Cited by 149Sexual Differentiation and DisordersLGBTQ Health, Identity, and PolicyUrological Disorders and Treatments

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Disorders of sex development (DSDs), their presentation and management in different cultures

Warne, Garry L., Raza, Jamal·2008·Reviews in Endocrine and Metabolic Disorders

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Abstract

The way disorders of sex development (DSD) are viewed and managed in different cultures varies widely. They are complex conditions and even well-educated lay people find them difficult to understand, but when families are very poor and lacking in basic education, and the health system is starved of resources, traditional beliefs, folk remedies and prejudice combine to make the lives of children and adults with DSD extremely difficult and sad. Rumour and discrimination isolate them from their communities and they become devalued. People with DSDs desire the same things in life as everyone else-to find someone who will love them, to be valued as human beings, to feel at home in their own bodies, to be able to have satisfactory sexual relations should these be desired, to be able to trust their medical advisers and to be integrated into the general community. Long term outcome studies have been published from many countries, but these studies have not necessarily been critical of the values that underpinned the type of treatment given to the patients. There is a need for standardized instruments that would allow a true comparison of the quality of outcomes from the patients' perspective. Much could be done to improve equity between rich and poor countries for the benefit of people with DSDs. A focus on developing cheap, robust diagnostic tests, making essential medicines available for all, training surgeons to do better operations, educating health professionals, families and the general community in order to break down prejudice against people with DSDs, and training mental health workers in this specialized field, would do much to alleviate the burden of the condition.

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Authors: Warne, G. L., & Raza, J.
Affiliations: Royal Children's Hospital (AU)
National Institute of Child Health (PK)
Corresponding author: Warne, Garry L.
ORCID: Raza, Jamal
Venue: Reviews in Endocrine and Metabolic Disorders
Publisher: Springer Science and Business Media LLC
Published: 2008-07-17
Volume: 9
Issue: 3
Pages: 227-236
ISSN: 1389-9155 (ISSN-L)
1573-2606
DOI: 10.1007/s11154-008-9084-2
OpenAlex: W2126356528
Cited by: 149
References: 32
Citations by year: 2026: 3 · 2025: 5 · 2024: 26 · 2023: 4 · 2022: 10 · 2021: 7 · 2020: 13 · 2019: 7 · 2018: 7 · 2017: 9 · 2016: 13 · 2015: 9 · 2014: 7 · 2013: 5 · 2012: 4
FWCI: 2.73
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: Reviews in Endocrine and Metabolic Disorders (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Sexual Differentiation and Disorders
Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
Health Sciences › Medicine › Urology › Urological Disorders and Treatments
Keywords: disorders of sex development, stigma and discrimination, patient-reported outcomes, quality of life, gender identity, mental health support, surgical training, health equity
MeSH terms: Cross-Cultural Comparison, Decision Making, Developing Countries, Female, Humans, Male, Disorders of Sex Development

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Disorders of sex development (DSDs), their presentation and management in different cultures

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