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Table 1 The clinical manifestations of 46, XY DSD patients with different ages and etiologies

From: One hundred twelve cases of 46, XY DSD patients after initial gender assignment: a short-term survey of gender role and gender dysphoria

Age

Group

n

Clinical manifestation

EMS M (QL–QU)

HCG—well-responsive n (%)

Androgen therapy # n (%)

Puberty n (%)

Female genital with Labia mass or Cryptorchidis n (%)

*One phenotype n (%)

**Two phenotypes n (%)

***Three phenotypes n (%)

2–7 years (n = 66)

5α-RD2

33

7 (21.2%)

4 (12.1%)

20 (60.6%)

2 (6.1%)

6.0 (3.0–7.0)

33 (100%)

33 (100%)

–

CAIS

8

8 (100%)

0

0

0

2.0 (0.3–2.0)

–

–

–

PAIS

12

1 (8.3%)

1 (8.3%)

8 (66.7%)

2 (16.7%)

4.5 (3.0–6.4)

12 (100%)

12 (100%)

–

NR5A1

7

1 (14.3%)

0

5 (71.4%)

1 (14.3%)

6.0 (3.0–7.0)

7 (100%)

7 (100%)

–

CYP17A1

6

6 (100%)

0

0

0

2.0 (2.0–2.3)

0

0

–

8–18 years (n = 46)

5α-RD2

22

5 (22.7%)

0

12 (54.5%)

5 (22.7%)

5.5 (3.0–7.0)

22 (100%)

22 (100%)

7 (31.8%)

CAIS

8

8 (100%)

0

0

0

2.0 (2.0–2.9)

–

–

–

PAIS

8

3 (37.5%)

0

5 (62.5%)

0

5.0 (3.0–7.0)

8 (100%)

7 (87.5%)

3 (37.5%)

NR5A1

5

0

0

2 (40%)

3 (60%)

6.0 (5.5–7.2)

5 (100%)

5 (100%)

2 (40.0%)

CYP17A1

3

2 (66.7%)

0

1 (33.3%)

0

2.0 (–)

1 (33.3%)

1 (33.3%)

1 (33.3%)

  1. 5α-RD2, 5 alfa-reductase-2 deficiency; CAIS, complete androgen insensitivity syndrome; PAIS, partial androgen insensitivity syndrome; NR5A1, NR5AI gene mutation; CYP17A1, CYP17A1 gene mutation; HCG, Human Chorionic Gonadotropin; EMS, External Masculinisation Score, the lower the score is, the higher degree of under-masculinization. #Androgen therapy administered for only 3 months before hypospadias repairmen operation.*Micro-penis or Hypospadias or Cryptorchidis;**Any two combinations of Micro-penis, Hypospadias, Cryptorchidis. ***Micro-penis, Hypospadias and Cryptorchidis