G. Debusthiede et al., TRUE HERMAPHRODITISM - CLINICAL PICTURE, DIAGNOSIS AND THERAPY IN ADULTHOOD, Geburtshilfe und Frauenheilkunde, 53(5), 1993, pp. 356-358
A 20-year old woman, who underwent an intersex operation during infanc
y was presented for evaluation of the gonads because of suspected true
hermaphroditism. The phenotype was female with regular menstruations.
Examination revealed an ovarian tumour of 8 cm on the left side and a
normal right ovary. During the operation, the tumour was revealed as
an endometriosis cyst, which could be excised whilst preserving the ov
arian tissue. The right gonad was an ovotestis. The testicular part wa
s removed because of a 4% risk of malignancy. The different combinatio
ns of ovary/testis and ovotestis are described. Diagnosis and therapy
of true hermaphroditism should be performed as early as possible to ob
tain an adequate gonadal function and an undisturbed psychosexual deve
lopment.