Ovary - nontumor
Gonadal dysgenesis
Female pseudohermaphroditism - nonadrenal

Author: Mohiedean Ghofrani, M.D. (see Authors page)

Revised: 14 September 2017, last major update December 2011

Copyright: (c) 2002-2017, PathologyOutlines.com, Inc.

PubMed Search: Non adrenal "female pseudohermaphroditism"

Cite this page: Ghofrani, M. Female pseudohermaphroditism - nonadrenal. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/ovarynontumorfemalepseudononadrenal.html. Accessed November 20th, 2017.
Definition / general
  • Rarer form of female pseudohermaphroditism in which a female genotype (46,XX) and female internal phenotype (two ovaries) is associated with variable degrees of virilization due to etiologies other than congenital adrenal hyperplasia, including gestational hyperandrogenism (maternal exposure to progestins or androgens)
  • 46,XX Barr bodies are chromatin positive
  • Ovary with female ducts and variable virilized external genitalia
Terminology
  • In 2006, the International Consensus Conference on Intersex recommended using the designation "46,XX DSD" to replace the potentially pejorative and confusing term female "pseudohermaphroditism" (Pediatrics 2006;118:e488)
Epidemiology
  • Gestational hyperandrogenism is a rarer cause of 46,XX DSD
Etiology
  • May be due to exposure to maternal androgen (maternal luteoma, theca lutein cysts, placental aromatase enzyme deficiency) or synthetic progestational agents
Clinical features
  • Diagnosis may be suggested by history of exposure to exogenous progestin or androgen or maternal virilization
Laboratory
  • 17 ketosteroids and estrogen levels are normal
Case reports