Patient discussions

The potential for psychological concerns, such as gender identity disorder, depression, sexual aversion, and lack of intimate relationships, should be assessed. It is important for people with a disorder of sex development (DSD) to have access to a psychologist/psychiatrist with experience in DSD.

Those taking hydrocortisone supplementation should be aware of the importance of long-term compliance and management during intercurrent illness, and that they should not stop the medication suddenly. They should be given written instructions for 'sick day rules' for increasing their oral dosage during times of stress and illness or administering an emergency intramuscular hydrocortisone injection.

Use of this content is subject to our disclaimer