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Ovotesticular differences of sex development: male or female? Case series

BACKGROUND: The choice of the sex of rearing in patients with ovotesticular differences of sex development (OT-DSD) is difficult. The final decision should be given by the patient himself or herself, but families’ opinion is not to neglect especially when the diagnosis is precocious and the patient...

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Autores principales: Scarpa, Maria-Grazia, Lesma, Arianna, Di Grazia, Massimo, Rigamonti, Waifro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6543609/
https://www.ncbi.nlm.nih.gov/pubmed/31146767
http://dx.doi.org/10.1186/s13052-019-0660-8
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author Scarpa, Maria-Grazia
Lesma, Arianna
Di Grazia, Massimo
Rigamonti, Waifro
author_facet Scarpa, Maria-Grazia
Lesma, Arianna
Di Grazia, Massimo
Rigamonti, Waifro
author_sort Scarpa, Maria-Grazia
collection PubMed
description BACKGROUND: The choice of the sex of rearing in patients with ovotesticular differences of sex development (OT-DSD) is difficult. The final decision should be given by the patient himself or herself, but families’ opinion is not to neglect especially when the diagnosis is precocious and the patient can’t give the consent to medical or surgical procedures. How should we behave if the parents refuse to raise a child with genital ambiguity? CASE PRESENTATION: We describe and comment on our multidisciplinary approach in three patients with neonatal diagnosis of OT-DSD. The families expressed a strong desire for that which concerned the sex of rearing of their babies in contrast to the International trend of “wait and see”. A specific counselling and a constant psychological support were given. CONCLUSIONS: Recent trends suggest of postponing surgery to involve the patient in the decision. Child’s well-being is the goal of therapy. When medical and psychological support is not able to force parents to accept a child suffering from genital ambiguity, we think that it is better to opt for reversible medical/surgical treatments rather than allowing patients to grow up within a family that does not accept them.
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spelling pubmed-65436092019-06-04 Ovotesticular differences of sex development: male or female? Case series Scarpa, Maria-Grazia Lesma, Arianna Di Grazia, Massimo Rigamonti, Waifro Ital J Pediatr Case Report BACKGROUND: The choice of the sex of rearing in patients with ovotesticular differences of sex development (OT-DSD) is difficult. The final decision should be given by the patient himself or herself, but families’ opinion is not to neglect especially when the diagnosis is precocious and the patient can’t give the consent to medical or surgical procedures. How should we behave if the parents refuse to raise a child with genital ambiguity? CASE PRESENTATION: We describe and comment on our multidisciplinary approach in three patients with neonatal diagnosis of OT-DSD. The families expressed a strong desire for that which concerned the sex of rearing of their babies in contrast to the International trend of “wait and see”. A specific counselling and a constant psychological support were given. CONCLUSIONS: Recent trends suggest of postponing surgery to involve the patient in the decision. Child’s well-being is the goal of therapy. When medical and psychological support is not able to force parents to accept a child suffering from genital ambiguity, we think that it is better to opt for reversible medical/surgical treatments rather than allowing patients to grow up within a family that does not accept them. BioMed Central 2019-05-30 /pmc/articles/PMC6543609/ /pubmed/31146767 http://dx.doi.org/10.1186/s13052-019-0660-8 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Scarpa, Maria-Grazia
Lesma, Arianna
Di Grazia, Massimo
Rigamonti, Waifro
Ovotesticular differences of sex development: male or female? Case series
title Ovotesticular differences of sex development: male or female? Case series
title_full Ovotesticular differences of sex development: male or female? Case series
title_fullStr Ovotesticular differences of sex development: male or female? Case series
title_full_unstemmed Ovotesticular differences of sex development: male or female? Case series
title_short Ovotesticular differences of sex development: male or female? Case series
title_sort ovotesticular differences of sex development: male or female? case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6543609/
https://www.ncbi.nlm.nih.gov/pubmed/31146767
http://dx.doi.org/10.1186/s13052-019-0660-8
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