Research & Literature
Explore the leading researchers and institutions driving advances in this area, and dive into the full body of literature that informs this resource.
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Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
São Paulo, Brazil
University of Michigan
Ann Arbor, United States
Northwestern University
Evanston, United States
Inserm
Paris, France
University of Glasgow
Glasgow, United Kingdom
University of Lübeck
Lübeck, Germany
Karolinska University Hospital
Stockholm, Sweden
Ghent University Hospital
Ghent, Belgium
University of Cambridge
Cambridge, United Kingdom
The University of Melbourne
Melbourne, Australia
References
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The Journal of clinical endocrinology and metabolism 2019; (104(4)):1160-1170 doi:10.1210/jc.2018-01866.
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Ethical issues with early genitoplasty in children with disorders of sex development.
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Current opinion in endocrinology, diabetes, and obesity 2019; (26(1)):49-53 doi:10.1097/MED.0000000000000460.
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Parent-Rated Severity of Illness and Anxiety among Caregivers of Children Born with a Disorder of Sex Development Including Ambiguous Genitalia.
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Oncologic outcomes of pre-malignant and invasive germ cell tumors in patients with differences in sex development - A systematic review.
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Molecular Aspects of Sex Development in Mammals: New Insight for Practice.
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18-Year-old patient with Klinefelter syndrome (47, XXY) and complete androgen insensitivity syndrome (CAIS) - case report.
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Disorders/Differences of Sex Development Presenting in the Newborn With 46,XY Karyotype.
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Malignant Germ Cell Tumors and Their Precursor Gonadal Lesions in Patients with XY-DSD: A Case Series and Review of the Literature.
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Clinical, Etiological and Laboratory Profile of Children with Disorders of Sexual Development (DSD)-Experience from a Tertiary Pediatric Endocrine Unit in Western India.
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Indian journal of endocrinology and metabolism 2021; (25(1)):48-53 doi:10.4103/ijem.IJEM_520_20.
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Condition openness is associated with better mental health in individuals with an intersex/differences of sex development condition: structural equation modeling of European multicenter data.
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Psychological medicine 2023; (53(6)):2229-2240 doi:10.1017/S0033291721004001.
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[Genetic analysis of 46,XY disorders of sex development in children caused by a new NR5A1 gene variant].
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Exploring the efficacy of testosterone undecanoate in male children with 5α-reductase deficiency.
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Detection of 46, XY Disorder of Sex Development (DSD) Based on Plasma Cell-Free DNA and Targeted Next-Generation Sequencing.
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Genes 2021; (12(12)) doi:10.3390/genes12121890.
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Contribution of Clinical and Genetic Approaches for Diagnosing 209 Index Cases With 46,XY Differences of Sex Development.
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The Journal of clinical endocrinology and metabolism 2022; (107(5)):e1797-e1806 doi:10.1210/clinem/dgac064.
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"Congruency the ART of Being Real" - 46XY DSD Due to 5 α Reductase Deficiency - Challenges in Decision Making.
Subbiah S, Priyanka R, Jayaraman S
Indian journal of endocrinology and metabolism 2021; (25(5)):392-394 doi:10.4103/ijem.ijem_179_21.
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Pubertal induction and transition to adult sex hormone replacement in patients with congenital pituitary or gonadal reproductive hormone deficiency: an Endo-ERN clinical practice guideline.
Nordenström A, Ahmed SF, van den Akker E, et al.
European journal of endocrinology 2022; (186(6)):G9-G49 doi:10.1530/EJE-22-0073.
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Intersexuality/Differences of Sex Development through the Discourse of Intersex People, Their Relatives, and Health Experts: A Descriptive Qualitative Study.
Moreno-Begines MLN, Arroyo-Rodríguez A, Borrallo-Riego Á, Guerra-Martín MD
Healthcare (Basel, Switzerland) 2022; (10(4)) doi:10.3390/healthcare10040671.
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A Successful New Case of Twin Pregnancy in a Patient with Swyer Syndrome-An Up-to-Date Review on the Incidence and Outcome of Twin/Multiple Gestations in the Pure 46,XY Gonadal Dysgenesis.
