期刊
JOURNAL OF PEDIATRIC UROLOGY
卷 16, 期 5, 页码 598-605出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.jpurol.2020.06.004
关键词
Androgen insensitivity syndrome; Gonadal dysgenesis; Virilization; 5-Alpha reductase deficiency; Genital surgery; Psychological assessment
The focus of this article is to review the complex determinants of gender assignment in a child with a disorder of sex development using four different clinical cases. While the care of patients with DSD may be shared across several specialties and opinions regarding their management may vary, this may be further complicated by psychosocial, cultural and economic factors. In this regard, access behavioral health specialists with experience and specialization in the treatment of patients with DSD should be a foundational component of the standard of care and can greatly assist in the complex decision-making regarding gender assignment. We recommend an individualized approach by a multidisciplinary team utilizing a range of evolving strategies, including outcome data (or lack thereof) to support families during the decision-making process.
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