Society for Endocrinology UK Guidance on the Initial Evaluation of a Suspected Difference or Disorder of Sex Development (Revised 2021)

S. Faisal Ahmed; John Achermann; Julie Alderson; Naomi S. Crouch; Sue Elford; Ieuan A. Hughes; Nils Krone; Ruth McGowan; Talat Mushtaq; Stuart O'Toole; Leslie Perry; Martina E. Rodie; Mars Skae; Helen E. Turner


Clin Endocrinol. 2021;95(6):818-840. 

In This Article


Whilst the overarching rationale for investigating a newborn or an adolescent with a suspected DSD is to minimize the level of uncertainty, more specifically and commonly, it will include the need to work with the family to provide information and discuss whether the child is brought up as a boy or a girl, anticipate early medical problems, explain the aetiology to the young person or the parents of an affected newborn, support them psychologically in assimilating this knowledge and, finally, to develop a management plan that leads to optimal long-term outcome. A rational, stepwise and empathic approach that relies on the skills and knowledge of the experts within the MDT is essential for achieving these goals. The ultimate ambition of preserving a physically and psychologically well adult must be held in mind from the earliest care of the newborn, child or adolescent with a suspected DSD.