Academic literature on the topic 'Disorders of sex development (DSD)'

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Journal articles on the topic "Disorders of sex development (DSD)"

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Yamamoto, Noriko, Fumihisa Chishima, and Tatsuo Yamamoto. "Sexual Development and Disorders of sex development (DSD)." Journal of Nihon University Medical Association 72, no. 3 (2013): 129–36. http://dx.doi.org/10.4264/numa.72.129.

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Mendonca, Berenice Bilharinho, Sorahia Domenice, Ivo J. P. Arnhold, and Elaine M. F. Costa. "46,XY disorders of sex development (DSD)." Clinical Endocrinology 70, no. 2 (February 2009): 173–87. http://dx.doi.org/10.1111/j.1365-2265.2007.02993.x-i1.

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Mendonca, Berenice Bilharinho, Sorahia Domenice, Ivo J. P. Arnhold, and Elaine M. F. Costa. "46,XY disorders of sex development (DSD)." Clinical Endocrinology 70, no. 2 (September 22, 2008): 173–87. http://dx.doi.org/10.1111/j.1365-2265.2008.03392.x.

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Bashamboo, Anu, and Ken McElreavey. "Human sex-determination and disorders of sex-development (DSD)." Seminars in Cell & Developmental Biology 45 (September 2015): 77–83. http://dx.doi.org/10.1016/j.semcdb.2015.10.030.

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Eapen, Anu, Anuradha Chandramohan, Betty Simon, Tharani Putta, Reetu John, and Aruna Kekre. "Imaging Evaluation of Disorders of Sex Development." Journal of Gastrointestinal and Abdominal Radiology 03, no. 02 (January 27, 2020): 181–92. http://dx.doi.org/10.1055/s-0039-3402101.

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AbstractDisorders of sex development (DSD) refer to congenital conditions with a typical development of chromosomal, gonadal, or anatomic sex. In the revised classification of DSD, there are three categories based on karyotype: 46,XX DSD; 46,XY DSD; and sex chromosome DSD. Imaging, as part of a multidisciplinary approach to management of DSD, has a key role in gender assignment. The main role of imaging is to help in identifying the gonads and the Müllerian structures. Ultrasound is useful, especially in the neonate with ambiguous genitalia. Magnetic resonance imaging is a useful modality to locate and characterize the gonads in young girls with primary amenorrhea and also to identify streak gonads, which have a risk of malignancy.
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Guerrero-Fernández, Julio, Cristina Azcona San Julián, Jesús Barreiro Conde, José Antonio Bermúdez de la Vega, Atilano Carcavilla Urquí, Luis Antonio Castaño González, José María Martos Tello, et al. "Management guidelines for disorders/different sex development (DSD)." Anales de Pediatría (English Edition) 89, no. 5 (November 2018): 315.e1–315.e19. http://dx.doi.org/10.1016/j.anpede.2018.06.006.

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Looijenga, Leendert H. J., Remko Hersmus, J. Wolter Oosterhuis, Martine Cools, Stenvert L. S. Drop, and Katja P. Wolffenbuttel. "Tumor risk in disorders of sex development (DSD)." Best Practice & Research Clinical Endocrinology & Metabolism 21, no. 3 (September 2007): 480–95. http://dx.doi.org/10.1016/j.beem.2007.05.001.

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Gecz, J., J. Breza, and P. Banovcin. "Non-Syndromic 46,XY Disorders of Sex Development." Acta Medica Martiniana 18, no. 1 (June 1, 2018): 35–41. http://dx.doi.org/10.2478/acm-2018-0005.

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Abstract Non-syndromic 46,XY DSD (disorders of sex development) represent a phenotypically diversiform group of disorders. We focus on the association between gene variants and the most frequent types of non-syndromic 46,XY DSD, options of molecular genetic testing which has surely taken its place in diagnostics of DSD in the past couple of years. We emphasize the need of molecular genetic testing in individuals with non-syndromic 46,XY DSD in Slovak Republic.
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Walia, R., M. Singla, K. Vaiphei, S. Kumar, and A. Bhansali. "Disorders of sex development: a study of 194 cases." Endocrine Connections 7, no. 2 (February 2018): 364–71. http://dx.doi.org/10.1530/ec-18-0022.

