Sir.—As usual, the picture of the month for June 1986,1 "Testicular Feminization Syndrome," was another clinical pearl. In addition to the physical finding of a blind-ending vaginal pouch with a small or absent clitoris, there should be a finding of an absent cervix on rectal examination. The rectal examination should be part of the initial workup. It is simple and as accurate as an ultrasound examination (and is also less expensive).
NICHOLS MM. Rectal Examination in Testicular Feminization Syndrome. Am J Dis Child. 1986;140(11):1101. doi:10.1001/archpedi.1986.02140250027027