Winkler I, Jaszczuk I, Gogacz M, et al.
International journal of environmental research and public health 2022; (19(9)) doi:10.3390/ijerph19095027.
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Techniques of Primary Vaginoplasty in Young Adults with Differences of Sex Development and Female Identification.
Ellerkamp V, Rall KK, Schaefer J, et al.
Journal of clinical medicine 2022; (11(13)) doi:10.3390/jcm11133688.
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Gonadal tumor risk in pediatric and adolescent phenotypic females with disorders of sex development and Y chromosomal constitution with different genetic etiologies.
Lu L, Luo F, Wang X
Frontiers in pediatrics 2022; (10()):856128 doi:10.3389/fped.2022.856128.
PMID: 35935368 - 56
Medicalization of intersex and resistance: a commentary on Conway.
Liao LM, Baratz A
International journal of impotence research 2023; (35(1)):51-55 doi:10.1038/s41443-022-00597-x.
PMID: 36076030 - 57
Expression of CSF1, AR, and SRD5A2 during Postnatal Development of the Boar Reproductive Tract.
Katleba K, Legacki E, Berger T
Animals : an open access journal from MDPI 2022; (12(17)) doi:10.3390/ani12172167.
PMID: 36077888 - 58
Novel Genomic Variants, Atypical Phenotypes and Evidence of a Digenic/Oligogenic Contribution to Disorders/Differences of Sex Development in a Large North African Cohort.
Zidoune H, Ladjouze A, Chellat-Rezgoune D, et al.
Frontiers in genetics 2022; (13()):900574 doi:10.3389/fgene.2022.900574.
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Fertility potential in 5α-reductase type 2 deficient males.
Markouli M, Michala L
Journal of pediatric urology 2023; (19(1)):108-114 doi:10.1016/j.jpurol.2022.09.002.
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DSD/intersex: historical context and current perspectives.
Lee PA, Mazur T, Houk CP
Journal of pediatric endocrinology & metabolism : JPEM 2023; (36(3)):234-241 doi:10.1515/jpem-2022-0582.
PMID: 36630604 - 61
Targeted Next-Generation Sequencing for the Diagnosis of Gene Variants in Patients with 46,XY Disorder of Sex Development.
Guo Q, Zhong WW, Lai HJ, et al.
Sexual development : genetics, molecular biology, evolution, endocrinology, embryology, and pathology of sex determination and differentiation 2023; (17(1)):26-31 doi:10.1159/000528916.
PMID: 36689917 - 62
Genetic Variants in SRD5A2 in a Spectrum of DSD Patients from Australian Clinics Highlight Importance of Genetic Testing alongside Typical First-Line Investigations.
Robevska G, Hanna C, van den Bergen J, et al.
Sexual development : genetics, molecular biology, evolution, endocrinology, embryology, and pathology of sex determination and differentiation 2023; (17(1)):8-15 doi:10.1159/000527754.
PMID: 36724755 - 63
Scanxiety among Adults with Cancer: A Scoping Review to Guide Research and Interventions.
Derry-Vick HM, Heathcote LC, Glesby N, et al.
Cancers 2023; (15(5)) doi:10.3390/cancers15051381.
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Pubertal and Gonadal Outcomes in 46,XY Individuals with Partial Androgen Insensitivity Syndrome Raised as Girls.
Guaragna-Filho G, Guerra-Junior G, Tadokoro-Cuccaro R, et al.
Sexual development : genetics, molecular biology, evolution, endocrinology, embryology, and pathology of sex determination and differentiation 2023; (17(1)):16-25 doi:10.1159/000526997.
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Seminoma in 46, XY Gonadal Dysgenesis: Rare Presentation and Review of the Literature
Adra M, Nakanishi H, Papachristodoulou E, et al.
Journal of clinical research in pediatric endocrinology 2024; (16(4)):495-500 doi:10.4274/jcrpe.galenos.2023.2023-12-11.
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Clinical tools in the diagnosis of disorders of sex development: a switch from the hormonal to the genetics laboratory?
Rey RA
Advances in laboratory medicine 2021; (2(4)):463-467 doi:10.1515/almed-2021-0072.