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Objective To study the clinical profile and the management of patients with disorders of sex development (DSD). Design and setting Retrospective study from a tertiary care hospital of North India. Methods and patients One hundred ninety-four patients of DSD registered in the Endocrine clinic of Postgraduate Institute of Medical Education and Research, Chandigarh between 1995 and 2014 were included. Results One hundred and two patients (52.5%) had 46,XY DSD and seventy-four patients (38.1%) had 46,XX DSD. Sex chromosome DSD was identified in seven (3.6%) patients. Of 102 patients with 46,XY DSD, 32 (31.4%) had androgen insensitivity syndrome and 26 (25.5%) had androgen biosynthetic defect. Of the 74 patients with 46,XX DSD, 52 (70.27%) had congenital adrenal hyperplasia (CAH) and eight (10.8%) had ovotesticular DSD. Five patients with sex chromosome DSD had mixed gonadal dysgenesis. Excluding CAH, majority of the patients (90%) presented in the post-pubertal period. One-fourth of the patients with simple virilising CAH were reared as males because of strong male gender identity and behaviour and firm insistence by the parents. Corrective surgeries were performed in twenty patients (20%) of 46,XY DSD without hormonal evaluation prior to the presentation. Conclusion Congenital adrenal hyperplasia is the most common DSD in the present series. Most common XY DSD is androgen insensitivity syndrome, while CAH is the most common XX DSD. Delayed diagnosis is a common feature, and corrective surgeries are performed without seeking a definite diagnosis.
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Malone, P. S., M. A. Hall-Craggs, P. D. E. Mouriquand, and A. A. Caldamone. "The anatomical assessment of disorders of sex development (DSD)." Journal of Pediatric Urology 8, no. 6 (December 2012): 585–91. http://dx.doi.org/10.1016/j.jpurol.2012.08.009.

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Dissertations / Theses on the topic "Disorders of sex development (DSD)"

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Hamesath, Tatiana Prade. "Anomalias da diferenciação sexual : as narrativas dos pais sobre a constituição da identidade de gênero." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2010. http://hdl.handle.net/10183/55065.

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O distúrbio da diferenciação sexual que resulta em ambiguidade genital na criança, denominado atualmente de Anomalias da Diferenciação Sexual (ADS), tem se constituído como um problema e um desafio aos profissionais que tratam desses casos. Apesar de existir um número considerável de estudos sobre o tema, ainda não há um consenso sobre sua extensão, manejo e repercussões para os pacientes e seus pais. Este estudo buscou investigar as representações de mães e pais, de crianças com ADS, sobre a identidade de gênero de seus filhos. Foram entrevistados 3 mães e 3 pais de filhos nascidos com ADS, de diferentes idades. A entrevista narrativa e a análise de conteúdo foram utilizadas, respectivamente, como forma de coleta e análise dos dados. Os resultados mostraram que, tanto mães quanto pais, atribuem fundamental importância à anatomia da genitália como critério para definição da identidade sexual da criança, base sobre a qual se constitui, ao longo de seu desenvolvimento, a identidade de gênero da mesma. O estudo também possibilitou o levantamento e discussão de outros aspectos considerados importantes na opinião das mães e dos pais entrevistados como, por exemplo, o impacto emocional do diagnóstico quando do nascimento da criança, a investigação etiológica, o tratamento da ADS, o manejo médico e questões acerca do futuro dos filhos com ADS, que foram discutidos na pesquisa.
The disorders of sexual diferentiation which result from genital ambiguity in children, nowadays called Disorders of Sex Development (DSD), have become a problem and a challenge for the professional team who deals with these cases. Besides a large number of articles about this issue, there is no consensus about its extension, management and repercussion for patients and their parents. This study investigated the representations of gender identity of mothers and fathers of children with DSD. Three mothers and three fathers of children of different ages with DSD were interviewed. Narrative Interview and Content Analysis were used, respectively, as procedures of data collection and data analysis. The results showed that both mothers and fathers assigned fundamental importance to the genital anatomy as a criterion for sexual identity definition based on which gender identity will develop. In addition, this study also highlighted others aspects considered as important by the interviewed parents, such as the emotional impact of the diagnosis at birth and during the etiological investigation and treatment, the medical management, and issues about their children with DSD future.
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Brömdal, Annette. "Intersex - A Challenge for Human Rights and Citizenship Rights." Thesis, Södertörn University College, School of Social Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-890.

