Factors contributing to sex assignment and reassignment decisions in Turkish children with 46,XY disorders of sex development.
J Pediatr Endocrinol Metab
; 20(9): 1001-15, 2007 Sep.
Article
em En
| MEDLINE
| ID: mdl-18038709
ABSTRACT
BACKGROUND:
Sex assignment decisions for children with disorders of sex development (DSD) should be based on integrative assessments of relevant biological and psychosocial characteristics.AIM:
To investigate the factors that contributed to sex assignment decisions for children with 46,XY DSD. PATIENTS Sixty-one children recruited from a clinical sample were evaluated.METHODS:
Findings of endocrinological and psychiatric evaluations were entered into a logistic regression analysis.RESULTS:
Gender identity was the strongest correlate of assigned sex. External genital under-virilization, sex announced at birth and toy/ activity preferences were predominant predictors. Twelve children, six of whom were prepubertal, were reassigned to male sex.CONCLUSIONS:
Psychological factors seem to be as influential on sex reassignment decisions as are endocrinological and social factors, especially if the disorder is diagnosed at an older age. Prepubertal gender conversion is possible, which implies the importance of follow-up during childhood.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transexualidade
/
Transtornos dos Cromossomos Sexuais
Tipo de estudo:
Prognostic_studies
Limite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article