Related Experiment Video
Updated: Jun 25, 2026

Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
Profile of intersex children in south India
1Department of Pediatrics Surgery, S.A.T. Hospital, Medical College, Thiruvananthapuram.
Insights
This study analyzed 35 children with ambiguous genitalia, finding most presented after infancy. Parental preference often leaned towards raising children as male due to social factors.
Area of Science:
- Pediatric Endocrinology
- Genetics
- Developmental Biology
Background:
- Ambiguous genitalia (disorders of sex development) present complex diagnostic and management challenges in children.
- Early diagnosis and appropriate management are crucial for long-term physical and psychosocial well-being.
- Societal perceptions and stigma surrounding intersex conditions influence parental decisions regarding sex assignment.
Purpose of the Study:
- To analyze the clinical presentation, laboratory findings, and management strategies for children with ambiguous genitalia.
- To evaluate the outcomes and long-term follow-up of these patients.
- To understand parental preferences and the rationale behind sex assignment decisions.
Main Methods:
- Retrospective analysis of 35 children with ambiguous genitalia admitted between January 1986 and December 1991.
- Review of clinical data, laboratory results, and surgical/medical management approaches.
- Follow-up to assess patient outcomes and parental decision-making.
Main Results:
- Most children (35 total) presented between 1 month and 2 years of age; only 2 presented neonatally.
- Sixteen cases were identified as female pseudohermaphrodites.
- Of 31 children with determined sex assignment, 18 were assigned female, and one genetic female with congenital adrenal hyperplasia was assigned male.
- Multiple clitoroplasty techniques were employed.
Conclusions:
- Parental preference for assigning male sex in intersex children may stem from reduced social stigma associated with impotent males versus sterile females.
- Societal factors, including male social independence, appear to influence sex assignment decisions.
- Management strategies require careful consideration of clinical, genetic, and psychosocial aspects.
Abstract:
Thirty five children with ambiguous genitalia admitted to our centre between January 1986 to December 1991, were followed up and their clinical, laboratory and management strategies were analyzed. Most of them presented between 1 month and 2 years of age and only 2 presented in the newborn period. Sixteen were female pseudohermaphrodites. Eighteen out of 31 children were assigned female sex. One genetic female with congenital adrenal hyperplasia was assigned male sex. We practised more than one type of clitoroplasty in our centre. Parents prefer the intersex children to be reared as male possibly because of the less social stigma attached to an impotent male than to sterile female, and because males are socially independent.
Related Concept Videos
Sex-linked Disorders
Sex Linked Disorders
Infertility in Males
Ethnic Identity within a Larger Culture
Influence of Parents and Peers on Identity
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth. This guiding role...
Socioemotional Experience and Gender Development

