active family relationships were described as generally good, though in discussion most showed some family problems that centered on gender issues six had many friends, three had some, and one had few eight of the ten had experienced. It is important to understand that parents did not do anything wrong during pregnancy to cause ambiguous genitalia in their child certain factors (genetic, hormonal or other unknown factors) have disrupted the normal development of the child's sex organs while in the womb investigations it is of utmost importace to assign. Genital anomalies are estimated to occur in 1 in 4,500 births the most common cause of ambiguous genitalia in the newborn is congenital adrenal hyperplasia ( cah) a study found that the uk incidence is approximately one in 18,000 births cah appears to be more common in those of european jewish,.
However, they must also be aware of the great impact on the parents of the birth of a child with ambiguous genitalia this is because, apart from the practical issues related to having a child with indeterminate sex, problems involving sexual differentiation are still surrounded by prejudice dsd are congenital conditions in. There are many different causes of ambiguous genitalia, which are sometimes grouped according to the sex chromosomes present 46, xx dsd occurs when the female fetus is exposed to excess male hormones at the time that the genitals are forming the most common cause is congenital adrenal. The birth of a baby with ambiguous genitalia can cause great apprehension for the family as well as for healthcare providers timely and appropriate gender assignment is necessary for healthy physical and psychologic development of the child with ambiguous genitalia work-up of these patients is best accomplished with.
All said and done, the problem of sex assignment to a child with ambiguous genitalia has its own social tentacles in the indian perspective most of the parents of such children insist on a male sex assignment irrespective of the genotype and the surgical feasibility this is because of the social stigma attached with the. Open access a child with hypertension and ambiguous genitalia - an uncommon variant of congenital adrenal hyperplasia: a case report vivek pant1 , suman baral2, bishal shrestha3 and arjun tumbapo1 abstract background: deficiency in 11β-hydroxylase as a cause of congenital adrenal hyperplasia is uncommon. Ambiguous genitalia isn't a disease, it's a disorder of sex development usually, ambiguous genitalia is obvious at or shortly after birth, and it can be very distressing for families your medical team will look for the cause of ambiguous genitalia and provide information and counseling that can help guide. The biggest issue is not surgery, nor hormonal treatments, nor even the criminal lack of psychological support the biggest issue is shame, and how no one deals with it in a way that lets people know there is nothing to be ashamed of.
The experience of having a child born with ambiguous genitalia is considered a psychologic emergency each family member must be treated with care and respect the gender of the infant is often the first question asked and is considered one of the infant's most prominent features therefore, it is understandable that a. Hormonal problems like testicular deficiencies were found in 13% and androgen insensitivity syndrome in 16% [1, 2] it can be challeng- ing to determine the correct gender at birth and even more difficult to establish the right diagnosis inside the various intersex disorders in order to understand the wide variety of genital.
Boston children's hospital is home to the gender management service (gems) clinic, which treats the medical and psychosocial issues of infants, children, adolescents and young adults with disorders of sexual differentiation the clinic is designed to address psychosocial issues that may arise from ambiguous genitalia. Background ambiguous genitalia need appropriate evaluation, because a serious disease can manifest a. The surgical management of children born with ambiguous genitalia has always been difficult, subject to evolving attitudes and techniques, and at times controversial standard protocols have stressed the need for early diagnosis, gender assignment, and appropriate surgery in infancy in recent years some authors, backed.
Ambiguous genitalia: genitalia that are neither typically female nor typically male also known as intersexual genitalia girls (with a 46, xx chromosome constitution ) can have virilized genitalia due to excess androgen action conversely, the genitalia in boys (with a 46, xy chromosome constitution) can appear. A new study suggests that, in cases of ambiguous genitalia, feminizing the child with clitoral surgery may lead to a lifetime of sexual problems. If the former, then the solution of giving preventive medicine to the fetus is preferable the question, then, of whether it is bad for the baby to have ambiguous genitalia is one that would seem to be a factual question what bad outcomes are anticipated how common are they does treatment prevent them. Ambiguous genitalia is a rare birth defect in which a baby's external genitals aren 't clearly male or female with ambiguous genitalia, problems in the development of the fetus can result in external genitals that don't match the baby's chromosomal sex (xx or xy) patients can be seen by texas children's experts in.