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[The wrong sex].

B J Otten, A M Weerstra, G B Stoelinga

    Tijdschrift Voor Kindergeneeskunde
    |August 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Determining a child's sex assignment can be challenging with sexual ambiguity, as initial diagnoses may be incorrect. Expert early examination is crucial for accurate sex assignment, considering medical, psychosocial, and cultural factors to prevent future issues.

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    Area of Science:

    • Pediatric endocrinology
    • Genetics
    • Developmental biology

    Background:

    • Sexual ambiguity presents diagnostic challenges in sex assignment for newborns.
    • Incorrect initial sex assignment can lead to significant psychosocial and medical complications.
    • A clear classification system is vital for managing ambiguous genitalia.

    Observation:

    • Presents three case histories of patients with sexual ambiguity where initial sex assignment was incorrect.
    • Highlights the complex interplay of medical, psychosocial, and cultural factors in sex assignment decisions.
    • Demonstrates the limitations of initial diagnostic assessments.

    Findings:

    • Initial diagnoses of sex assignment in ambiguous genitalia cases can be erroneous.
    • A comprehensive approach integrating medical, psychosocial, and cultural factors is necessary for appropriate sex assignment.

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  • A structured classification aids in the investigation and management of ambiguous genitalia.

    • Implications:

    • Emphasizes the critical need for expert evaluation shortly after birth for definitive sex assignment.
    • Early and accurate sex assignment can prevent long-term developmental and psychological problems.
    • Informs clinical practice regarding the investigation and management strategies for infants with ambiguous genitalia.