Female Pseudohermaphroditism

• Virilized XX
• Physical findings:
  • Ovaries present
  • Clitoromegaly (>6.5 mm)
  • Migration of urethral opening
  • Posterior labial fusion
• Etiologies
  • Excess androgens
  • Virilizing Congenital Adrenal Hypoplasia (90%)
  • Aromatase deficiency
  • Androgen secreting tumor
  • Medications

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