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Review
. 2000 Feb;36(1):69-73.
doi: 10.1046/j.1440-1754.2000.00432.x.

True hermaphroditism

A M Walker  1 , J L Walker, S Adams, E Shi, M McGlynn, C F Verge
Affiliations
Review

True hermaphroditism

A M Walker et al. J Paediatr Child Health. 2000 Feb.

Abstract

Objective: True hermaphroditism is a rare cause of atypical genitalia which presents significant diagnostic and management challenges. We present the clinical and laboratory findings and management of four patients with true hermaphroditism.

Methodology: Case studies from a teaching hospital and literature review.

Results: All four patients had atypical genitalia identified at birth. All had a palpable gonad, only one of which was palpable at birth. Three patients were 46XX (SRY -ve) and one 46XY (SRY +ve). Three patients were raised as females (two 46XX and one 46XY) and one as a male. All four patients were found to have an ovotestis present.

Conclusions: The management of true hermaphroditism is controversial and requires a multidisciplinary approach. It has many implications for both the parent and child. We discuss the issues involved for the patients and their parents.

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