Abstract
Theterm intersex used in the past has been replaced by “Disorders of Sex Differentiation”. In thiscondition the development of chromosomal, gonadal or anatomical sex is atypical. This problem createsanxiety to the parents and a challenge for attending doctor. The problemsfaced by the individual are sexual, reproductive, sex of raring, placement in the society and psychological impact.The optimal management of the patient should be individualized by multidisciplinary team.Threecasesof Disorders of Sex Differentiation (DSD) are presented with different causes and presentations. Two cases carrying XY karyotype pattern,while one case was of XX. The diagnosis of swyers syndrome, 5 alpha reductase deficiency and congenital adrenal hyperplasia was made on the basis of genital tract development, hormonal analysis and karyotyping. The strange feature which was common in all these cases was the wish of patients as well as family members to adopt sex of raring as male.
Sadaqat Jabeen, , Mahnaz Faisal,, Maleeha Nisa. (2019) DISORDERS OF SEX DIFFERENTIATION: EVALUATION AND MANAGEMENT, A DILEMMA, JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD, Volume 31, Issue 3.
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