Advances in diagnosis and care of persons with DSD over the last decade

Behalf of the Drugs and Therapeutics Committee of the Pediatric Endocrine Society

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

It is clear that the major issues raised by the Chicago Disorders of Sex Development (DSD) Consensus meeting primarily the need of more data, especially outcome information, are still not available. Hence, there are insufficient data to merit another consensus statement. However, there has been a major shift in the thinking and approach to the care of patients with DSD. This was a consequence of the emphasis of the need to reconsider the criteria for sex assignment, to incorporate new genetic and hormonal knowledge in the care, and to investigate impact of surgical timing and techniques. Much of the reconsideration is in response to patient, family, social and legal demands, including the need for full disclosure and family or individual participation in decisions. Further, there remains a lack of sufficient information to provide predictors for future gender development. Hence, it still is impossible to develop specific clinical guidelines to apply to patients generally or individually. Thus, it is pertinent to periodically evaluate and assess some of these multifaceted changes. This report discusses cultural and social forces, legal factors, surgical perspectives, treatment shifts including psychological approaches, progress regarding genetic diagnosis, gender issue comparisons with transgender patients, and on-going research studies occurring since the consensus conference.

Original languageEnglish (US)
Article number19
JournalInternational Journal of Pediatric Endocrinology
Volume2014
Issue number1
StatePublished - Sep 15 2014

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Pediatrics, Perinatology, and Child Health

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    Behalf of the Drugs and Therapeutics Committee of the Pediatric Endocrine Society (2014). Advances in diagnosis and care of persons with DSD over the last decade. International Journal of Pediatric Endocrinology, 2014(1), [19].