Apparent Male Gender Identity in a Patient with Complete Androgen Insensitivity Syndrome
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Clinicians universally agree on female sex of rearing in patients with complete androgen insensitivity syndrome (CAIS). These patients have a female phenotype though they have an XY karyotype and testis. Long-term studies have shown an overall patient satisfaction with the assigned female sex, female gender identity, and heterosexual preferences in patients with CAIS (Hines, Ahmed, & Hughes, 2003; Mazur, 2005; Wisniewski et al., 2000). We report here a case of CAIS (reared as a female until age 11 years) who presented with a desire to live as a male at age 11 years.
This 11 year, 3 month old girl was the youngest of five siblings (one brother and three sisters). She had undergone surgery for bilateral inguinal swellings one year prior at a local hospital. Testicular tissue was found on exploration. The wound was closed without any surgical manipulation and the patient was referred to the endocrine department of this hospital. The child was accompanied by father and brother at the first...
KeywordsAndrogen Receptor Testicular Tissue Androgen Insensitivity Syndrome Male Pattern Complete Androgen Insensitivity Syndrome
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