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MALE INTERSEXUALITY PRESENTING AT PUBERTY
Author(s) -
Dowd Pauline,
Dewhurst John,
Ginsburg Jean
Publication year - 1977
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1977.tb12512.x
Subject(s) - clitoris , phallic stage , menstruation , girl , secondary sex characteristic , endocrine system , medicine , physiology , testosterone (patch) , sex organ , anatomy , gynecology , endocrinology , hormone , biology , psychology , developmental psychology , genetics , psychoanalysis
Summary A 15‐year‐old girl was referred to the Endocrine Unit because of a deep voice and the absence of menstruation. Secondary sex hair showed a male pattern of distribution and there was a phallic clitoris 4 cm long, with the urethral orifice posterior. Plasma testosterone was within the normal male range. The karyotype was 46XY. Gonadectomy and clitoridectomy were performed. Histology suggested a diagnosis of anatomical testicular failure, which, in view of the imperfect attempt at masculinization, was thought to be only partial. Possible causes are discussed.