Archives of Sexual Behavior

, Volume 48, Issue 3, pp 675–677 | Cite as

Response to Apóstolos et al.’s (2018) “Gender Identity and Sexual Function in 46,XX Patients with Congenital Adrenal Hyperplasia Raised as Males”

  • Hee Jin KimEmail author
Letter to the Editor

The article by Apóstolos et al. (2018) titled “Gender Identity and Sexual Function in 46,XX Patients with Congenital Adrenal Hyperplasia (CAH) Raised as Males” evaluated gender identity and sexual function in four 46,XX severely virilized patients with (CAH), who were originally registered and raised as males. All four patients had male gender identity and adapted well to the assigned male gender with satisfactory sexual function. It was concluded that additional studies are desirable to support a revision of gender assignment policies in 46,XX newborns with CAH and high degrees of genital virilization. There is a controversy over gender assignment on 46,XX CAH and complete virilization (Speiser et al., 2018). Prospective studies designed to examine the long-term outcomes of gender assignment in these patients are needed. In the meantime, a systemic review of long-term follow-up data in 46,XX CAH patients using databases, and investigation through international registry or research...


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Conflict of interest

The author declares that she has no conflict of interest.

Informed Consent

Informed consent for publication was obtained from the patient.


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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Internal MedicineDankook University College of MedicineCheonan-siRepublic of Korea

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