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By S. Paige Hertweck MD

Pediatric and Adolescent Gynecology is reviewed during this factor of Obstetrics and Gynecology Clinics, visitor edited by means of Dr. S. Paige Hertweck. specialists within the box have come jointly to pen articles on Genital Trauma, Urologic matters, Endometriosis within the Adolescent, Adolescent STIs, Intersex problems, Mullerian Anomalies, Polycystic Ovarian Syndrome within the Adolescent, Bleeding problems in youngsters, Thrombophilial stipulations within the Adolescent, Adolescent birth control, administration of irregular Cervical Cytology within the Adolescent, and untimely Ovarian Failure/Turner Syndrome within the Adolescent.

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Feminizing surgical management of intersex patients. Pediatr Surg Int 2004;20:543–7. 58. Alizai NK, Thomas DF, Lilford RJ, et al. Feminizing genitoplasty for congenital adrenal hyperplasia: what happens at puberty? J Urol 1999;161:1588–91. 59. Creighton SM, Minto CL, Steele SJ. Objective cosmetic and anatomical outcomes at adolescence of feminising surgery for ambiguous genitalia done in childhood. Lancet 2001;358:124–5. 60. Lean WL, Deshpande A, Hutson J, et al. Cosmetic and anatomic outcomes after feminizing surgery for ambiguous genitalia.

The impact of culture on sex assignment and gender development in intersex patients. Perspect Biol Med 2002;45:85–103. 21. Money J. Ablatio penis: normal male infant sex-reassigned as a girl. Archives of Sexual Behaviour 1975;4(1):65–71. 22. Dessens AB, Slijper FM, Drop SL. Gender dysphoria and gender change in chromosomal females with congenital adrenal hyperplasia. Arch Sex Behav 2005;34: 389–97. 23. Meyer-Bahlburg HF. Gender identity outcome in female-raised 46,XY persons with penile agenesis, cloacal exstrophy of the bladder, or penile ablation.

Hyperpigmentation of the genital skin and nipples may reflect the excess ACTH (adrenocorticotropic hormone) and proopiomelanocortin in infants with CAH. In preterm infants, caution must be applied in the interpretation of the findings on external genital examination to avoid overdiagnosis of DSD, as the clitoris may appear prominent in female infants, and descended testes do not occur before 34 weeks of gestational age (Fig. 10,11 Some investigations will be applied to all individuals with DSD to assist with diagnosis, others are more specifically ordered based on results of earlier testing and physical examination.

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