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CAH

From: Nassera (anonymous@obgyn.net)
Mon, 28 Jun 1999 13:33:35 -0500 (CDT)


I need advice regarding a case of CAH. The individual has been brought > up as a boy. H e is completely phenotypically male with a moustache,
> beard, and a penis about 3 in. long. He is 9 yrs old but looks taller.
> Testosterone level are 14. An US shows the presence of a uterus and
> ovaries. Karyotype 46XX. He is now complaining of lower abdominal pain ?
> cause? menarche. The parents want a TAH+BSO and would like to rear him
> as male. I feel that his sexual function as a male will not be normal
> therefore this may lead to severe psychological problems in the future.
> The family belongs to a very conservative society where reverting to a
> female phenotype might be equally difficult. Please advise
> Nassera

--
Nassera s Banu





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