Neonates with Abnormal Genital Development Assigned the Female Sex: Parent Counseling

A team consisting of an endocrinologist, an urologist, a surgeon and a psychologist, all specialized in pediatrics, counselled eight pairs of parents of neonates with a 46XY karyogram and an external genital organ that was either completely female or hermaphrodite. These were children whose genotype was not in accordance with their phenotye. The authors discuss policy in regard to counseling and support of the parents from the time when the child's genital abnormality is first observed to its adulthood. The aim of the policy is to create the conditions required to achieve a good female gender identity for the child.