Gonadal dysgenesis: associations between clinical features and sex of rearing.

Abstract:

:The purpose of this study was to review the phenotypic and endocrine features or a series of patients with ambiguous genitalia or sex-reversal due to gonadal dysgenesis (GD) and to analyse the impact of these on the decision about sex of rearing. This study is a retrospective analysis of 22 patients with GD treated between 1964 and 1994. We assessed external genitalia, internal genitalia, internal genital structures, gonadal morphology (n = 22), basal and human CG (hCG) stimulated serum testosterone levels (n = 11) and serum gonadotropin levels (n = 13) in patients with GD. Basal and hCG stimulated testosterone levels were also measured for 43 control patients. There were no significant associations or correlations between internal or external genital phenotype, endocrine function and gonadal morphology. There was a significant association between sex of rearing and external genitalia (P = 0.03). Patients with gonadal dysgenesis had significantly lower stimulated/basal testosterone levels than the controls (P = 0.0001). Given that the clinical features of various forms of GD overlap considerably, gonadal biopsy should remain the investigation of choice when attempting to define the pathology.

journal_name

Endocr J

journal_title

Endocrine journal

authors

Cameron FJ,Montalto J,Byrt EA,Sinclair AH,Warne GL

doi

10.1507/endocrj.44.95

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

95-104

issue

1

eissn

0918-8959

issn

1348-4540

journal_volume

44

pub_type

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