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The purpose with this dissertation is to study the Intersex phenomenon in South Africa, meaning the interplay between the dual sex and gender norms in society. Hence, the treatment by some medical institutions and the view of some non-medical institutions upon this ‘treatment’, have been studied in relation to the Intersex infant’s human rights and citizenship rights. The thesis has moreover also investigated how young Intersex children are included/excluded and mentioned/not mentioned within South Africa’s legal system and within UN’s Convention on the Rights of the Child.

Furthermore, because Intersex children are viewed as ‘different’ on two accounts – their status as infants and born with an atypical congenital physical sexual differentiation, the thesis’ theoretical framework looks at the phenomenon from three perspectives – ‘the politics of difference’, human rights, and citizenship rights directed towards infants. The theoretical frameworks have been used to ask questions in relation to the empirical data, i.e. look at how the Intersex infants are ‘treated’ in relation to their status as ‘different’; and also in relation to the concept of being recognized, respected and allowed to partake in deciding whether to impose surgery or not. Moreover, what ‘treatment’ serves the best interest of the Intersex child? This has been done through semi structured interviews.

In conclusion, some of the dissertation’s most important features are that since the South African society, like many other societies, strongly live by the belief that there are only two sexes and genders, this implies that Intersex infants do not fit in and become walking pathologies who must be ‘fixed’ to become ‘normal’. Moreover, since most genital corrective surgeries are imposed without being medically or surgically necessary, and are generally imposed before the age of consent (18), the children concerned, are generally not asked for their opinion regarding the surgery. Lastly because early corrective surgery can have devastating life lasting consequences, this ultimately means that the child’s human rights and citizenship rights are of a concern. These conclusions do however not ignore the consequences one has to endure for the price of being ‘different’.

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Amaral, Rita de Cássia do. "Avaliação da qualidade de vida de pacientes adultos com distúrbio do desenvolvimento sexual (DDS) 46,XX e 46,XY em uma larga coorte de um único centro terciário." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5166/tde-05102015-090623/.