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Differences of Sex Development: Current Issues and Controversies.
Johnson EK, Whitehead J, Cheng EY
The Urologic clinics of North America 2023; (50(3)):433-446 doi:10.1016/j.ucl.2023.04.010.
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Survey of maternal anxiety and perceptions towards foetal MRI and pre-scan education.
Plunkett S, Dobeli K, Prior M, Tusek X
Journal of medical radiation sciences 2024; (71(1)):10-20 doi:10.1002/jmrs.725.
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Surgical Decision-Making for Individuals with Differences of Sex Development: Stakeholders' views.
Weidler EM, Gardner M, Suorsa-Johnson KI, et al.
Frontiers in urology 2023; (3()) doi:10.3389/fruro.2023.1092256.
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Fear of giving birth alone: Experiences of psychological distress, symptoms of anxiety and depression, and coping- strategies of childbearing women during COVID-19.
Johnson MS, Skjerdingstad N, Ebrahimi OV, et al.
Midwifery 2024; (131()):103951 doi:10.1016/j.midw.2024.103951.
PMID: 38402661 - 71
Psychological support for individuals with differences of sex development (DSD).
Bennecke E, Strandqvist A, De Vries A, et al.
Journal of psychosomatic research 2024; (179()):111636 doi:10.1016/j.jpsychores.2024.111636.
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Gene Expression in Porcine Bulbourethral Glands.
Noto V, Nitta-Oda BJ, Berger T
Animals : an open access journal from MDPI 2024; (14(7)) doi:10.3390/ani14071115.
PMID: 38612354 - 73
Contexts of care for people with differences of sex development: Diversity is still missing in the laboratory routine.
Kulle AE, Jürgensen M, Döhnert U, et al.
Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V 2023; (35(3)):181-187 doi:10.1515/medgen-2023-2037.
PMID: 38840817 - 74
Worldwide cohort study of 46, XY differences/disorders of sex development genetic diagnoses: geographic and ethnic differences in variants.
Jiali C, Huifang P, Yuqing J, et al.
Frontiers in genetics 2024; (15()):1387598 doi:10.3389/fgene.2024.1387598.
PMID: 38915825 - 75
Development of Quality Indicators to Evaluate the Quality of Care for People with Differences of Sex Development.
Jürgensen M, Jürgensen M, Rapp M, et al.
Hormone research in paediatrics 2025; (98(6)):699-708 doi:10.1159/000540596.
PMID: 39074461 - 76
Defining Success in the Delivery of Fertility-Related Care for Patients with Differences of Sex Development.
Streich-Tilles T, Morrison A, Schafer-Kalkhoff T, et al.
Hormone research in paediatrics 2026; (99(1)):81-90 doi:10.1159/000541029.
PMID: 39186929 - 77
Perspectives on conducting "sex-normalising" intersex surgeries conducted in infancy: A systematic review.
Muschialli L, Allen CL, Boy-Mena E, et al.
PLOS global public health 2024; (4(8)):e0003568 doi:10.1371/journal.pgph.0003568.
PMID: 39197054 - 78
Germ Cell Tumors in 46, XY Gonadal Dysgenesis.
Misgar RA, Islam Mir SU, Mir MH, et al.
Indian journal of endocrinology and metabolism 2024; (28(4)):424-428 doi:10.4103/ijem.ijem_373_22.
PMID: 39371651 - 79
Molecular genetic diagnosis and surgical management in a cohort of children with 46,XY disorders/differences of sex development.
Wong YS, Luk HM, Yau HC, et al.
Frontiers in pediatrics 2025; (13()):1456227 doi:10.3389/fped.2025.1456227.
PMID: 39936125 - 80
Complete androgen insensitivity syndrome in twins with discordant phenotypes: a case report and review of the literature.
Liao K, Wang Y, Yi X
Journal of medical case reports 2025; (19(1)):113 doi:10.1186/s13256-025-05139-9.
PMID: 40083004 - 81
Infertility management in a patient with Swyer syndrome: a case report.
