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Consensus Statement on Management of Intersex Disorders

PEDIATRICS · 2006 · Vol. 118(2) · pp. e488–e500
Peter A. LeeChristopher P. HoukS. Faisal AhmedIeuan A. Hughes

Abstract

The birth of an intersex child prompts a long-term management strategy that involves a myriad of professionals working with the family. There has been progress in diagnosis, surgical techniques, understanding psychosocial issues and in recognizing and accepting the place of patient advocacy. The Lawson Wilkins Paediatric Endocrine Society (LWPES) and the European Society for Paediatric Endocrinology (ESPE) considered it timely to review the management of intersex disorders from a broad perspective, to review data on longer term outcome and to formulate proposals for future studies. The methodology comprised establishing a number of working groups whose membership was drawn from 50 international experts in the field. The groups prepared prior written responses to a defined set of questions resulting from an evidence based review of the literature. At a subsequent gathering of participants, a framework for a consensus document was agreed. This paper constitutes its final form.

Sexual Differentiation and DisordersGenetic and Clinical Aspects of Sex Determination and Chromosomal AbnormalitiesTesticular diseases and treatmentsMedicinePsychosocialConsensus conferencePerspective (graphical)Family medicineSet (abstract data type)Statement (logic)Disorders of sex developmentMEDLINEPediatrics

MeSH terms

Attitude to HealthCombined Modality TherapyCounselingFemaleForecastingGender IdentityGonadal Dysgenesis, 46,XYHumansInfant, NewbornMaleNeoplasms, Germ Cell and EmbryonalTerminology as TopicParentsPhenotypePsychology

Funding

  • Pfizer
  • European Society for Paediatric Endocrinology
  • European Society of Endocrinology
  • Pediatric Endocrine Society
Citations
2,287
FWCI
29.73
field-weighted impact
References
108
Percentile
100%
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Citations per year
References
Mapping brain maturation and cognitive development during adolescence
Trends in Cognitive Sciences · 2005 · 1,338 citations
Female genital appearance: ‘normality’ unfolds
BJOG An International Journal of Obstetrics & Gynaecology · 2005 · 424 citations
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