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Introdução: As doenças crônicas que envolvem tratamento clínico e cirúrgico podem comprometer a qualidade de vida. Poucos estudos analisam a qualidade de vida de pacientes com distúrbios do desenvolvimento sexual (DDS). O objetivo foi avaliar a qualidade de vida de pacientes com DDS com o diagnostico etiológico estabelecido, seguidos até a idade adulta em um único centro terciário. Pacientes e Métodos: 144 pacientes adultos com DDS (56 pacientes com DDS 46,XX - 49 com sexo social feminino e 7 com o sexo social masculino, bem como, 88 pacientes com DDS 46,XY - 54 com sexo social feminino e 34 com sexo social masculino). Instrumento: A avaliação da qualidade de vida foi realizada através do questionário WHOQOL-Bref. Resultados: Os pacientes com DDS 46,XX e 46,XY apresentaram escores de qualidade de vida semelhante e comparáveis aos escores da população brasileira geral. Os pacientes com DDS do sexo social masculino tiveram melhores escores no domínio psicológico do que os pacientes do sexo social feminino, da mesma forma que a população geral brasileira. Dentro do grupo DDS 46,XY, também os pacientes com o sexo social masculino tiveram melhores escores de qualidade de vida em comparação aos do sexo social feminino. Para avaliar o impacto na qualidade de vida dos pacientes com DDS 46,XY criados no sexo social feminino, foi comparado os escores de qualidade de vida nos pacientes registrados no sexo social masculino com aqueles dos pacientes registrados no sexo social feminino e que mudaram para o sexo social masculino. Ambos os grupos apresentaram escores semelhantes de qualidade de vida. Comparou-se ainda, a qualidade de vida de pacientes com DDS 46,XY com deficiência de 5alfa-RD2 e pacientes com DDS, devido à defeitos na secreção ou ação da testosterona. Ambos os grupos apresentaram qualidade de vida semelhante entre si para as questões gerais e nos quatro domínios. A maioria das variáveis que influenciaram a qualidade de vida foram saúde geral, sentimentos positivos e espiritualidade, religião e crenças pessoais, cada um deles contribuindo com 18% da variabilidade da pontuação da qualidade de vida geral. O desempenho sexual teve pouca interferência na qualidade de vida geral, explicando apenas 4% da variabilidade deste escore. O tratamento tardio foi associado negativa e significativamente com pior qualidade de vida geral. Conclusão: Esta larga coorte de pacientes adultos com DDS, que foi seguida por uma equipe multidisciplinar em um único centro terciário, teve boa qualidade de vida na idade adulta. Ressalta-se que o tratamento tardio comprometeu a qualidade de vida dos pacientes com DSD, ao passo que o desempenho sexual teve pouca influência na qualidade de vida geral
Objective: Chronic diseases involving medical and surgical treatment may compromise the quality of life. Few studies have focused on the quality of life of patients with disorders of sex development (DSD). The aim was to evaluate quality of life in DSD patients with defined diagnoses followed until adulthood in a single tertiary centre. Patients and Methods: 144 Adult DSD patients (56 patients with 46,XX DSD - 49 with female social sex and 7 with male social sex as well as 88 patients with 46,XY DSD - 54 with female social sex and 34 with male social sex). Measurements: Quality of life using WHOQOL-Bref questionnaire Results: Both 46,XX and 46,XY DSD patients had similar quality of life scores on the WHOQOL-Bref, comparable to the scores of the Brazilian general population. Male social sex DSD patients had better scores on the psychological domain than female social sex DSD patients, as found in the Brazilian general population. In addition, among the 46,XY DSD group, the male social sex patients had better quality of life compared to the female social sex patients. To estimate the impact on quality of life of patients with DDS 46, XY raised in females social sex, we analyzed the quality of life scores of patients raised with male social sex with those patients registered with female social sex who changed to male social sex. Both groups had similar quality of life. We also evaluate the impact of testosterone in the quality of life of patients with 46,XY DSD with 5alfa-RD2 deficiency and patients with DSD due to testosterone secretion or action defects. Both groups showed similar quality of life. The most influencing variables on quality of life of all group of patients were general health, positive feelings and spirituality, religion and personal beliefs, each of them contributing with 18% of the variability of the general quality of life score. There was a positive and significant correlation between sexual performance and general quality of life, although it explained only 4% of the variability of the general quality of life score. Late treatment was associated negatively and significantly with poorer overall quality of life. Conclusion: This large cohort of adult DSD patients, which was followed by a multidisciplinary team in a single tertiary centre, had good quality of life in adulthood; in addition, late treatment compromised the quality of life of DSD patients, whereas sexual performance had little influence on quality of life
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Junior, Ari Alves de Oliveira. "Aspectos do desenvolvimento psicológico, social e sexual em pacientes com distúrbios do desenvolvimento sexual (DDS) 46, XY expostos no período pré-natal e concentrações normais ou reduzidas de testosterona." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/5/5135/tde-16012014-142007/.

