Testis and epididymis
True hermaphroditism

Author: Turki Al-Hussain, M.D. (see Authors page)

Revised: 30 November 2018, last major update September 2012

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PubMed Search: True hermaphroditism [title]

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Cite this page: Al-Hussain T. True hermaphroditism. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/testistruehermaph.html. Accessed January 23rd, 2019.
Definition / general
  • Unequivocal ovarian and testicular tissue in same patient, occuring as either bilateral or unilateral ovatestes or as a testis opposite an ovary, regardless of karyotype
  • Ovary is usually normal; testis usually lacks spermatogonia
  • No streak gonads present; usually no associated gonadoblastomas
  • Usually no other developmental malformations and patients may have normal sexual and reproductive functions
  • After assign gender, remove inappropriate gonad and biopsy remaining tissue
Microscopic (histologic) description
  • Ovarian compartment has numerous primordial follicles with primary oocytes and a few primary or antral follicles (Mod Pathol 2002;15:1013)
Microscopic (histologic) images

Images hosted on other servers:

Three ovarian follicles

Hyperchromatic sertoli cells

Ovarian follicles

Differential diagnosis