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In this condition, a person with male (XY) chromosomes has a body that appears female before puberty.After puberty begins, other testosterone-activating enzymes become available and the body soon takes on a masculine appearance, with the scrotum and penis usually reaching typical or nearly-typical size.
Referencing the involuntary surgical "sex-normalising or other procedures" on "intersex persons", the report recommends a range of guiding principles for medical treatment, including ensuring patient autonomy in decision-making, ensuring non-discrimination, accountability and access to remedies.If 5ARD is diagnosed at a young age, the child is often raised as a boy (a 1996 Brazilian study suggested that the majority of adults with this condition consider themselves men but this has been questioned in some more recent research).In addition to CAH, CAIS, PAIS, and 5ARD there are several rarer types of DSDs, and in some cases, it is not possible to make a clear diagnosis of the underlying condition.In mild cases, CAH results in a slightly enlarged clitoris, while in more severe cases it can be difficult to decide (just by looking) whether a baby is male or female (this is called having ambiguous genitals).Nevertheless, if they are old enough to know the difference, most people with CAH think of themselves as female.In complete androgen insensitivity syndrome (CAIS) the result is a totally feminine appearance, including typical female breast development.
Consequently, most young women with CAIS are unaware of their condition until the early teen years when they fail to menstruate.
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Another common DSD is androgen insensitivity syndrome (AIS), which means that a person with male (XY) chromosomes does not respond to testosterone in the usual way.
This results in a body that to some degree has a feminine appearance.
CAH is caused by a problem with the adrenal glands and is usually treated by taking a daily medication to replace or supplement the missing adrenal hormones.