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June 2, 1951

ADVISABILITY OF SURGICAL REVERSAL OF SEX IN FEMALE PSEUDOHERMAPHRODITISM

Author Affiliations

San Francisco

From the Division of Surgery, Subdivision of Urology, University of California Medical School, San Francisco.

JAMA. 1951;146(5):423-429. doi:10.1001/jama.1951.03670050005002
Abstract

Most children with intersexual external genitalia can be converted into acceptable boys or into acceptable girls by appropriate surgical measures. If progressive endocrinologic abnormality is absent, such surgical change will be made to agree with the gonadal sex, unless of course it would have to be made after the attitudes and inclinations of the contrary sex had been established. These generally accepted opinions are the basis for advocacy of early operative exploration of pseudohermaphrodites, so that surgical and psychologic treatment in conformity with the true sex of the gonads can be started before the contrary psychologic pattern is set.1

I have no quarrel with the use of gonadal sex as the basis for treatment of male pseudohermaphrodites, although the problem of the genetic female with adenoma tubulare masquerading as a testis has yet to be solved. But the female pseudohermaphrodite, in a high proportion of cases, is the result

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