Profile of intersex children in south India

R Rajendran1, S Hariharan

  • 1Department of Pediatrics Surgery, S.A.T. Hospital, Medical College, Thiruvananthapuram.

Indian Pediatrics
|June 1, 1995
PubMed

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.

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