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Understanding disorders of sexual development

Amy C Rothkopf1, Rita Marie John1

  • 1Columbia University School of Nursing, New York, NY.

Journal of Pediatric Nursing
|May 7, 2014
PubMed

Insights

Pediatric nurses may encounter infants with genital anomalies, affecting 1 in 300 births. This article guides nurses in managing disorders of sexual development (DSD), emphasizing their role in advocacy and education.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Genetics

Background:

  • Genital anomalies and disorders of sexual development (DSD) affect approximately 1 in 300 births.
  • While rare, ambiguous genitalia can present diagnostic and management challenges for healthcare providers.
  • Disorders of sexual development encompass a range of conditions requiring complex care.

Purpose of the Study:

  • To provide an overview of the evaluation and management of children with disorders of sexual development.
  • To highlight the critical role of pediatric nurses in the care of these patients.
  • To emphasize the nurse's function as a child advocate and family educator.

Main Methods:

  • Literature review on the diagnosis and management of DSD.
  • Discussion of clinical presentation and diagnostic approaches.
  • Exploration of treatment options and psychosocial considerations.

Main Results:

  • Disorders of sexual development present multifaceted challenges including diagnosis, gender assignment, and long-term outcomes.
  • Effective management requires a multidisciplinary approach.
  • Nurses play a vital role in supporting families and ensuring comprehensive care.

Conclusions:

  • Pediatric nurses are essential in managing children with DSD.
  • Nurses facilitate informed decision-making and provide crucial psychosocial support.
  • Early and accurate diagnosis, coupled with ongoing support, improves outcomes for children with DSD.

Keywords:
DSDDisorders of sexual developmentIntersex

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