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Cited by 6Sexual Differentiation and DisordersLGBTQ Health, Identity, and PolicyBody Image and Dysmorphia Studies

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A Multicenter Cross-Sectional Study of Malaysian Females With Congenital Adrenal Hyperplasia: Their Body Image and Their Perspectives on Feminizing Surgery

Zainuddin, Ani Amelia, Grover, Sonia Regina, Soon, Chong Hong, Ghani, Nur Azurah Abdul, Mahdy, Zaleha Abdullah, Manaf, Mohammad Rizal Abdul, Shamsuddin, Khadijah·2020·Journal of Pediatric and Adolescent Gynecology
DOI 10.1016/j.jpag.2020.04.008
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Abstract

Objective To explore the impact of congenital adrenal hyperplasia (CAH) on body image in Malaysian females with CAH and to understand the perspectives of these young women and their parents toward feminizing genitoplasty (FG). Design Multi-center cross-sectional study. Setting Two tertiary medical centers in Malaysia. Participants A total of 59 patients with CAH who were raised as females and more than 10 years old, and their parents. Methods The CAH respondents completed the validated and translated Body Image Disturbance Questionnaires (BIDQ). All CAH respondents and their parents underwent semi-structured interviews to explore their views on FG. Main outcome measures Body image disturbance score and perspectives on FG. Results The 59 CAH respondents consisted of 12 children, 29 adolescents, and 18 adults. The majority were of Malay ethnicity (64.4%) with classical CAH (98.3%) and had undergone FG (n = 55, 93.2%). For the BIDQ scores, the median score (interquartile range) for general body image was 1.29 (0.71), range 1.00-3.29, whereas the genital appearance score was 1.07 (0.39), range 1.00-4.29, revealing a greater concern for general body parts over genitalia. With regards to FG, it was perceived as necessary. Infancy and early childhood were perceived as the best timing for first FG by both respondents and parents, most preferring single-stage over 2-stage surgery. Conclusions General body appearance concerns were greater than for genital appearance, with more impact on the patients' lives. Contrary to much international opinion, feminizing surgery was perceived as necessary and appropriate by CAH respondents and their families, and should be offered in infancy or early childhood. Future qualitative studies are recommended.

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Research works printed but not linked: 25

