apparent female genitalia with
clitoromegaly, posterior labial fusion or inguinal/labial mass and apparent male genitalia with non-palpable testes), micropenis, undescended testis (testes presenting as inguinal hernia or abdominal testes found on imaging studies), incomplete or delayed puberty and primary amenorrhea.
For postpubertal females in whom polycystic ovary syndrome (PCOS) or other hyperandrogenic states are suspected, hormonal testing is indicated in the presence of the clinical signs of infrequent menses and infertility, hirsutism, truncal obesity, androgenetic alopecia, polycystic ovaries, or
clitoromegaly.
Pubic hair was absent while the external genitalia was of female type and had no evidence of
clitoromegaly.
2010) and other studies on genetic syndromes associated with female pseudohermaphroditism, with alterations in genitalia in the female fetus, as
clitoromegaly and hypoplasia of labia minora (Arnold et al.
Isolated
clitoromegaly and syndromic features were also observed, which shows the importance of a wide range of clinical, hormonal, and molecular investigation for DSD, as well as the significance of the finding of dysmorphisms and associated malformations in cases of genital ambiguity [10, 14, 15].
The
clitoromegaly had been noticed at birth, but medical attention was only sought at age 13.
Examination revealed a normal Body Mass Index, moderate hirsutism, Tanner 5 breasts and significant
clitoromegaly.
Based on the work of ISNA and Accord Alliance, in the absence of severe
clitoromegaly, some parents are less inclined to choose surgical alteration for infants.
The diagnosis may be delayed until adolescence in phenotypic females with inguinal hernia, mild
clitoromegaly, or urogenital sinus when presented with virilization and primary amenorrhea.
2,3] In the 25% raised as female,
clitoromegaly can be present.
A thorough diagnosis is important, especially if your levels of testosterone are above a certain level, or you have symptoms of "virilization" such as facial beard,
clitoromegaly (enlarged clitoris), balding at the temples, deepening voice or muscle enlargement.
KEY WORDS: Congenital adrenal hyperplasia,
Clitoromegaly, Virilization, Clitoroplasty, Ambiguous genitalia.