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O objetivo deste estudo foi avaliar a influência da exposição a níveis normais ou reduzidos de testosterona durante a vida intrauterina no desenvolvimento psicológico, social e sexual dos pacientes com DDS 46, XY. Pacientes e métodos: Trata-se de um estudo retrospectivo. Os 53 participantes são pacientes portadores de DSD 46,XY devido a defeitos de produção de testosterona ou deficiência da 5alfa-RD2, todos eles com genitália ambígua que resultou na atribuição do sexo feminino ao nascimento. Os pacientes foram divididos em dois grupos: Grupo 1 (G1) - pacientes com DDS 46, XY, devido a defeito na produção de testosterona, constituído por 29 pacientes, 8 deles com deficiência de 17beta-HSD3, 7 com hipoplasia das células de Leydig, 7 com disgenesia gonadal parcial, 6 com deficiência 17alfa-hidroxilase e 1 com deficiência 3beta-HSD2; Grupo 2 (G2) - constituído por 24 pacientes com deficiência de 5alfa-RD2. Foi utilizado um questionário com 32 perguntas abrangendo aspectos do desenvolvimento psicológico, social e sexual destes pacientes. Resultados: Foi encontrada uma diferença significativa nos seguintes aspectos do desenvolvimento psicológico, social e sexual dos participantes do estudo: maior incidência de masturbação, fantasias eróticas e desejo de ter filhos em pacientes com deficiência da 5alfa-RD2 com sexo social masculino. Nas pacientes com sexo social feminino o desejo de ter filhos foi maior naquelas com DDS 46, XY por defeitos na produção de testosterona do que naquelas com deficiência da 5alfa-RD2 (p < 0,05), enquanto que o desejo de ter filhos foi maior nos homens com deficiência 5alfa-RD2 (p > 0,05). O número de indivíduos casados foi significativamente maior no grupo dos pacientes com DDS 46, XY por defeitos na produção de testosterona do que no grupo dos pacientes com DDS 46, XY por deficiência da 5alfa-RD2 (p = 0,003). Em conclusão, nossos resultados indicam uma possível influência da exposição aos andrógenos durante a vida pré-natal no desenvolvimento psicológico e social, bem como em aspectos da vida sexual dos pacientes adultos com DDS 46, XY
The aim of this study was to evaluate the influence of exposure to normal or reduced levels of testosterone during intra-uterine life in psychological, social, and sexual development of patients with DSD 46, XY. Patients and methods: This is a retrospective study. The 53 participants were patients with DSD 46, XY due to defects in production of testosterone or deficiency of 5alfa-RD2, all of them with ambiguous genitalia and female sex assignment at birth. These patients were divided into two groups: Group 1 (G1) - patients with DSD 46, XY, due to a defect in the production of testosterone, consisting of 29 people, 8 with deficiency of 17beta-HSD3, 7 with Leydig cell hypoplasia, 7 with partial gonadal dysgenesis, 6 with 17alfa-hydroxylase deficiency ,1 with 3beta-HSD2 deficiency, Group 2 (G2) - consisting of 24 patients with deficiency of 5alfa-RD2. We used a questionnaire with 32 questions covering aspects of psychological, social and sexual development of these patients. Results: A significant difference was found in the following aspects of psychological, social and sexual development of these patients: higher incidence of masturbation, erotic fantasies and desire for children in patients with deficiency of 5alfa-RD2 with male social sex. In patients with female social sex, the desire to have children was higher in those with DSD 46, XY by defects in the production of testosterone than in those with deficiency of 5alfa-RD2 (p < 0.05), while the desire to have children in men was higher in those with 5alfa-RD2 (p > 0.05). The number of married individuals was significantly higher in the group of patients with DSD 46, XY by defects in the production of testosterone than in the group of patients with DSD 46, XY by deficiency of 5alfa-RD2 (p = 0.003). In conclusion, our results indicate a possible influence of exposure to androgens during prenatal life in psychological and social development, as well as in aspects of sexual life of adult patients with DSD 46, XY
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Cox, Kathryn Joan. "Antenatal factors in the development of disorders of sex development." Thesis, University of Glasgow, 2018. http://theses.gla.ac.uk/9134/.

