Novembre 2018 - Volume XXXVII - numero 9

Medico e Bambino


Aggiornamento

Sarà maschio o femmina?

Laura Lucaccioni1, Alessandra Boncompagni2, Elisa Pietrella2, Pier Luca Ceccarelli3, Fabrizio Ferrari1, Alberto Berardi1, Lorenzo Iughetti2

1UO di Neonatologia, 2Scuola di Specializzazione in Pediatria, 3UO di Chirurgia Pediatrica, Dipartimento di Scienze Mediche e Chirurgiche del Bambino, della Madre e dell’Adulto, Università di Modena e Reggio Emilia

Indirizzo per corrispondenza: llucaccioni@unimore.it

Male or Female? What about disorders of sex development

Key words: Disorders of sex development, Minipuberty, Gonadotrophins

After the first trimester of pregnancy future parents are commonly asked if their child will be male or female. Such a question creates many expectations and implies the true determination of the baby's identity. Indeed, since the earliest stages of pregnancy knowing the gender of unborn babies creates expectations in their families, which grow with the approach of childbirth. Babies born with atypical genitalia, which consequently makes impossible to address whether they are really the same as they had been imagined, create considerable difficulties in their parents, who see their believes undermined. The evaluation of infants' genitalia, taken for granted when referring to genitalia phenotypically in the standard and often not reported for brevity in the first clinical examination after birth, becomes fundamental in case of atypia. In order to be able to take best care of such children, it is necessary to know how the hypothalamus-pituitary-gonad axis and the consequent genital development work and to understand, whenever possible, what the problem was to be able to build the best plan to support families and patients.

Vuoi citare questo contributo?

L. Lucaccioni, A. Boncompagni, E. Pietrella, P.L. Ceccarelli, F. Ferrari, A. Berardi, L. Mughetti Sarà maschio o femmina?. Medico e Bambino 2018;37(9):561-568 https://www.medicoebambino.com/?id=1809_561.pdf


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