Developmental disorders of the cervix, uterus and Fallopian tubes

Treatment:

Early recognition of developmental disorders is important, particularly for those that involve sexual ambiguity.

Surgical treatment, indicated in some cases depending upon the abnormality, is usually recommended during the neonatal/infant period. In some instances, reconstruction may be deferred until after puberty. Surgical reconstruction is done to most closely associate physical characteristics with the gender role assigned to the individual child. This is best done with the expert advice of a geneticist or other specialist after chromosomal studies are completed. Hormonal supplementation may also be necessary depending on the condition present.

Psycho-social support and/or counseling is required for the parents (and child when applicable) to address concerns and provide anticipatory guidance specific to the child's development.

Expectations (prognosis):

Optimal outcome is based upon early identification of the abnormalities (during the neonatal period), early chromosomal studies, expert advise, and early intervention with treatment aimed at addressing physical, emotional, and social issues.

Complications:

Potential complications arise if a diagnosis is made late or in error. Children with apparent gender-specific external characteristics may be found, at puberty, to have internal sexual organ functions specific to the sex opposite from which they were raised.

Calling your health care provider:

Call for an appointment with your health care provider if abnormal, observable gynecological structures are present, expected female characteristics (breasts, pubic hair) do not develop in girls at puberty, expected menstrual cycle functions do not develop at puberty, unexpected male characteristics develop in girls, or if female characteristics and/or functions develop in boys at puberty.