Ovotesticular differences of sex development: Male or female? Case series

Maria Grazia Scarpa, Arianna Lesma, Massimo Di Grazia, Waifro Rigamonti

Research output: Contribution to journalArticlepeer-review


Background: The choice of the sex of rearing in patients with ovotesticular differences of sex development (OT-DSD) is difficult. The final decision should be given by the patient himself or herself, but families' opinion is not to neglect especially when the diagnosis is precocious and the patient can't give the consent to medical or surgical procedures. How should we behave if the parents refuse to raise a child with genital ambiguity? Case presentation: We describe and comment on our multidisciplinary approach in three patients with neonatal diagnosis of OT-DSD. The families expressed a strong desire for that which concerned the sex of rearing of their babies in contrast to the International trend of "wait and see". A specific counselling and a constant psychological support were given. Conclusions: Recent trends suggest of postponing surgery to involve the patient in the decision. Child's well-being is the goal of therapy. When medical and psychological support is not able to force parents to accept a child suffering from genital ambiguity, we think that it is better to opt for reversible medical/surgical treatments rather than allowing patients to grow up within a family that does not accept them.

Original languageEnglish
Article number66
JournalItalian Journal of Pediatrics
Issue number1
Publication statusPublished - May 30 2019


  • DSD
  • Fertility
  • Ovotestis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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