Gender of rearing and psychosocial aspect in 46 XX congenital adrenal hyperplasia

Background: In congenital adrenal hyperplasia (CAH) with ambiguous genitalia, assigning gender of rearing can be complex, especially If genitalia is highly virilized. Apart from karyotype, prenatal androgen exposure, patient's gender orientation, sociocultural, and parental influences play a ro...

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Bibliographic Details
Published in:Indian journal of endocrinology and metabolism 2016-11, Vol.20 (6), p.870-877
Main Authors: Gangaher, Arushi, Jyotsna, Viveka, Chauhan, Vasundhera, John, Jomimol, Mehta, Manju
Format: Article
Language:English
Subjects:
Ambiguous genitalia
Analysis
Androgens
Care and treatment
Congenital adrenal hyperplasia
Decision making
Endocrinology and Gender
gender dysphoria
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Summary:Background: In congenital adrenal hyperplasia (CAH) with ambiguous genitalia, assigning gender of rearing can be complex, especially If genitalia is highly virilized. Apart from karyotype, prenatal androgen exposure, patient's gender orientation, sociocultural, and parental influences play a role. The aim of this study was to assess gender dysphoria and psychosocial issues in patients of CAH raised as males and females. Materials and Methods: This is a cross-sectional study that includes patients (old and new) with CAH who were treated by us in the last 6 months. A semi-structured interview proforma was used to elicit history and psychosocial background of the patients. The clinical and biochemical details were noted. For psychological analysis, patients were screened for gender dysphoria using Parent Report Gender Identity Questionnaire for children
ISSN:2230-8210
2230-9500
DOI:10.4103/2230-8210.192922