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The penis and clitoris are essentially the same organ (differing only in size, and generically called the phallus).In typical males, the urethra is located at the tip of the penis, while in typical females the urethra is located below the base of the clitoris.
Open-minded parenting, appropriate and conservative medical intervention, and age-appropriate child involvement in the treatment plan contribute greatly to successful outcomes for the entire range of DSDs.
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.
The term DSD (and particularly its association with medical disorders) has been controversial.
The argument over terminology reflects a deeper disagreement over the extent to which intersex conditions require medical intervention, the appropriateness of certain interventions, and whether physicians and parents should make irreversible treatment decisions on behalf of young children if the condition is not life-threatening.
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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.
One of the more uncommon DSDs is 5-alpha-reductase deficiency (5ARD).
It is caused by a shortage early in life of an enzyme that activates testosterone.
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