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      Female genital mutilation of a karyotypic male presenting as a female with delayed puberty

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          Abstract

          Background

          Female genital mutilation (FGM) is commonly practiced mainly in a belt reaching from East to West Africa north of the equator. The practice is known across socio-economic classes and among different ethnic, religious, and cultural groups. Few studies have been appropriately designed to measure the health effects of FGM. However, the outcome of FGM on intersex individuals has never been discussed before.

          Case presentation

          The patient first presented as a female with delayed puberty. Hormonal analysis revealed a normal serum prolactin level of 215 Mu/L, a low FSH of 0.5 Mu/L, and a low LH of 1.1 Mu/L. Type IV FGM (Pharaonic circumcision) had been performed during childhood. Chromosomal analysis showed a 46, XY karyotype and ultrasonography verified a soft tissue structure in the position of the prostate.

          Conclusion

          FGM pose a threat to the diagnosis and management of children with abnormal genital development in the Sudan and similar societies.

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          Most cited references14

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          Female circumcision as a public health issue.

          N Toubia (1994)
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            Primary infertility after genital mutilation in girlhood in Sudan: a case-control study.

            In theory, infections that arise after female genital mutilation (FGM) in childhood might ascend to the internal genitalia, causing inflammation and scarring and subsequent tubal-factor infertility. Our aim was to investigate this possible association between FGM and primary infertility.
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              ISCN: An International System for Human Cytogenetic Nomenclature

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                Author and article information

                Journal
                BMC Womens Health
                BMC Women's Health
                BioMed Central (London )
                1472-6874
                2006
                29 March 2006
                : 6
                : 6
                Affiliations
                [1 ]Institute of Endemic Diseases, University of Khartoum, Khartoum, Sudan
                [2 ]International University of Africa, Faculty of Medicine and Health Sciences, Khartoum, Sudan
                [3 ]The Orchids Society for Congenitally Malformed Children. Khartoum, Sudan
                [4 ]Department of Clinical Genetics, Lund University, Lund, Sweden
                [5 ]Tropical Medical Research Institute, Khartoum, Sudan
                [6 ]Department of Anatomy, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
                [7 ]Faculty of Medical Laboratory Sciences, Al Neelain University, Khartoum, Sudan
                [8 ]Al Neelain Medical Centre, Al Neelain University, Khartoum, Sudan
                Article
                1472-6874-6-6
                10.1186/1472-6874-6-6
                1440851
                16571108
                19c027ea-60f3-4a1b-9996-3c5631c97731
                Copyright © 2006 Ellaithi et al; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 14 October 2005
                : 29 March 2006
                Categories
                Case Report

                Obstetrics & Gynecology
                Obstetrics & Gynecology

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