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. 2006 Mar 29:6:6.
doi: 10.1186/1472-6874-6-6.

Female genital mutilation of a karyotypic male presenting as a female with delayed puberty

M Ellaithi  1 , T Nilsson, D Gisselsson, A Elagib, H Eltigani, I Fadl-Elmula
Affiliations

Female genital mutilation of a karyotypic male presenting as a female with delayed puberty

M Ellaithi et al. BMC Womens Health. .

Abstract

Background: Female genital mutilation (FGM) is commonly practiced mainly in a belt reaching from East to West Africa north of the equator. The practice is known across socio-economic classes and among different ethnic, religious, and cultural groups. Few studies have been appropriately designed to measure the health effects of FGM. However, the outcome of FGM on intersex individuals has never been discussed before.

Case presentation: The patient first presented as a female with delayed puberty. Hormonal analysis revealed a normal serum prolactin level of 215 Micro/L, a low FSH of 0.5 Micro/L, and a low LH of 1.1 Micro/L. Type IV FGM (Pharaonic circumcision) had been performed during childhood. Chromosomal analysis showed a 46, XY karyotype and ultrasonography verified a soft tissue structure in the position of the prostate.

Conclusion: FGM pose a threat to the diagnosis and management of children with abnormal genital development in the Sudan and similar societies.

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Figures

Figure 1
Figure 1
The patient dressed as a female.
Figure 2
Figure 2
The Patient's chest: note the wide distance between breast nipples and the absence of breasts.
Figure 3
Figure 3
The patient's external genitalia.
Figure 4
Figure 4
Ultra sound showing a mass in the prostate's position.
See this image and copyright information in PMC

References

    1. World Health Organization . Female genital mutilation: a joint WHO/UNICEF/UNFPA statement. Geneva: WHO; 1997.
    1. Toubia N. Female Circumcision as a Public Health Issue. N Engl J Med. 1994;331:712–716. doi: 10.1056/NEJM199409153311106. - DOI - PubMed
    1. Grossman S. New publication on female genital mutilation. Interviews with Nahid Toubia and Anika Rahman, co-authors of Female Genital Mutilation: a Guide to Laws and Policies. Worldwide Reprod Freedom News. 2000;9:1–3. - PubMed
    1. World Health Organization . An Overview. Geneva: WHO; 1998. Female Genital Mutilation.
    1. Toubia N. Female Circumcision as Public Health Issue. N Engl J Med. 1994;331:712–716. doi: 10.1056/NEJM199409153311106. - DOI - PubMed

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