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Cardiovascular system --- Gastrointestinal system --- Genito-urinary organs --- Infants (Newborn) --- Respiratory organs --- Digestive System Abnormalities --- Heart Defects, Congenital --- Respiratory System Abnormalities --- Urogenital Abnormalities --- Abnormalities --- Diseases

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The birth of a baby with ambiguous genitalia triggers a chain reaction of difficulties that rapidly spread to the entire family and most medical attendants, leading to lasting effects on the gender identity, personality, and sexual functioning of the unfortunate individual.  The rapid advances in medicine over the last 50 years have totally changed the outlook for children with disorders of sex development (DSD), but there is still much to learn.   This book crystallizes the combined experience of a leading dedicated unit over 25 years in delivering expert medical and surgical care to children with DSD in a holistic environment.  It documents the most recent advances in the molecular biology and embryology of sex development, and describes each disorder in detail.  The clinical presentation and approach to diagnosis are described both for babies and for children presenting later in childhood or at adolescence.  The chapters on management highlight all the latest knowledge and include the shared wisdom of the authors on current controversies, such as the timing of surgical treatment.  Finally, the authors describe their short-, medium-, and long-term outcomes, which demonstrate the strengths of holistic team management.

Gender identity disorders in children. --- Generative organs -- Abnormalities. --- Sexual disorders in children. --- Sex differentiation disorders --- Sex disorders --- Urogenital Abnormalities --- Gonadal Disorders --- Sexual and Gender Disorders --- Mental Disorders --- Male Urogenital Diseases --- Female Urogenital Diseases --- Endocrine System Diseases --- Congenital Abnormalities --- Diseases --- Psychiatry and Psychology --- Congenital, Hereditary, and Neonatal Diseases and Abnormalities --- Female Urogenital Diseases and Pregnancy Complications --- Disorders of Sex Development --- Medicine --- Health & Biological Sciences --- Urology & Nephrology --- Pediatrics --- Sex differentiation disorders. --- Sexual disorders. --- Generative organs --- Diseases. --- Sexual diseases --- Differentiation disorders, Sex --- Disorders of sexual differentiation --- Medicine. --- Human genetics. --- Pediatrics. --- Medicine & Public Health. --- Human Genetics. --- Theriogenology --- Sex (Biology) --- Psychosexual disorders --- Sexual disorders --- Genetics --- Heredity, Human --- Human biology --- Physical anthropology --- Paediatrics --- Pediatric medicine --- Children --- Health and hygiene

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Call it a remnant of our Victorian past, but sexual concerns lag behind other aspects of health, both in the training of physicians and therapists and in the way they impart this knowledge to clients. But as sexuality gains recognition as crucial to one’s quality of life, evidence-based methods of understanding and discussing sex are imperative—and not only in treating pathology.   Sexual Medicine in Clinical Practice provides framework, rationale, and strategies for both approaching sexual problems and addressing patients’ questions about sexual health, behavior, and relationships. Analyzing sexuality along three dimensions—attachment, reproduction, and desire—this concise manual offers a biopsychosocial lifespan model readily translatable into clinical work. This “syndyastic” framework integrates attachment and relational theory to reinforce the bond between intimacy and connectedness, and models nonjudgmental approaches to disorders of sexual function, maturity, preference, and behavior. The authors’ salutogenic rather than pathogenic focus lets clients become major players in their own healing, and the therapist or doctor serve as expert and guide. Among the topics covered:   The communicative function of sexuality. The spectrum of sexual disorders. Principles of diagnostics in sexual medicine. Disease-centered versus client-centered aspects of sexual therapy. Therapeutic approaches for sexual traumatization. New challenges, including preventing child sexual abuse and online sex crime. Plus case studies, interdisciplinary references, and ethical issues.   A timely, perspective- and practice-altering volume, Sexual Medicine in Clinical Practice is essential reading for family and primary care physicians, family and sex therapists, health psychologists, and psychiatrists.

