Approach to the Infant with a Suspected Disorder of Sex Development

Pediatr Clin North Am. 2015 Aug;62(4):983-99. doi: 10.1016/j.pcl.2015.04.011. Epub 2015 May 23.

Abstract

A newborn with genital ambiguity requires careful diagnostic evaluation to identify the underlying etiology in an efficient manner and assign gender without lengthy delay. The infant's family needs comprehensive psychosocial support. Such infants should be referred to a multidisciplinary team with expertise in disorders of sex development.

Keywords: Androgen insensitivity syndrome; Congenital adrenal hyperplasia; Disorders of sex development; Family support; Gender assignment; Genital ambiguity; Sexual differentiation.

Publication types

  • Review

MeSH terms

  • Adrenal Hyperplasia, Congenital / complications
  • Disorders of Sex Development / diagnosis*
  • Disorders of Sex Development / etiology
  • Disorders of Sex Development / psychology
  • Disorders of Sex Development / therapy*
  • Family / psychology
  • Female
  • Humans
  • Infant, Newborn
  • Male
  • Patient Care Team
  • Referral and Consultation
  • Sex Reassignment Procedures