Searchable abstracts of presentations at key conferences in endocrinology

ea0066cme1.2 | Session 1 | BSPED2019

Talking to children about sex development

Alderson Julie

Talking to children about sex development has never been easy and for professionals or for parents. The spectre of the Optimal Sex of Rearing theory from the 50s and 60’s an awareness of gender fluidity with the range of possible futures for each child we see can silence us. If we don’t let a child know about the surprises their body has in store for them what difficulties do we store up for them? Standard advice for talking to children is to communicate in a develop...

ea0066p6 | Adrenal, Gonadal, DSD and Reproduction, and Basic Science | BSPED2019

Improving midwives’ recognition of atypical genitalia and differences of sexual development (DSD) through the use of an e-learning module

Eddy Danielle , Crowne Elizabeth , Alderson Julie

Background: Confident recognition of atypical genitalia of the newborn and early referral to specialist centres allows for the smooth and successful management of DSD patients. Midwives conduct the majority of newborn infant physical exam (NIPE) yet may not be confident in recognising DSD and talking to families affected.Aim: To develop an e-learning module for examining newborn genitalia, recognising the significance of differences in genital appearance...

ea0066oc4.6 | Oral Communications 4 | BSPED2019

Understanding differences of sexual differentiation (DSD) MDT services across the UK; current service provision and sharing best practice

Eddy Danielle , Crowne Elizabeth , Alderson Julie , Skae Mars

Background: DSD services are evolving across the UK in response to both family, professional and societal pressures but MDT provision and access to specialist DSD services varies. In November 2017, DSD Clinical Standards were published by the BSPED Clinical Committee with the aim to improve and standardise DSD patient care and these were audited in March 2019. 95% of DSD centres responded with 85% listing psychology as part of their MDT.Aim: 1. To unders...

ea0095p122 | Gonadal, DSD and Reproduction 2 | BSPED2023

Characterisation of children and young people (CYP) presenting with differences in sex development (DSD) beyond the neonatal period: A single centre retrospective observational study

Shirodkar Diksha , Baioumi Alaa , Giri Dinesh , Candler Toby , Burren Christine , Hamblin Rachel , Alderson Julie , Crowne Elizabeth

Introduction: DSD includes variations in the development of chromosomal, gonadal, or anatomical sex and can be subdivided into (XY DSD, XX DSD, and sex chromosomal DSD). Most presentations occur in the neonatal period with atypical genitalia or discordant phenotype and antenatal genotype, but later presentations occur raising complex diagnostic and clinical management issues.Objective: To characterise the etiological, cl...

ea0095oc1.2 | Oral Communications 1 | BSPED2023

45,X/46,XY DSD with gender dysphoria: the conundrum around pubertal induction

Chatterjee Sumana , Alderson Julie , Edwards Zoe , Mcandrew Fiona , Williams Cara , Das Urmi , Awad Karim , Park Julie , Giri Dinesh

Introduction: Mixed gonadal dysgenesis (MGD) is a rare form of difference in sex development (DSD) characterised by mosaic karyotype of 45,X/46,XY and dysgenetic gonads. Gender dysphoria can be associated, the frequency of which is unknown. We describe 2 cases of MGD with gender dysphoria and the conundrum around pubertal induction.Case 1: An 8-year-old, reared as a girl, presented with longstanding concerns about appear...