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These children, born with ambiguous genitalia, have their gonads (testes & ovaries) located at abnormal positions and at risk of damage due to high temperatures loosing fertility potential and risk of cancer. Their passage of passing urine (urethral meatus) is abnormally located and leads to infections of kidneys and kidney damage. Some of these children have their uterus in a position where there is blockage of outflow of secretions, leading to various irreversible consequences for their reproductive health.

journal of indian association of pediatric surgeons

Disorders of sex development: The quintessence of perennial controversies-III - DSD, transgenders and the judgment by the Hon′ble Supreme Court of India