Gynecological challenges in the diagnosis and care of patients with DSD: The role of the obstetrician gynecologist in the multidisciplinary approach to the patient.

MedStar author(s):
Citation: American Journal of Medical Genetics. Part C, Seminars in Medical Genetics. 175(2):300-303, 2017 JunPMID: 28544433Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Pediatric and AdolescentForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Disorders of Sex Development/di [Diagnosis] | *Disorders of Sex Development/th [Therapy] | *Gynecology | *Obstetrics | Disorders of Sex Development/ep [Epidemiology] | Disorders of Sex Development/px [Psychology] | Female | Humans | Physician-Patient Relations | PregnancyYear: 2017ISSN:
  • 1552-4868
Name of journal: American journal of medical genetics. Part C, Seminars in medical geneticsAbstract: Copyright (C) 2017 Wiley Periodicals, Inc.Disorders (differences) of sex development (DSD) are identified when there is atypical chromosomal, gonadal, or anatomic sex. Given the complexity of DSD conditions, the consensus guidelines recommend that affected individuals be evaluated and cared for by teams with expertise in DSD conditions. Obstetrician gynecologists are experts in genital and reproductive anatomy, hormonal function, fertility, sexuality, and obstetrics, allowing them to provide a unique and essential function within the DSD team. Furthermore, obstetrician gynecologists with expertise in Pediatric and Adolescent Gynecology may follow individuals from birth into adulthood and provide reproductive health care for all ages, allowing these patients to "grow up" with them. Thus it is essential that gynecologists be part of a multidisciplinary team from birth through the reproductive lifespan. The purpose of this paper is to describe the role that the obstetrician gynecologist plays in the care of individuals with DSD conditions.All authors: Gomez-Lobo V, North American Society for Pediatric and Adolescent Gynecology, Oelschlager AAFiscal year: FY2017Digital Object Identifier: ORCID: Date added to catalog: 2017-06-14
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Journal Article MedStar Authors Catalog Article 28544433 Available 28544433

Copyright (C) 2017 Wiley Periodicals, Inc.

Disorders (differences) of sex development (DSD) are identified when there is atypical chromosomal, gonadal, or anatomic sex. Given the complexity of DSD conditions, the consensus guidelines recommend that affected individuals be evaluated and cared for by teams with expertise in DSD conditions. Obstetrician gynecologists are experts in genital and reproductive anatomy, hormonal function, fertility, sexuality, and obstetrics, allowing them to provide a unique and essential function within the DSD team. Furthermore, obstetrician gynecologists with expertise in Pediatric and Adolescent Gynecology may follow individuals from birth into adulthood and provide reproductive health care for all ages, allowing these patients to "grow up" with them. Thus it is essential that gynecologists be part of a multidisciplinary team from birth through the reproductive lifespan. The purpose of this paper is to describe the role that the obstetrician gynecologist plays in the care of individuals with DSD conditions.

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