Sexual disorders -- Diagnosis. --- Sexual disorders -- Treatment. --- Sexual disorders. --- Sexual Dysfunction, Physiological. --- Sexual disorders --- Psychosexual disorders --- Genital Diseases, Female --- Gonadal Disorders --- Genital Diseases, Male --- Sexual and Gender Disorders --- Urogenital Abnormalities --- Male Urogenital Diseases --- Endocrine System Diseases --- Congenital Abnormalities --- Female Urogenital Diseases --- Mental Disorders --- Congenital, Hereditary, and Neonatal Diseases and Abnormalities --- Female Urogenital Diseases and Pregnancy Complications --- Diseases --- Psychiatry and Psychology --- Sexual Dysfunction, Physiological --- Disorders of Sex Development --- Sexual Dysfunctions, Psychological --- Psychiatry --- Health & Biological Sciences --- Sexual Problems --- Sex disorders --- Sexual diseases --- Medicine. --- Psychology. --- Medicine & Public Health. --- Medicine/Public Health, general. --- Psychology, general. --- Behavioral sciences --- Mental philosophy --- Mind --- Science, Mental --- Human biology --- Philosophy --- Soul --- Mental health --- Clinical sciences --- Medical profession --- Life sciences --- Medical sciences --- Pathology --- Physicians --- Sex (Biology)

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The field of androgen excess disorders has advanced substantially since the original publication of this book. The Androgen Excess Society (AES) was founded to bring together investigators in the field. A better understanding of the screening, progression, and molecular genetics of nonclassic adrenal hyperplasia (NCAH) has improved the clinical care and diagnostic accuracy of these patients. New criteria for the diagnosis of the polycystic ovary syndrome (PCOS) were proposed in Rotterdam, criteria that have resulted in controversy and, hopefully, initiation of new studies. The association of insulin resistance with PCOS has been strengthened, and the role of metformin in tre- ing the infertility of the PCOS has been validated. Risks for diabetes and, more cont- versially, cardiovascular disease in women with PCOS have received substantial investigation. Our understanding of the epidemiology and economic impact of these disorders has expanded, emphasizing their critical importance. These are but a few highlights of how the terrain has changed in a relatively brief period of time. In keeping with these advances, the title of this book has been revised to reflect the growing importance of PCOS as the most prevalent androgen excess disorder in women, and arguably, as the one that might have the most serious adverse consequences for general health. There are fewer chapters to provide a more focused elucidation of the area. Several chapters were penned by new (and young) authors who are conducting cutting-edge research in the field.