Krygere L, Bartasiene R, Kozlovskaja-Gumbriene A, Drejeriene E
Journal of assisted reproduction and genetics 2025; (42(5)):1689-1695 doi:10.1007/s10815-025-03442-4.
PMID: 40097859 - 82
Evolving language reflects evolving understanding: updated terms for anatomical description in i/VSC/DSD.
Whitehead J, Adams M, Davies A, et al.
Nature reviews. Urology 2025; (22(6)):332-333 doi:10.1038/s41585-025-01035-5.
PMID: 40229428 - 83
Role of the pediatrician in the initial management of a newborn with Differences of Sex Development or hypospadias.
van der Straaten S, Syryn H, Dessens A, et al.
European journal of pediatrics 2025; (184(5)):307 doi:10.1007/s00431-025-06140-6.
PMID: 40261419 - 84
46, XY under-virilization and NR5A1 variants: Monocentric Indian experience and systematic review.
Kumar S, Pandit R, Sarathi V, et al.
Annales d'endocrinologie 2025; (86(4)):101731 doi:10.1016/j.ando.2025.101731.
PMID: 40280302 - 85
Hormone replacement in disorders of sex development, and long-term effects.
Nordenström A, Mangone A, Mantovani G
Best practice & research. Clinical endocrinology & metabolism 2025; (39(4)):102022 doi:10.1016/j.beem.2025.102022.
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Diagnostic Accuracy of Serum Steroids and Peptides in the Evaluation of 46, XY Disorders of Sex Development (DSD).
Barnabas R, Lila AR, Memon SS, et al.
Clinical endocrinology 2025; (103(6)):823-832 doi:10.1111/cen.70017.
PMID: 40799104 - 87
Molecular Characterization of Steroid 5 Alpha-Reductase 2 (SRD5A2) Gene Variant in Indian Patients with Disorder of Sexual Development.
Kumar A, Kumar A, Rai S, et al.
Archives of sexual behavior 2025; (54(7)):2755-2761 doi:10.1007/s10508-025-03197-0.
PMID: 40839185 - 88
Gender Dysphoria in Disorders of Sexual Development: Approach and Prevalence in a Single Center.
Inayath L, Mane S, Athawale HR
Journal of Indian Association of Pediatric Surgeons 2025; (30(5)):611-621 doi:10.4103/jiaps.jiaps_60_25.
PMID: 40950636 - 89
Complete androgen insensitivity syndrome in a 15-year-old female with primary amenorrhea and undescended testes: a rare case report.
Zerin F, Bhadra TK, Sadia R, Shahriar Z
Radiology case reports 2026; (21(1)):329-332 doi:10.1016/j.radcr.2025.09.075.
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Clinical Spectrum, Surgical Management, and Outcomes of NR5A1-Related 46,XY Differences of Sex Development: A Narrative Review.
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Medicina (Kaunas, Lithuania) 2025; (61(11)) doi:10.3390/medicina61111965.
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Perspective on postoperative hormone replacement therapy and fertility preservation in Swyer syndrome with dysgerminoma: a case series and literature review.
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European journal of obstetrics, gynecology, and reproductive biology 2026; (317()):114857 doi:10.1016/j.ejogrb.2025.114857.
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Clinical practice guidelines for the management of differences of sex development in Japan.
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Endocrine journal 2026; (73(2)):291-340 doi:10.1507/endocrj.EJ25-0392.
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Molecular Diagnosis of 46,XY Disorders of Sex Development: An Efficient Initial Molecular Analysis Using a Custom-Designed Targeted Gene Panel in a Single-Center Study.
Poyrazoglu S, Aghayev A, Toksoy G, et al.
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Approach to Disorders of Sex Development in the Genomic Era.
Priyadarshini S, Sharma R, Menon PSN
Indian journal of pediatrics 2026; doi:10.1007/s12098-025-05888-x.
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Clinical Characteristics and Management of Two Cases of Complete Androgen Insensitivity Syndrome With Germ Cell Tumors.
Wang F, Wang D, Li J, Xing N
Cancer reports (Hoboken, N.J.) 2026; (9(2)):e70491 doi:10.1002/cnr2.70491.
PMID: 41725111