Long-term psychosocial adjustments, satisfaction related to gender and the family equations in disorders of sexual differentiation with male sex assignment.

Pediatric Surgery International
Deepika GuptaDevendra K Gupta

Abstract

The varied management and counseling in disorders of sexual differentiation (DSD) depends a lot on the socioeconomic structure. A follow-up study was designed to evaluate the outcome in terms of patient satisfaction with strong socio-cultural issues. Of the 1,134 DSD patients being followed up in pediatric intersex clinic, 60 adolescents and adults assigned male sex in childhood were called for follow-up. They were interviewed for psychosocial and family adjustments including level of acceptance of gender, social relationships and future expectations. The ages ranged from 15 to 25 years (mean, 19.3 ± 3.7 years). The disorders were male pseudo hermaphrodite (MPH)-43, mixed gonadal dysgenesis (MGD)-3, true hermaphrodite (TH)-7 and congenital adrenal hyperplasia (CAH)-7. Of all patients, 85% (51/60) felt satisfied with their gender assignment; 76.9% (46/60) did not feel comfortable with the opposite sex. Penile erections; ejaculation and masculine voice were present in 53, 44 and 47 patients. Facial hair was normal; sparse and absent in 16, 26 and 18 patients, respectively. Stretched penile length was 2.5-9 cm (median, 5.5 cm) and 16/60 patients were satisfied with their penile length; 28 patients required redo surgeries for scrot...Continue Reading

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Citations

Dec 20, 2011·Asian Journal of Andrology·Kathryn McClellandPeter Koopman
Nov 20, 2012·Journal of Pediatric Urology·Peter LeeChristopher Woodhouse
Nov 15, 2011·Journal of Pediatric Urology·Blake W PalmerBradley P Kropp
Mar 30, 2016·Journal of Psychosomatic Research·Nita G M de Neve-EnthovenArianne B Dessens
Mar 31, 2015·Archives of Sexual Behavior·Annastasia EdiatiArianne B Dessens
Apr 22, 2016·Journal of Pediatric Psychology·Amy C TishelmanLeena Nahata
Apr 9, 2011·Nature Reviews. Urology·Marco Castagnetti, Alaa El-Ghoneimi
Feb 15, 2019·Pediatric Surgery International·Takanori OchiAtsuyuki Yamataka
Apr 7, 2010·Archives of Sexual Behavior·Tierney K AhroldCindy M Meston
Apr 30, 2019·Journal of Sex & Marital Therapy·Baudewijntje P C KreukelsOn Behalf Of The Dsd-Life Group
Dec 30, 2018·Medicine·Paweł OsemlakPaweł Nachulewicz
Mar 25, 2019·Journal of Pediatric Surgery·Lisieux Eyer de JesusSamuel Dekermacher

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