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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Evaluate Genetic Sex Of An Infant Who Has Both The Genitals?

hai, I am dr.venkatesh practising gynaecologist inA.P. Recently one baby born in my hospital who had got one testis in R side scrotal/labial fold. Scrotum bisected,short phallus.Small area of dimple in the area of vagina.Left testis is absent, but only labial fold. MRI done.except left side streaky gonads on left side and cord like structures in area of uterus, not much helpful for asribing baby sex. Besides evaluating genetic sex, what other should i do for evaluating and management for the baby.
posted on Wed, 15 Jan 2014
Twitter Fri, 17 Jan 2014 Answered on
Twitter Sat, 18 Jan 2014 Last reviewed on
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Sexologist,  's  Response
Hello
Thanks for posting such an interesting case. I think ,in view of the presence of a phallus, R testis and scrotum, my opinion is more tilted towards a male than a female but certainly he is a bisexual by physical examination. I think he should be treated like any other child and wait to see his further growth. we may encounter some problems when the child reaches adolescent stage when testosterone replacement may be needed??. At the moment I only wish he develops in to a male body structure.
The question of testosterone supplementation is open to be decided by a competent endocrinologist
regards
DR SAATIISH JHUNTRRAA
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How To Evaluate Genetic Sex Of An Infant Who Has Both The Genitals?

Hello Thanks for posting such an interesting case. I think ,in view of the presence of a phallus, R testis and scrotum, my opinion is more tilted towards a male than a female but certainly he is a bisexual by physical examination. I think he should be treated like any other child and wait to see his further growth. we may encounter some problems when the child reaches adolescent stage when testosterone replacement may be needed??. At the moment I only wish he develops in to a male body structure. The question of testosterone supplementation is open to be decided by a competent endocrinologist regards DR SAATIISH JHUNTRRAA