Male sex assignment in severely virilized 46,XX children with congenital adrenal hyperplasia.

According to the North American DSD Clinician Survey, based on pediatric endocrinologists and urologists’ experiences over the past two decades, there is an increasing trend toward recommending a gender “other than girl” for 46,XX CAH patients with severe virilization and to perform genital surgery later in life ( 11 ).

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