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Disorders of sex development (DSD) are a diverse group of conditions in which there is variation from the typical chromosomal, gonadal, or anatomical developmental pathway. While much has been learnt about the genetic aetiology of many of these disorders, a significant proportion of cases remain without a definitive diagnosis. This thesis consists of a series of studies designed to look at different aspects of DSD in order to identify causes and develop better ways to assess and research these conditions in the future. Chapter 1 is an extensive literature review of normal sex development, models to describe the sex phenotype, steroidogenesis, steroid hormone structure and physiological role, classification of DSD, clinical uses of progestogens and determinants of foetal growth. An understanding of these diverse subjects is essential to consider the topics investigated. Chapter 2 presents the rationale for, and specific aims of, this thesis. Chapter 3 describes a study using the I-DSD registry, the largest international register of cases of DSD, to identify associated conditions co-occurring in DSD. 649 cases with documented consent were identified and analysed from the registry, with further information obtained from the reporting clinician where necessary. Associated conditions were reported in 168 cases (26%), overall, and when considered according to karyotype were reported in 112 cases of 46,XY DSD (24%), 27 cases of 46,XX DSD (22%), 19 cases of 45,X/46,XY (45%), and 6 cases of 45,X (75%). In 46,XY DSD, which represents the largest group of cases in the Registry, small for gestational age (SGA), cardiac and CNS anomalies were the most commonly reported associated conditions. This study strengthens the recognised association between SGA and non-specific 46,XY DSD. Additionally, the data indicate a possible association between genetically confirmed AIS and skeletal and renal anomalies. These results provide new research targets for cases in which the aetiology of DSD remains unclear. They also highlight the need for multi-disciplinary teams for management of these patients. Chapter 4 documents a clinical study investigating the association between hypospadias, one of the mildest conditions on the spectrum of DSD, and the measurement of anogenital distance (AGD). 88 boys had AGD measured under general anaesthetic during hypospadias surgery, alongside assessment of severity of hypospadias. Medical notes were reviewed for further information including birth weight, gestation and the presence of additional genital anomalies, as described by the external masculinisation score (EMS). Median AGD was found to be shorter in boys with severe hypospadias (63mm), than those with mild hypospadias (75mm) (p < 0.001). Additionally these boys were more likely to have lower birth weight SDS (-0.61) than boys with mild hypospadias (-0.42) (p= 0.013). This study is the first to show a link between severity of hypospadias, additional genital anomalies, and degree of AGD shortening. This supports the hypothesis that severe forms of hypospadias may be linked to inadequate androgen exposure in utero. Results also show that boys with more severe hypospadias have a lower birthweight, reinforcing the link between 46,XY DSD and SGA. Chapter 5 describes the use of a rat model to investigate the developmental effects of exposure to the progestogen medroxyprogesterone acetate (MPA) during the male programming window. It has been previously suggested that antenatal exposure to progestogens may be associated with DSD. In this study Sprague Dawley dams were injected with 75mg/kg or 150mg/kg of subcutaneous MPA on gestational days 14.5 to 18.5. Results showed that MPA exposure was associated with a shorter than normal AGD in male rats, and a longer AGD in female rats. Offspring of both sexes had reduced birth weight when exposed to MPA (control weight 5.99g, MPA 75mg/kg 4.58g, MPA 150mg/kg 4.72g). There was no evidence of an effect on internal reproductive structures, including testis weight. Chapter 6 describes studies using small vessel myography to investigate vascular function in the pregnant dams exposed to MPA in the previous studies. Low birth weight can be the result of altered vascular remodelling during pregnancy, leading to impaired placental function. It has previously been suggested that impaired placental function may be responsible for the combination of intra-uterine growth restriction and DSD. Uterine artery segments from animals exposed to MPA 150mg/kg demonstrated greater vessel wall thickness, and a trend towards an increase in internal and external diameter, with increased distensibility at higher pressures when compared to control segments. Wire myography showed that vasoconstriction in response to noradrenaline and NG-nitro-L-arginine methyl ester (L-NAME) was reduced following MPA exposure. These studies do not explain the causes of reduced growth in MPA exposed offspring. The responses seen are the opposite of those seen in animals with pre-eclampsia and hypertension, and may demonstrate the protective effect of progestogens in pregnancies complicated by these conditions. Chapter 7 draws together the findings of all the studies in this thesis, to reach overall conclusions. The common theme of an association between DSD and impaired foetal growth from all three branches of this work in discussed. The potential for further investigations in pursuing this work to strengthen conclusions and inform future practice is considered.
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Bennecke, Elena [Verfasser]. "Disorders of Sex Development : Psychosocial Aspects / Elena Bennecke." Berlin : Freie Universität Berlin, 2021. http://d-nb.info/1228334544/34.

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Conley, Nathaniel L. "Factors Influencing the Decision to Share Information about Differences of Sex Development among Adolescents and Young Adults." University of Cincinnati / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1627665300623565.

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Chivers, Clare. "Disorders of sex development : developmental challenges and mothers' experiences of support." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12845/.

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An increasing body of research has sought to determine the impact of Disorders of Sex Development (DSD) on the family of the affected child. Little is currently understood about the support needs of the family and how well these needs are met. With a focus on mothers as primary caregivers, Interpretive Phenomenological Analysis was used to analyse semi-structured interviews with eight mothers of children with DSD about their experiences of support. Four master themes emerged which encapsulated the stages in their child’s development when mothers most needed support, the importance of developing an understanding of the child’s condition, the lack of an acknowledgement of the emotional needs of the parent, and the importance of having close and trusted networks for support. Continuity and availability of support were considered important and while all participants prioritised maintaining privacy about the condition, a minority felt that this impacted on the level of support they received. Key periods of time for support were identified and while some felt that they were well supported others felt that their support did not meet their emotional needs. The results were discussed in light of previous research, and the clinical implications considered.
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Hall, Tracy Lynn Pfeifer. "Nurse Focused Cultural Competency Education for Patients with Differences of Sex Development." Mount St. Joseph University Dept. of Nursing / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn161944517472267.

