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How can someone be raised as a guy but at a certain age, he finds out he has a huge clitoris and no testicles. The clitoris was mistook by a penis from his parents. is there any surgery for that?
9 مايو 2013
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د. Zakia Dimassi طب الأطفال
This is a case of ambiguous genitalia, which occurs in 1 in 2000 births. The most common cause is congenital adrenal hyperplasia (CAH), where a genetic defect leads to a malfunctioning enzyme at a certain level in the process of formation of sex hormones from cholesterol; this disease is treatable but the external appearance won't change with therapy. Other rarer causes include complete androgen insensitivity (these individuals do have testes in their abdomen or protruding through a hernia, but these testes are insensitive to testosterone; their external genitalia are those of a female), the severely undervirilized male (a number of genetic disorders), and gonadal dysgenesis or hermaphrodite (the individual has both male and female gonads but these organs are not necessarily functional and may therefore turn into cancerous tissue).
Gonadal surgical reconstruction exists; to proceed with it the individual or his/her caregivers must decide on the sex assignment. It's also essential to determine what functional sex organs exist. To keep in mind that such surgeries have equivocal results, and sexual dysfunction is not uncommon.
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