Structure of discussion with patient’s family
| Sex of Rearing | Surgical Procedures Needed | Future Hormone Therapy | Fertility | Sexual Function | Urinary Function | Risk of Cancer in Testes |
|---|---|---|---|---|---|---|
| Female | vClitoral reduction Removal of testes | Estrogen during puberty | vInfertile Can conceive with egg donation but with risk as uterus is abnormal | Intercourse possible | Intact | Nil |
| Male | vConstruction of penis, scrotal sac and urethra Orchidopexy Removal of uterus and fallopian tubes | May not need testosterone | vSub-fertile Sperm banking may be possible | Penile function affected (erection during intercourse) | May need to sit for urination | Approximately 10% |
| No assignment currently; decision later | vTo decide at 21 years of age vReconstruction may be more difficult at later age. Genitalia may resemble male appearance as testosterone is active up to 1 year. | Depends on chosen sex | vSub-fertile as male Infertile as female | Depends on chosen sex | Sit for urination currently Requires reconstruction later | Approximately 10% |