title: [Complete androgen insensitivity syndrome].
abstract: OBJECTIVE
  Androgen insensitivity syndrome (AIS) belongs to disorders of sex development, resulting from complete or partial resistance to the biological actions of androgens in persons who are genetically males (XY) with normally developed testes and age-appropriate for males of serum testosterone concentration.
  
  
  METHODS
  A 21-year-old female patient was admitted at our Clinic further evaluation and treatment of testicular feminization syndrome, which was diagnosed at the age of 16 years.The patient had never menstruated. On physical examination, her external genitalia and breast development appeared as completely normal feminine structures but pubic and axillary hair was absent. Cytogenetic analysis showed a 46 XY karyotype. The values of sex hormones were as in adult males. The multi-sliced computed tomography (MSCT) showed structures on both sides of the pelvic region, suggestive of testes. Bilateral orchiectomy was performed. Hormone replacement therapy was prescribed after gonadectomy. Vaginal dilatation was advised to avoid dyspareunia.
  
  
  CONCLUSIONS
  The diagnosis of complete androgen insensitivity is based on clinical findigs, hormonal analysis karyotype, visualization methods and genetic analysis. Bilateral gonadectomy is generally recommended in early adulthood to avoid the risk of testicular malignancy. Vaginal length may be short requiring dilatation in an effort to avoid dyspareunia. Vaginal surgery is rarely indicated for the creation of a functional vagina.
authors.forename: Tančić Milina
authors.initials: TM
authors.lastname: Gajić
authors.forename: Svetlana
authors.initials: S
authors.lastname: Vujović
authors.forename: Miomira
authors.initials: M
authors.lastname: Ivović
authors.forename: Ljiljana V
authors.initials: LV
authors.lastname: Marina
authors.forename: Zorana
authors.initials: Z
authors.lastname: Arizanović
authors.forename: Dragana
authors.initials: D
authors.lastname: Raković
authors.forename: Dragan
authors.initials: D
authors.lastname: Micić
mesh_terms: D013734:Androgen-Insensitivity Syndrome / Q000097:blood / Q000175:diagnosis* / Q000235:genetics; D003937:Diagnosis, Differential; D005260:Female; D005820:Genetic Testing; D006801:Humans; D007621:Karyotyping; D008297:Male; D061330:Multidetector Computed Tomography; D011944:Receptors, Androgen / Q000097:blood; D055815:Young Adult
chemical_list: D011944:Receptors, Androgen