Intersexに関する研究 第2報:Intersexの臨床経験に就て

Abstract

1) According to the results of observation on the sex chromatin, hormonal balance and external or internal genitalia, 15 cases of intersex have been confirmed. These patients consist of 3 cases of true hermaphrodism (containing one case of ovotestis), 3 cases of male pseudohermaphrodism, one case of female pseudohermaphrodism, one case of female pseudohermaphrodism with congenital adrenal hyperplasia, 2 cases of agonadism, 4 cases of Klinefelter's syndrome and one case of testicular feminization. In addition, 2 cases of Stein-Leventhal's syndrome and 2 cases of male macrogenitosomia praecox induced by congenital adrenal hyperplasia were differentiated from intersex. 2) Agonadism (Overzier) is a very rere disease, howev e r, I could diagnose two cases of agonadism in this series. 3) Four cases of K linefelter's syndrome contained two cases of severe male hypogonadism which was diagnosed by positive sex chromatin and histological examination of the testicular tissue among 8 cases of male hypogonadism. 4) It is important on the diagnosis o f intersex to confirm roentgenologically the existence of the urogenital sinus, however, it cannot differentiate the various types of intersex. 5) Alteration of social sex has been made progress satisfactorily by attention of patient's parents, even in a child who has already accomplished Gender role. 6) In patients after puberty, the comparative good results have b e en obtained by confirmation of their social sex and by active treatment. 7) Adaptability of patient with intersex is generally higher in the case who lives as a female than as a male. In view of this point, in the patient with intersex, it will be more secure way to make the social sex as a female than to make it as a male.