Özet:
Background: Sex assignment decisions for children with disorders of sex development (DSD) should be based on integrative assessments of relevant biological and psychosocial characteristics. Aim: To investigate the factors that contributed to sex assignment decisions for children with 46,XY DSD. Patients: Sixty-one children recruited from a clinical sample were evaluated. Methods: Findings of endocrinological and psychiatric evaluations were entered into a logistic regression analysis. Results: Gender identity was the strongest correlate of assigned sex. External genital under-virilization, sex announced at birth and toy/ activity preferences were predominant predictors. Twelve children, six of whom were pre-pubertal, were reassigned to male sex. Conclusions: Psychological factors seem to be as influential on sex reassignment decisions as are endocrinological and social factors, especially if the disorder is disposed at an older age. Pre-pubertal gender conversion is possible, which implies the importance of follow-up during childhood. © Freund Publishing House Ltd., London.