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guide to the treatment of true hermaphroditism-true

guide to the treatment of true hermaphroditism-true
True hermaphroditism see a doctor compass to true hermaphroditism patient to see a doctor often appears the question carries on the answer, for example: True hermaphroditism hangs what department number? Precautions before examination of true hermaphroditism? What do doctors usually ask? What tests should true hermaphroditism do? What do you think of the examination results of true hermaphroditism? Wait. True hermaphroditism treatment guide aims to facilitate patients with true hermaphroditism to seek medical treatment and solve the doubts of patients with true hermaphroditism.
Typical symptom
Hermaphroditism, breast hypertrophy
Suggested visiting department
Reproductive health, surgery
Best visit time
No special, see a doctor as soon as possible
Duration of visit
One day is reserved for the first visit, and half a day is reserved for the second visit
Frequency of follow-up visit/diagnosis and treatment cycle
Outpatient treatment: Weekly follow-up to gradually lengthen the follow-up cycle until the masculine characteristics disappear, and discomfort follow-up.
Preparation before seeing a doctor
No special requirements, pay attention to rest.
Common consultation contents
1. Describe the reason for seeing a doctor (when did you start and what's wrong?)
2. Is the feeling of discomfort caused by obvious factors?
3. Are there any accompanying symptoms such as masculinity?
4. Have you been to the hospital, have you done those examinations, and what are the examination results?
5. How is the treatment?
6. Is there any history of drug allergy?
Key inspection items
1. Chromosomes
Urinary 17-ketosteroid, estrogen and follicle stimulating hormone levels are generally within the normal range. 60% of the karyotypes were 46, XX, 20% were 46, XY, and the rest were various types of chimerism, especially 46, XX/46, XY.
2. B-ultrasound and urethra
You can know whether there are uterus, cryptorchidism and other deformities, and laparoscopy is helpful for diagnosis.
Diagnostic criteria
If abnormal external genitalia is found after birth, A specialist should be consulted immediately, Make a diagnosis as soon as possible, We can't simply make a wrong diagnosis of simple hypospadias complicated with cryptorchidism or scrotal division, Sex chromatin examination should be done, Most were positive, If this test does not meet the requirements of normal men, Make chromosome karyotype analysis, Chromosome karyotype analysis of tissue cells is more helpful to find chimeras than chromosome karyotype analysis of blood cells, For patients with XX karyotype, the source of female masculine phenotype should be carefully searched, and various adrenal hormones, 17-ketosteroid, progesterone and 17-dehydroprogesterone should be determined to exclude common types of congenital adrenal hyperplasia. Histological examination can make a definite diagnosis if both ovary and testis are found, but sometimes it is difficult to diagnose because of abnormal gonad development.


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