Attitudes of adult 46, XY intersex persons to clinical management policies.

@article{MeyerBahlburg2004AttitudesOA,
  title={Attitudes of adult 46, XY intersex persons to clinical management policies.},
  author={Heino F L Meyer-Bahlburg and Claude J. Migeon and Gary D. Berkovitz and John P. Gearhart and Curtis Dolezal and Amy B. Wisniewski},
  journal={The Journal of urology},
  year={2004},
  volume={171 4},
  pages={
          1615-9; discussion 1619
        }
}
PURPOSE We surveyed a clinic sample of adult 46,XY intersex patients regarding attitudes to clinical management policies. MATERIALS AND METHODS All adult former patients of 1 pediatric endocrine clinic in the eastern United States whose addresses could be obtained and who consented to participation were surveyed by a comprehensive written followup questionnaire. Three questions on attitudes concerning the desirability of a third gender category and the age at which genital surgery should be… Expand
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Current understanding of the evaluation and management of intersex conditions is reviewed and Hormonal and genetic factors may have a more important role in gender identity and sexual satisfaction than previously recognized. Expand
Medical treatment of intersex: parental perspectives.
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Most parents of minor females with CAH who were born with genital ambiguity indicated that they were well informed and involved in the medical care given to their daughters, and in most instances parents indicated that genital surgery was indicated during infancy and should be undertaken even at the risk of reducing genital sensitivity. Expand
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Although gender identity differentiated largely in accordance with sex assignment or sex of rearing in the sample, the patients reared as female appeared to have poorer sexual adjustment than the males. Expand
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Not all intersex conditions are apparent at birth (for example, complete androgen insensitivity may only become apparent in a child with a testis within an inguinal hernia, or at puberty with primary amenorrhoea and lack of androgen hair), only those presenting with genital ambiguity at birth will be considered in this article. Expand
Sex assignment for newborns with ambiguous genitalia and exposure to fetal testosterone: attitudes and practices of pediatric urologists.
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Pediatric urologists are in strong consensus about sex assignment for newborns with ambiguous genitalia from CAH, a team approach with parental involvement, and early reconstruction, yet there is striking variability in attitudes toward sex assignment, which should be incorporated into the decision-making process with parents. Expand
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TLDR
Differences in SexQoL between diagnostic subgroups, effect of corrective genital surgery, and the influence of gender assignment will have to be further investigated in future studies. Expand
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TLDR
Results of intersex surgery have clearly improved with time, and apart from a patient with 5alpha-reductase deficiency who underwent a successful sex change, no patient expressed dissatisfaction with sex of rearing. Expand
Sexual quality of life after hormonal and surgical treatment, including phalloplasty, in men with micropenis: a review.
TLDR
The literature review supports the conclusions that male gender assignment is preferable for most 46,XY infants with congenital micropenis and psychological support should be an integral part of management in order to alleviate the distress and impairment of QoL experienced by these individuals. Expand
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Most patients with 46,XY disorders of sex development were satisfied with long-term results of masculinizing genitoplasty, although specific complaints about small penile length, sexual activity and urinary symptoms were frequent. Expand
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