Initial assessment of a baby with indeterminate sex

Since time immemorial, the birth of a healthy, normal baby has been the expectation of every parent. But sometimes identification of sex is difficult at birth when the baby is born with ambiguous genitalia. These disorders, formerly known as intersex disorders or true/pseudo hermaphroditism, are now known as disorders of sex development (DSDs) and defined as congenital conditions in which development of chromosomal, gonadal or anatomical sex is atypical 1 . The profound psycho-social implications surrounding the birth of such a baby demands immediate attention with delicate and expert handling of the situation.