on disorder and accounts for over 50 percent of inter-sex disorders and can be categorized as an incomplete male. They are generally male but look like females.
Such cases are advised to convert to males if mildly affected and females in case of severity. "They have a vaginal pouch but never a uterus. They also have testis albeit hidden and we conduct male genitoplasty surgery on such people."
FPH have a lot of male hormones and look like men. Their vaginal pouch is hidden inside the skin and needs proper surgery. They should be diagnosed right after birth," explained Shilpa Sharma, another paediatric surgeon.
She said some of these people suffer from a complication called congenital adrenal hyperplasia (CAH), which can be life threatening. "It is associated with excessive vomiting and dehydration."
Among the TH category, part from the ambiguous genitalia, there is an ovary and testicular tissues in the same child. There is a large urogenital sinus as well as a well-developed phallus.
"Among the three categories, it's the FPH group who can give birth to babies after successful surgeries earlier. What they need is life long medication. May be one tablet per day," Gupta added.
He, however, added that most of the families want their patients to be converted to a male. "This is a popular belief and there is nothing wrong. If these male cannot procreate a child yet they can have a good married life. They can adopt a child or so."
He said when patients come to us in an early stage, we diagnose them and through medicine control secretion of the opposite hormone. "Then the series of surgeries take place."
However, he said that even grown up hermaphrodites could be given an identity. "There was a family with four such cases and we have successfully operated upon them and the fourth case was recently carried out. The patient is still under our supervision."
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