Hermaphroditism

The diagnosis of true hermaphroditism should be considered in any patient typically combining ambiguous genitalia, one or no palpable gonad, and 46,XX karyotype. The basal or hCG-stimulated plasma testosterone level is indicative of the presence of Leydig cells. Another important point is the presence of a uterus.

Plastic surgery is still the primary option for correction of hermaphroditism after determination of sex assignment, and satisfactory effect can be achieved by surgical intervention with stable gender identity and minimal complications.