Changes in the management of children with intersex conditions

@article{Diamond2008ChangesIT,
  title={Changes in the management of children with intersex conditions},
  author={Milton Diamond and Hazel Glenn Beh},
  journal={Nature Clinical Practice Endocrinology \&Metabolism},
  year={2008},
  volume={4},
  pages={4-5}
}
  • M. Diamond, H. Beh
  • Published 2008
  • Medicine
  • Nature Clinical Practice Endocrinology &Metabolism
Three broad recommendations have been made for the management of children with intersex conditions: halt all infant cosmetic genital surgery until evidence-based guidelines are available; conduct further research on the necessity of such surgery; and practice complete honesty with parents and patients. The authors discuss whether clinical practice has changed in response to these recommendations. 
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39 Citations
Background Citations
12
Methods Citations
2

39 Citations

Investigation and initial management of ambiguous genitalia.
  • S. Ahmed, M. Rodie
  • Medicine
    Best practice & research. Clinical endocrinology & metabolism
  • 2010
Long-Term Evaluation of Patients Undergoing Genitoplasty due to Disorders of Sex Development: Results from a 14-Year Follow-Up
TLDR
Patients with male sex assignment have more surgical complications and difficulties in psychosocial adjustment as compared to those with female sex assignment, and 136 patients withfemale sex assignment and 54 withmale sex assignment had favorable psychossocial adjustment.
Disorders of sex differentiation: a pediatric urologist's perspective of new terminology and recommendations.
Ethical principles and recommendations for the medical management of differences of sex development (DSD)/intersex in children and adolescents
TLDR
Three leading ethical principles that apply to DSD management are identified: to foster the well-being of the child and the future adult, to uphold the rights of children and adolescents to participate in and/or self-determine decisions that affect them now or later, and to respect the family and parent–child relationships.
Disorders of Sex Development : not Always Endocrine Disorders
TLDR
It is concluded that, especially in a high consanguineous population, DSD can occur due to a wide spectrum of endocrine and non-endocrine causes and there is no substitute to careful history and physical examination to help the diagnosis and avoid unnecessary investigations.
Management of disorders of sex development
TLDR
The inclusion of trained peer support in the multidisciplinary DSD team seems to be integral to the supportive management of patients with DSDs, which requires acceptance of the fact that deviation from the traditional definitions of gender is not necessarily pathologic.
Developmental, sexual and reproductive neuroendocrinology: Historical, clinical and ethical considerations
  • M. Diamond
  • Medicine
    Frontiers in Neuroendocrinology
  • 2011
DSD and Professionalism from a Multilateral View: Supplementing the Consensus Statement on the Basis of a Qualitative Survey
TLDR
The findings highlight the importance of close collaborations between different experts and a shift from the often simplified dispute about genital surgeries to a more holistic perspective with a long-term management strategy, which should serve as a cornerstone not only for clinical practice but also for future research and evaluation studies.
Embryology and Disorders of Sexual Development
  • T. A. Marino
  • Medicine
    Perspectives in biology and medicine
  • 2010
TLDR
If those who teach embryology to health-care professionals remain unaware of the controversies associated with the old terminology and continue to use it, they will perpetuate a nomenclature that can be destructive.
Parents Of Children With Ambiguous Genitalia: Stories Of Experiences Of Reconstructive Genital Surgeries And Finding Harmony
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References

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