A child regarded as a severely virilized girl with congenital adrenal hyperplasia ( CAH ) may undergo both a partial clitoral recession and a vaginoplasty.
12.
The issues surrounding corrective surgery of the virilized female genitalia are the same as for moderate 21-hydroxylase deficiency but surgery is rarely considered desirable.
13.
The exception are the rare, completely virilized genetic females ( Prader stage 5 ), who present the most challenging assignment and surgery dilemmas, discussed below.
14.
Most mothers who have followed this treatment plan have experienced at least mild cushingoid effects from the glucocorticoid but have borne daughters whose genitalia are much less virilized.
15.
A rarer indication would be that of a completely virilized XX child with ovaries and uterus must be removed to prevent breast development and menstruation by early adolescence.
16.
The presence of a uterus by pelvic ultrasound suggests either persistent M�llerian duct syndrome ( AMH deficiency or insensitivity ) or a severely virilized genetic female with congenital adrenal hyperplasia.
17.
"In using a drug with a virilizing effect she lost some of her cardio-vascular immunity, " he told the French sports daily L'Equipe.
18.
This is done in three circumstances . ( 1 ) If the gonads are true hermaphrodite virilized enough to raise as male, in which ovaries or ovotestes can be removed.
19.
The most common intersex surgery offered in childhood was amputation of the clitoris and widening of the vaginal opening to make a virilized girl with CAH appear less like a boy.
20.
This protocol made it possible for female athletes to receive high testosterone dosages and still pass doping tests, but it had strong virilizing effects, in particular hirsutism and voice changes.
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