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Abstract
There is a wide difference of opinion between the medical-surgical community and advocacy
group regarding Disorders of Sexual Development (DSD) secondary to congenital adrenal
hyperplasia (CAH) being ranked in the intersex category. This rupture is even more
evident when the issue of genitoplasty is brought up. For physicians it is obvious
and unequivocal that a person with CAH and an XX karyotype has a female gender identity,
whereas associations tend to rank persons with CAH in the intersex category and advocate
holding-off on surgical management.