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Childbirth in true hermaphrodite.

S Minowada, K Fukutani, M Hara

    European Urology
    |January 1, 1984
    PubMed
    Summary
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    A 14-year-old with ovotestis, a rare form of true hermaphroditism, later gave birth at age 25. This case highlights reproductive potential in individuals with intersex variations.

    Area of Science:

    • Reproductive endocrinology and genetics
    • Human sexual development and variation

    Background:

    • True hermaphroditism (now often referred to as Disorders of Sex Development) is a rare condition where an individual possesses both ovarian and testicular tissue.
    • Individuals with a 46,XX karyotype and ovotestes present unique challenges in understanding sexual development and reproductive potential.

    Observation:

    • A 14-year-old Japanese female with a 46,XX karyotype presented with signs of virilization.
    • Exploratory laparotomy revealed a left ovary and female pelvic organs, with the right gonad identified as an ovotestis, which was surgically removed.

    Findings:

    • The patient, despite having an ovotestis and undergoing gonadectomy, achieved a full-term, vaginal delivery of a healthy male infant at age 25.
    • This represents the third reported case of a normal delivery in individuals with true hermaphroditism who have experienced pregnancy and childbirth.

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    Implications:

    • This case underscores the complex and often underestimated reproductive capabilities in individuals with Disorders of Sex Development.
    • Further research into the hormonal and anatomical factors influencing fertility in true hermaphrodites is warranted.
    • Clinical management should consider the potential for future fertility and reproductive outcomes in affected individuals.