  1. Al-Agha, 2001, The child of uncertain sex: 17 years of experience, J Paediatr Child Health, 37, 348, 10.1046/j.1440-1754.2001.00669.x · DOI
  2. Bhullar, 2011, Spectrum of disorders of sex development in children aged 0-10 years, J Pediatr Adolesc Gynecol, 24, e50, 10.1016/j.jpag.2011.01.021 · DOI
  3. Joshi, 2006, Etiology and clinical profile of ambiguous genitalia an overview of 10 years experience, Indian Pediatr, 43, 974
  4. Parisi, 2007, A Gender Assessment Team: experience with 250 patients over a period of 25 years, Genet Med, 9, 348, 10.1097/GIM.0b013e3180653c47 · DOI
  5. Thyen, 2006, Epidemiology and initial management of ambiguous genitalia at birth in Germany, Horm Res, 66, 195
  6. Greenberg, 2017, Legal, ethical, and human rights considerations for physicians treating children with atypical or ambiguous genitalia, Semin Perinatol, 41, 252, 10.1053/j.semperi.2017.03.012 · DOI
  7. Lee, 2016, Global disorders of sex development update since 2006: perceptions, approach and care, Horm Res Paediatr, 85, 158, 10.1159/000442975 · DOI
  8. Chia, 2007, Tissue-preserving feminizing clitoroplasty: a preliminary report, J Pediatr Urol, 3, 457, 10.1016/j.jpurol.2007.04.010 · DOI
  9. Lee, 2012, Review of recent outcome data of disorders of sex development (DSD): emphasis on surgical and sexual outcomes, J Pediatr Urol, 8, 611, 10.1016/j.jpurol.2012.10.017 · DOI
  10. Zainuddin, 2019, Malaysian females with congenital adrenal hyperplasia: surgical outcomes and attitudes, Front Pediatr, 7, 144, 10.3389/fped.2019.00144 · DOI
  11. Lean, 2007, Clitoroplasty: past, present and future, Pediatr Surg Int, 23, 289, 10.1007/s00383-007-1893-y · DOI
  12. Creighton, 2001, Objective cosmetic and anatomical outcomes at adolescence of feminising surgery for ambiguous genitalia done in childhood, Lancet, 358, 124, 10.1016/S0140-6736(01)05343-0 · DOI
  13. van de Grift, 2018, Body image and self-esteem in disorders of sex development: a European multicenter study, Health Psychol, 37, 334, 10.1037/hea0000600 · DOI
  14. Lee, 2006, Menstruation among adolescent girls in Malaysia: a cross-sectional school survey, Singapore Med J, 47, 869
  15. Pon, 2004, Body image perception, dietary practices and physical activity of overweight and normal weight Malaysian female adolescents, Malays J Nutr, 10, 131
  16. Zainuddin, 2017, The Islamic perspectives of gender-related issues in the management of patients with disorders of sex development, Arch Sex Behav, 46, 353, 10.1007/s10508-016-0754-y · DOI
  17. Ediati, 2015, Body image and sexuality in Indonesian adults with a disorder of sex development (DSD), J Sex Res, 52, 15, 10.1080/00224499.2013.816260 · DOI
  18. Kuhnle, 1995, The quality of life in adult female patients with congenital adrenal hyperplasia: a comprehensive study of the impact of genital malformations and chronic disease on female patients life, Eur J Pediatr, 154, 708, 10.1007/BF02276713 · DOI · Paper page
  19. Stikkelbroeck, 2003, The long term outcome of feminizing genital surgery for congenital adrenal hyperplasia: anatomical, functional and cosmetic outcomes, psychosexual development, and satisfaction in adult female patients, J Pediatr Adolesc Gynecol, 16, 289, 10.1016/S1083-3188(03)00155-4 · DOI
  20. Crissman, 2011, Children with disorders of sex development: a qualitative study of early parental experience, Int J Pediatr Endocrinol, 2011, 10, 10.1186/1687-9856-2011-10 · DOI
  21. Creighton, 2005, Feminizing genital surgery: what should be done and when?, J Pediatr Adolesc Gynecol, 18, 63, 10.1016/j.jpag.2004.09.009 · DOI
  22. Köhler, 2012, Satisfaction with genital surgery and sexual life of adults with XY disorders of sex development: results from the German clinical evaluation study, J Clin Endocrinol Metab, 97, 577, 10.1210/jc.2011-1441 · DOI
  23. Armstrong, 2006, Living with congenital adrenal hyperplasia in Vietnam: a survey of parents, J Pediatr Pediatric Endocrinol Metab, 19, 1207
  24. Brinkmann, 2007, Gender assignment and medical history of individuals with different forms of intersexuality: evaluation of medical records and the patients’ perspective, J Sex Med, 4, 964, 10.1111/j.1743-6109.2007.00524.x · DOI
  25. Hemesath, 2018, Controversies on timing of sex assignment and surgery in individuals with disorders of sex development: a perspective, Front Pediatr, 6, 419, 10.3389/fped.2018.00419 · DOI

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Metadata

Authors
Zainuddin, A. A., Grover, S. R., Soon, C. H., Ghani, N. A. A., Mahdy, Z. A., Manaf, M. R. A., & Shamsuddin, K.
Affiliations
  • University Kebangsaan Malaysia Medical Centre (MY)
  • Royal Children's Hospital (AU)
Corresponding author
Zainuddin, Ani Amelia
ORCID
Venue
Journal of Pediatric and Adolescent Gynecology
Publisher
Elsevier BV
Published
2020-10
Volume
33
Issue
5
Pages
477-483
ISSN
  • 0932-8610 (ISSN-L)
  • 1083-3188
DOI
10.1016/j.jpag.2020.04.008
OpenAlex
W3023323602
Cited by
6
References
3
Citations by year
2024: 2 · 2023: 1 · 2021: 2
FWCI
0.24
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of Pediatric and Adolescent Gynecology (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
  • Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
Keywords
congenital adrenal hyperplasia, body image, feminizing genitoplasty, gender-affirming surgery, parental attitudes, timing of surgery, adolescents, children, Malaysian women
MeSH terms
Adolescent, Adrenal Hyperplasia, Congenital, Adult, Body Image, Child, Cross-Sectional Studies, Female, Genitalia, Female, Humans, Malaysia, Male, Parents, Surveys and Questionnaires, Young Adult

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CoChat. (2026). Citation check: A Multicenter Cross-Sectional Study of Malaysian Females With Congenital Adrenal Hyperplasia: Their Body Image and Their Perspectives on Feminizing Surgery. https://app.cochat.ai/papers/10.1016/j.jpag.2020.04.008
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Zainuddin, A. A., Grover, S. R., Soon, C. H., Ghani, N. A. A., Mahdy, Z. A., Manaf, M. R. A., & Shamsuddin, K. (2020). A Multicenter Cross-Sectional Study of Malaysian Females With Congenital Adrenal Hyperplasia: Their Body Image and Their Perspectives on Feminizing Surgery. Journal of Pediatric and Adolescent Gynecology. https://doi.org/10.1016/j.jpag.2020.04.008