Lee Peter A, Witchel Selma F
Department of Pediatrics, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
J Pediatr Endocrinol Metab. 2005 Feb;18(2):125-32. doi: 10.1515/jpem.2005.18.2.125.
Six 46,XX patients with congenital adrenal hyperplasia (CAH) presented with genital ambiguity, five so severe that initial gender assignment was male. Once diagnosis was realized, parents were involved in evaluation and chose sex re-assignment as female. To date, these girls and their parents all indicate satisfaction with their decision for a female sex of rearing. The girls have a female gender identity with behavior characteristics known for females with CAH. Thus, while outcome is satisfactory, it is realized that for most, expression of sexual orientation and adult life adjustments have not yet occurred.
6名患有先天性肾上腺皮质增生症（CAH）的46,XX女性患者表现出生殖器模糊，其中5名情况严重，以至于最初的性别认定为男性。一旦确诊，家长参与评估并选择将性别重新认定为女性。迄今为止，这些女孩及其家长均表示对抚养女性的决定感到满意。这些女孩具有女性性别认同，具备CAH女性所特有的行为特征。因此，虽然结果令人满意，但要知道，对于大多数人来说，性取向的表达和成年后的生活适应尚未出现。
