Gender Dysphoria in a Patient With Ovotesticular Disorder of Sex Development

Author:

Moreno Telma12ORCID,Ribeiro Sara12,Rodrigues Pedro1

Affiliation:

1. Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar Universitário de São João , 4200-319 Porto , Portugal

2. Faculty of Medicine, Universidade do Porto , 4200-319 Porto , Portugal

Abstract

Abstract Ovotesticular disorder of sex development (OT-DSD) is a rare condition characterized by the presence of both ovarian and testicular tissue in the gonads. Management and sex designation of these patients depend on several factors, and an underlying potential for gender dysphoria should be acknowledged. We present a case of a patient diagnosed with 46,XX OT-DSD at 12 months old who was attributed a female sex designation but started manifesting gender dysphoria during adolescence. Gender identity is an important factor to consider on long-term follow-up of OT-DSD patients.

Publisher

The Endocrine Society

Reference10 articles.

1. Consensus statement on management of intersex disorders;Hughes;Arch Dis Child,2006

2. Endocrine management of ovotesticular DSD, an index case and review of the literature;Kilberg;Pediatr Endocrinol Rev,2019

3. Pubertal outcomes and sex of rearing of patients with ovotesticular disorder of sex development and mixed gonadal dysgenesis;Kim;Ann Pediatr Endocrinol Metab,2019

4. True hermaphroditism: geographical distribution, clinical findings, chromosomes and gonadal histology;Krob;Eur J Pediatr,1994

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