hrp0094p2-413 | Sex differentiation, gonads and gynaecology or sex endocrinology | ESPE2021

Challenges faced by children and adolescents with Differences in Sex Development (DSD) managed at a tertiary care specialized university center in Sri Lanka

Jayakody Chamath , Seneviratne Sumudu

Introduction: DSDs encompass a heterogenous group of conditions associated with multiple medical and psychosocial challenges. There is a paucity of data from patients from relatively low resource settings, where difficulties faced and their management may differ based on the different socio-cultural background. Objectives: To describe the underlying condition, presentation, medico-social issues, problems and challenges, and their management in a cohort o...

hrp0094p2-428 | Sex differentiation, gonads and gynaecology or sex endocrinology | ESPE2021

Case series: Use of tamoxifen in the management of gynaecomastia in three adolescent boys with 46 XY DSD

Jayakody Chamath , Seneviratne Sumudu

Background: Management of gynaecomastia in adolescent males with Partial Androgen Insensitivity Syndrome (PAIS) remains a clinical conundrum. The main mode of treatment is mastectomy, while literature on pharmaceutical management is limited. This case series evaluates outcome of 3 children treated with tamoxifen. Case 1: A 16-year-old-boy with genetically confirmed PAIS, presented with bilateral gynaecomastia at 11 years of age. He had severe under-viril...

hrp0097p1-376 | Sex Differentiation, Gonads and Gynaecology, and Sex Endocrinology | ESPE2023

Obtaining clear birth certificates for children with difference in sex development (DSD) undergoing sex reassignment: A new legal process for Sri Lanka

Seneviratne Sumudu , Jayakody Chamath , Hewakuruppu Sathee , Wickremesekere Dinusha , Jayasundere Ramani

Introduction: Majority of births in Sri Lanka occur in hospitals, with birth registration completed prior to discharge. When babies with atypical genitalia are missed at birth, and gender re-assignment decided, following later detection and evaluation, families faced many challenges to obtain a “clear” birth certificate (BC), without incriminating details of prior name or sex.Objectives: To describe character...