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Society for Endocrinology UK Guidance on the initial evaluation of a suspected difference or disorder of sex development (Revised 2021).

Published version
Peer-reviewed

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Authors

Alderson, Julie 
Crouch, Naomi S 
Elford, Sue 

Abstract

It is paramount that any child or adolescent with a suspected difference or disorder of sex development (DSD) is assessed by an experienced clinician with adequate knowledge about the range of conditions associated with DSD and is discussed with the regional DSD service. In most cases, the paediatric endocrinologist within this service acts as the first point of contact but involvement of the regional multidisciplinary service will also ensure prompt access to specialist psychology and nursing care. The underlying pathophysiology of DSD and the process of delineating this should be discussed with the parents and affected young person with all diagnostic tests undertaken in a timely fashion. Finally, for rare conditions such as these, it is imperative that clinical experience is shared through national and international clinical and research collaborations.

Description

Keywords

DSD, genitalia, gonads, puberty, Adolescent, Child, Disorders of Sex Development, Endocrinology, Humans, Parents, Sexual Development, United Kingdom

Journal Title

Clin Endocrinol (Oxf)

Conference Name

Journal ISSN

0300-0664
1365-2265

Volume Title

Publisher

Wiley
Sponsorship
Wellcome Trust (209328/Z/17/Z)
European Commission (777215 / EuRRECa, 946831 / EuRR‐Bone)