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Back to Health A to Z Differences in sex development Differences in sex development DSD is a group of rare conditions involving genes, hormones and reproductive organs, including genitals. It means a person's sex development wherees different to most other people's.

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Back to Health A to Z Differences in sex development Differences in sex development DSD is a group of rare conditions involving genes, hormones and reproductive organs, chag genitals.

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It means a person's sex development is different to most other people's. Some adults and young people with DSD prefer to use the term intersex.

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Why does DSD happen? You wherws your child may have sex chromosomes bundles of genes usually associated with being female XX chromosomes or usually romo with being male XY chromosomesbut wueres organs and genitals that may look different from usual. This happens because of a difference with your genes or how you respond to the sex hormones in your body, or both. It can be inherited, but there is often no clear reason why it happens.

The most common times to find out that a person has a DSD are around the time of their birth or when they're a teenager. Some examples are: Usual female pattern genes with genitals that look different to girls' genitals Some people have XX usual female chromosomes with ovaries and a womb, but their genitals may not look the same as many females.

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For example, they may have a more developed rooj and their vagina may be closed. The most common cause is congenital adrenal hyperplasia CAH. A person who has CAH lacks an enzyme chemical substance that their body needs to make the hormones cortisol and aldosterone. Without these hormones, their body produces more androgens sex hormones that are naturally higher in males. If the child is female, the raised androgen levels before birth can cause their genitals to look different, such as a larger clitoris and a vagina that is not open in the usual place.

CAH can also cause serious health issues, such as life-threatening kidney problems that need to be treated as soon as possible. Find more information and advice from the CAH support group.

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Genes usually seen in males with genitals that look the same as most girls' and fukc internal male structures Some people have XY male chromosomes, but their external genitals may develop in the usual way for girls or boys. Sometimes it's difficult at first to know whether their genitals are more similar to girls' or boys'. A person may have a womb and may also have testicles inside their body. Sometimes the testicles might not work properly.

Many people with 46,XY DSD are boys born with the opening to pass urine towards the bottom of their penis or below it. For some, the scrotum appears separated into two smaller sacs, one on either side. Doctors call this peno-scrotal hypospadias and boys and men with this DSD can have either fully wherez or partially developed testes. One romo cause is androgen insensitivity syndrome AISfucck the body "ignores" androgens or is insensitive to them.

Sometimes a person's body does not respond at all or only partly responds to androgens. Complete insensitivity to androgens makes a person with XY chromosomes female. Partial insensitivity to androgens can mean that some people are male and others are female. Ordinary looking genitals but different sex development Some people have a chromosome pattern other than the usual XY or XX.

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Their internal xhat external sex organs can be either male or female, but they may not go through a full physical development at puberty. For example, with female sex organs may not start having periods. Doctors call this sex chromosome DSD.

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This can mean they do not produce the usual level of testosterone, the sex hormone responsible for the development of male characteristics, such as the testes and body hair. Testosterone is also important for bone strength and fertility in men. Find more information and support about Klinefelter syndrome. Another example of this type of DSD is Turner syndromewhich is where a girl is born with a missing X fucl.

Girls and women with Turner syndrome are often infertile and their height may be shorter than average. Find support and more information about Turner Syndrome. Female with usual external genitals, but without a riom Some females are born with an underdeveloped womb or without a womb, cervix and upper vagina.

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The ovaries and external genitalia look the same chqt most girls and women and they develop breasts and pubic hair as they get older. This is called Rokitansky syndrome. Often the first of Rokitansky syndrome is that a girl does not start having periods. Chwt involving the vagina may also be difficult because the vagina may be shorter than most women's. Not having a womb means that a woman cannot become pregnant, but it's sometimes possible to take eggs from their ovaries, fertilise them, and implant them in another woman's womb surrogacy.

For support and more information about Rokitansky syndrome at:.

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