In the conversation surrounding medical necessity in genital surgery, the psychologic
impact of variations in genitalia is heavily debated [
[1]
]. Many advocates for delaying surgery purport that psychologic impact is a result
of outdated societal norms that should no longer exist, holding firm that bodily autonomy
should supersede the potential negative psychological impact of variations in genitalia.
Answering the question of whether there is or is not a detrimental impact (or potential
for one) to one’s personal psyche by delaying surgical reconstruction is complicated
at best, as individual experiences, cultural backgrounds, and underlying diagnoses
are as unique as the genitalia itself. To further complicate this conversation, including
CAH under the umbrella of intersex is also a topic of debate [
[2]
].To read this article in full you will need to make a payment
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References
Szymanski KM, Kokorowski P, Braga LH, Frady H, Whittam B, Hensel DJ. Growing up with clitoromegaly: experiences of North American women with congenital adrenal hyperplasia. J Pediatr Urol 2022;18:775–83
- Life with Congenital Adrenal Hyperplasia Study G. Majority of females with a life-long experience of CAH and parents do not consider females with CAH to be intersex.J Pediatr Urol. 2021; 17 (210): e1-e9https://doi.org/10.1016/j.jpurol.2020.09.009
Article info
Publication history
Published online: August 15, 2022
Accepted:
June 22,
2022
Received:
June 13,
2022
Identification
Copyright
© 2022 Published by Elsevier Ltd on behalf of Journal of Pediatric Urology Company.
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Access this article on ScienceDirectLinked Article
- Growing up with clitoromegaly: experiences of North American women with congenital adrenal hyperplasiaJournal of Pediatric UrologyVol. 18Issue 6
