infant height estimator
2009
Management of intersex cases
When the child is born, clitoral enlargement and fusion of the labia minora may be noticed, to raise some questions about sex. Further examination will show that a vagina and uterus, and if (needlessly) perform a laparotomy, normal ovaries are found. A point of diagnosis is that the excretion of 17-oxosteroids and rise of Pregnanetriol
E s important to make a proper evaluation of the case as soon as possible in C, and all infants with genital abnormalities should be carefully examined. If a day is made wrong sex in childhood subsequent social adjustment may be more
Some patients do not present until you notice a defective growth (syndrome) or until the secondary sexual characteristics or menstruatio appear. In a few cases seek advice from an adult cause of infertility love or sexual difficulties.
After obtaining a case history, including the family "comprehensive review is made, taking into account the height and general bod hernia should be sought, with a possible inguinal gonad. An examination of the genital tract done under anesthesia if an examination of a smear No oral or nuclear leukocytes d
is helpful, but explained that this is not a test for "sex" itself. More elaborate studies are available on chromosome centers. An estimate of the urinary excretion of oxosteroids lead to the diagnosis of adrenogenital pseudohermaphroditism. Laparotomy (or laparoscopy) is justified only occasionally.
i If the general configuration of the body and genitals are female, and the mass nuclear chromosome is absent, the patient may have:
1. Turner syndrome (45 XO). 2. Gonadal agenesis (46 XY).
I 3. Testicular feminization (46 XY).
4. Hypospadias and undescended testes (46 XY).
If the setting is male, and the cores show the chromosome masses, the patient may have:
1. Congenital adrenogenital syndrome (46 XX).
2 .. Masculization by androgens given to her mother during the pregnancy I (46 XX).
3. Klinefelter Syndrome (47 XXY).
Patients without breast development is likely to be real men, or what gonadal dysgenesis.
I
. J management of intersex cases is often difficult. Except in the cases. Adrenogenital syndrome, which can almost never be granted full
i function and fertility, and the goal of treatment should be to help the individual to fit into society on sex that is most appropriate. Sexual
I sex is sometimes possible and desirable, and may be facilitated for surgical treatment.
In a child in the first decision is the best sex of rearing. Most cases of intersexuality is 'neutral' and therefore closer to the female phenotype, and
i procedures as simple as removing the phallus can help them. In cases of testicular feminization gonads should be removed after pubertal development because they are often the target of malignant transformation. Hormone replacement therapy usually is necessary.
Gonadal agenesis in secondary sexual characteristics can be developed pseudomenstruation I and sex steroids produced by giving, sometimes with psychological i b ~ Uden. ..
, Nothmg In older patients must be done to change the sex of a patient who has made a good social adjustment, whatever the outcome of the investigation scientific, and discretion must be exercised in the disclosure of these
I results. However, if the patient is ill adapted to the situation in which FMD "himself and is willing to accept the social disadvantages of a sex change, then surgical measures such as removal of the phallus, or even more extensive surgical procedures may be considered.
The psychological difficulties are often very large, and treatment of these unfortunate individuals demands teamwork, with close collaboration of the gynecologist, psychiatrist and other appropriate specialists.
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