Adrenal glands. --- Adrenal glands --- Androgens --- Polycystic ovary syndrome --- Adrenogenital Syndrome --- Adrenal Gland Diseases --- Ovarian Cysts --- Hormones --- 46, XX Disorders of Sex Development --- Disorders of Sex Development --- Ovarian Diseases --- Hormones, Hormone Substitutes, and Hormone Antagonists --- Cysts --- Endocrine System Diseases --- Adnexal Diseases --- Urogenital Abnormalities --- Gonadal Disorders --- Physiological Effects of Drugs --- Neoplasms --- Diseases --- Congenital Abnormalities --- Female Urogenital Diseases --- Pharmacologic Actions --- Male Urogenital Diseases --- Genital Diseases, Female --- Congenital, Hereditary, and Neonatal Diseases and Abnormalities --- Chemical Actions and Uses --- Female Urogenital Diseases and Pregnancy Complications --- Chemicals and Drugs --- Hyperandrogenism --- Polycystic Ovary Syndrome --- Adrenocortical Hyperfunction --- Medicine --- Health & Biological Sciences --- Clinical Endocrinology --- Gynecology & Obstetrics --- Metabolism --- Physiological effect --- Disorders, Congenital --- Congenital Disorders --- Neonatal Diseases and Abnormalities --- Congenital Disorder --- Disorder, Congenital --- Female Genital Diseases --- Gynecologic Diseases --- Diseases, Female Genital --- Diseases, Gynecologic --- Female Genital Disease --- Genital Disease, Female --- Gynecologic Disease --- Male Genitourinary Diseases --- Genitourinary Disease, Male --- Genitourinary Diseases, Male --- Male Genitourinary Disease --- Male Urogenital Disease --- Urogenital Disease, Male --- Urogenital Diseases, Male --- Chemical Actions --- Actions, Chemical --- Actions, Pharmacologic --- Female Genitourinary Diseases --- Female Genitourinary Disease --- Female Urogenital Disease --- Genitourinary Disease, Female --- Genitourinary Diseases, Female --- Urogenital Disease, Female --- Urogenital Diseases, Female --- Abnormalities, Congenital --- Defects, Congenital --- Birth Defects --- Congenital Defects --- Deformities --- Abnormality, Congenital --- Birth Defect --- Congenital Abnormality --- Congenital Defect --- Defect, Birth --- Defect, Congenital --- Defects, Birth --- Deformity --- Benign Neoplasms --- Malignancy --- Neoplasia --- Neoplasm --- Neoplasms, Benign --- Cancer --- Tumors --- Benign Neoplasm --- Cancers --- Malignancies --- Neoplasias --- Neoplasm, Benign --- Tumor --- Drug Effects on Physiology --- Drug Physiological Effects --- Effects, Drug Physiological --- Physiological Effects, Drug --- Disorder, Gonadal --- Disorders, Gonadal --- Gonadal Disorder --- Abnormalities, Urogenital --- Genitourinary Abnormalities --- Abnormalities, Genitourinary --- Abnormality, Genitourinary --- Abnormality, Urogenital --- Genitourinary Abnormality --- Urogenital Abnormality --- Urogenital System --- Adnexal Disease --- Disease, Adnexal --- Diseases, Adnexal --- Diseases of Endocrine System --- Endocrine Diseases --- Disease, Endocrine --- Disease, Endocrine System --- Diseases, Endocrine --- Diseases, Endocrine System --- Endocrine Disease --- Endocrine System Disease --- System Disease, Endocrine --- System Diseases, Endocrine --- Cyst --- Hormones, Substitutes, Antagonists --- Disease, Ovarian --- Diseases, Ovarian --- Ovarian Disease --- Ambiguous Genitalia --- Genital Ambiguity --- Hermaphroditism --- Intersex Conditions --- Intersexuality --- Pseudohermaphroditism --- Sexual Development Disorders --- Sexual Differentiation Disorders --- Disorders of Sexual Development --- Sex Development Disorders --- Sex Differentiation Disorders --- Ambiguities, Genital --- Ambiguity, Genital --- Condition, Intersex --- Conditions, Intersex --- Differentiation Disorder, Sex --- Differentiation Disorder, Sexual --- Differentiation Disorders, Sex --- Differentiation Disorders, Sexual --- Disorder, Sex Differentiation --- Disorder, Sexual Differentiation --- Disorders, Sex Differentiation --- Disorders, Sexual Differentiation --- Genital Ambiguities --- Genitalia, Ambiguous --- Intersex Condition --- Intersexualities --- Sex Development Disorder --- Sex Differentiation Disorder --- Sexual Development Disorder --- Sexual Differentiation Disorder --- Hormone --- Hormone Receptor Agonists --- Agonists, Hormone Receptor --- Receptor Agonists, Hormone --- Corpus Luteum Cyst --- Corpus Luteum Cysts --- Cyst, Corpus Luteum --- Cyst, Ovarian --- Cysts, Corpus Luteum --- Cysts, Ovarian --- Ovarian Cyst --- Adrenal Gland Disease --- Disease, Adrenal Gland --- Diseases, Adrenal Gland --- Gland Disease, Adrenal --- Gland Diseases, Adrenal --- PCOD (Gynecology) --- PCOS (Gynecology) --- Polycystic ovarian disease --- Polyfollicular ovarian disease --- Sclerocystic ovarian degeneration --- Sclerocystic ovaries --- Sclerocystic ovary syndrome --- Stein-Leventhal syndrome --- Androgenic hormones --- Adrenal Gland Hyperfunction --- Hyperadrenalism --- Hyperadrenocorticism --- Hypercorticism --- Hyperfunction, Adrenal Gland --- Hyperfunction, Adrenocortical --- Androgen Effect --- Androgen Effects --- Androgen Receptor Agonists --- Androgenic Agents --- Androgenic Compounds --- Agents, Androgenic --- Agonists, Androgen Receptor --- Compounds, Androgenic --- Effect, Androgen --- Effects, Androgen --- Receptor Agonists, Androgen --- Receptors, Androgen --- Polycystic Ovarian Syndrome --- Polycystic Ovary Syndrome 1 --- Sclerocystic Ovarian Degeneration --- Sclerocystic Ovaries --- Sclerocystic Ovary Syndrome --- Stein-Leventhal Syndrome --- Ovarian Degeneration, Sclerocystic --- Ovarian Syndrome, Polycystic --- Ovary Syndrome, Polycystic --- Ovary, Sclerocystic --- Sclerocystic Ovary --- Stein Leventhal Syndrome --- Syndrome, Polycystic Ovary --- Syndrome, Stein-Leventhal --- abnormalities --- agonists --- 46, XX DSD --- 46,XX DSD --- 46,XX Disorders of Sex Development --- Female Pseudohermaphroditism --- Female Pseudohermaphroditisms --- Pseudohermaphroditism, Female --- Pseudohermaphroditisms, Female --- Adrenogenital Syndromes --- Syndrome, Adrenogenital --- Syndromes, Adrenogenital --- Medicine. --- Endocrinology. --- Medicine & Public Health. --- Internal medicine --- Endocrinology . --- Polycystic ovary syndrome. --- Diseases. --- Metabolism. --- Physiological effect.