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Guntram, Lisa. "Ambivalent Ambiguity? : A study of how women with 'atypical' sex development make sense of female embodiment." Doctoral thesis, Linköpings universitet, Tema teknik och social förändring, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-111100.

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Against a backdrop of feminist and social scientific research on sex, female embodiment, and normality this thesis aims to discern how young women, who in adolescence have learned that their bodies are developing in ways considered ‘atypical’ for the female sex, make sense of their bodies and their situation. In focus are the ways in which the women make sense of and negotiate female embodiment; how they, particularly in stories about their interactions with others, position their embodied selves; and how norms and beliefs about sexed embodiment, heterosexual practice, and in/fertility are strengthened and challenged in the interviewees’ sense-making. The data comprise 23 in-depth interviews with women who in adolescence have learned that they do not have a uterus and a vagina, or who have learned that they do not have two X chromosomes and have no, or non-functioning, ovaries. Through narrative and thematic analysis the thesis shows how the women’s sense-making can be obstructed by norms about female embodiment, heterosexual practice, and in/fertility, expressed through medical terminology and practice and in interaction with family, friends, and peers, as described by the interviewees. Concomitantly, as the thesis demonstrates, medical terminology can be experienced and function as a resource in the women’s sense-making. Diagnostic categories enable them to put the specificities of sex development into words and raise awareness about bodily variation. Furthermore, in their stories about others’ reactions to their bodies and about their experience and management of certain medical treatments, the women question norms about female embodiment, heterosexual practice, and in/fertility that were previously taken for granted. The complexity of the women’s sense-making is demonstrated through the ways in which the interviewees, on the one hand, align with norms about female embodiment, heterosexual practice, and in/fertility, and in which they, on the other hand, succeed in challenging the same. In this ‘juggling’ of reinforcement and resistance, the thesis argues, the women are found to expand rather than dismiss beliefs about female embodiment.  Thus, the thesis contributes with deepened knowledge about what it can be like to live with these specific conditions and with problematizations of how norms about female embodiment can be enacted and questioned.
Mot bakgrund av feministisk och samhällsvetenskaplig forskning kring kön, kvinnlig kroppslighet och normalitet syftar avhandlingen till att undersöka hur unga kvinnor, som i tonåren fått reda på att deras kropp utvecklas på ett sätt som anses ”otypiskt” för det kvinnliga könet söker förstå och skapa mening kring sin kropp och situation. Framförallt undersöks dessa kvinnors meningsskapande, hur de i sina berättelser positionerar sig i relation till andra, och hur normer och föreställningar om kvinnlig kroppslighet, heterosexuell praktik och in/fertilitet förstås, förhandlas, stärks och ifrågasätts i berättelserna. Materialet som undersöks utgörs av 23 djupintervjuer med kvinnor som i tonåren fått reda på att de antingen inte har någon livmoder och vagina eller att de inte har två X kromosomer och inga eller  icke-fungerade äggstockar. Genom narrativa och tematiska analyser visar avhandlingen hur kvinnornas meningskapande formas av normer kring kvinnlig kroppslighet, heterosexuell praktik och in/fertilitet, då de uttrycks i kvinnornas berättelser om sin situation i möten med andra och i relation till medicinsk praktik. Samtidigt, visar avhandlingen, kan medicinsk terminologi, specifikt diagnoser, och praktik utgöra resurser i kvinnornas meningsskapande som möjliggör för dem att sätta ord på och sprida kunskap om kroppslig variation. I kvinnornas berättelser om andras reaktioner på deras kroppar och om deras erfarenhet och hantering av specifika medicinska behandlingar utmanas vidare normer som kvinnorna tidigare har tagit för givet. Genom analysen framträder således komplexiteten i kvinnornas meningskapande då de å ena sidan anammar förgivettagna normer om kvinnlig kroppslighet, heterosexuell praktik och infertilitet och å andra sidan utmanar de samma. I detta ”jonglerande” av anpassning till normer och motstånd mot desammasyns kvinnorna expandera snarare än avfärda föreställningar om kvinnlig kroppslighet. Avhandlingen fördjupar därmed kunskapen om hur det kan vara att leva med dess specifika tillstånd och till att problematisera hur normer om kvinnlig kroppslighet kan ta sig uttryck och ifrågasättas.
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Books on the topic "Disorders of sex development (DSD)"

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Hutson, John M., Garry L. Warne, and Sonia R. Grover, eds. Disorders of Sex Development. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-22964-0.

