title: Intersexed states: diagnosis and management.
abstract: Traditional guidelines for the care of intersexed patients have been questioned by dissatisfied adult intersexed patients. The controversy surrounding this issue comes from a handful of highly publicized intersexed cases with poor outcomes, representing a minority of the intersexed population, which serve as an appropriate call to reassess this difficult issue. Re-evaluation of management strategies must acknowledge the complaints of those who oppose the traditional management paradigm and address scientific and surgical advancements and the roles they should play. This article reviews these issues, attempts to formulate a contemporary approach, and acknowledges the gaps that remain in our knowledge.
authors.affiliation: Department of Pediatrics, Pennsylvania State University College of Medicine, Milton S. Hershey Medical Center, Hershey, PA 17033, USA. chouk1@psu.edu
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Houk
authors.forename: Peter A
authors.initials: PA
authors.lastname: Lee
mesh_terms: D012734:Disorders of Sex Development / Q000175:diagnosis* / Q000266:history / Q000628:therapy*; D049673:History, 20th Century; D006801:Humans