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Hutson, John M., Sonia R. Grover, Michele A. O'Connell, Aurore Bouty, and Chloe A. Hanna, eds. Disorders|Differences of Sex Development. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-13-7864-5.

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Sex hormones: Development, regulation and disorders. New York: Nova Science Publishers, 2011.

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Kreukels, Baudewijntje P. C., Thomas D. Steensma, and Annelou L. C. de Vries, eds. Gender Dysphoria and Disorders of Sex Development. Boston, MA: Springer US, 2014. http://dx.doi.org/10.1007/978-1-4614-7441-8.

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Warne, G. L., Sonia R. Grover, and John M. Hutson. Disorders of sex development: An integrated approach to management. Heidelberg: Springer, 2012.

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Pinsky, Leonard. Genetic disorders of human sexual development. New York: Oxford University Press, 1999.

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D, Chernausek Steven, and Kropp Bradley Peter, eds. Disorders of sex development: A guide for parents and physicians. Baltimore: The Johns Hopkins University Press, 2012.

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Werlen, Mirjam. Persönlichkeitsschutz des Kindes, höchstpersönliche Rechte und Grenzen elterlicher Sorge im Rahmen medizinischer Praxis: Das Beispiel von Varianten der Geschlechtsentwicklung und DSD. Bern: Stämpfli, 2014.

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Tunnadine, Prudence. Insights into troubled sexuality: A case profile anthology. London: Chapman & Hall, 1992.

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John, Money. Man & woman, boy & girl: Gender identity from conception to maturity. Northvale, N.J: Jason Aronson, 1996.

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Book chapters on the topic "Disorders of sex development (DSD)"

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O’Connell, Michele A. "Sex Chromosome DSD." In Disorders|Differences of Sex Development, 103–13. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-13-7864-5_8.

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Hutson, John M. "Non-hormonal DSD." In Disorders of Sex Development, 89–96. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-22964-0_9.

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Bartlett, Murray. "Imaging in DSD." In Disorders of Sex Development, 133–45. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-22964-0_14.

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Hutson, John M., and Chris Kimber. "Laparoscopy for DSD." In Disorders of Sex Development, 183–91. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-22964-0_18.

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Hewitt, Jacqueline K., and Garry L. Warne. "46,XY DSD." In Disorders of Sex Development, 63–80. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-22964-0_7.

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Hutson, John M., and Garry L. Warne. "DSD Later in Childhood." In Disorders of Sex Development, 115–24. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-22964-0_12.

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Hutson, John M. "Abnormal Embryology in DSD." In Disorders of Sex Development, 41–52. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-22964-0_5.

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Hutson, John M., and Aurore Bouty. "Embryology in DSD." In Disorders|Differences of Sex Development, 49–64. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-13-7864-5_5.

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O’Connell, Michele A., Sonia R. Grover, and Aurore Bouty. "46,XX DSD." In Disorders|Differences of Sex Development, 65–75. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-13-7864-5_6.

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O’Connell, Michele A., Aurore Bouty, and Sonia R. Grover. "46,XY DSD." In Disorders|Differences of Sex Development, 77–102. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-13-7864-5_7.

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Conference papers on the topic "Disorders of sex development (DSD)"

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Weber-Tramèr, AT. "Zwischen den Geschlechtern Disorder of Sex Development (DSD) – eine Herausforderung für Hebammen." In 28. Deutscher Kongress für Perinatale Medizin. Georg Thieme Verlag KG, 2017. http://dx.doi.org/10.1055/s-0037-1607860.

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Reports on the topic "Disorders of sex development (DSD)"

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Sandberg, David, Melissa Gardner, Nina Callens, Patricia Fechner, Kristin Kopec, Melissa Sharp, Margarett Shnorhavorian, Laura Siminoff, Stefan Timmermans, and Eric Vilain. Helping Caregivers of Children with Differences/Disorders of Sex Development Decide on Treatment. Patient-Centered Outcomes Research Institute® (PCORI), November 2019. http://dx.doi.org/10.25302/11.2019.cer.1360.

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