developmental disorders, the vagina, vulva…

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female reproductive anatomy, developmental disorders, the vagina, vulva, developmental disorders, the vagina, vulva, uterus, female reproductive anatomy, mid-sagittal, developmental disorders, the vagina, vulva, variety of structural abnormalities that occur, fetal development, the union of a sperm, an ovum, an embryo acquires the chromosomes that determine the sex, the fetus, xx=female, xy=male, the first 6 weeks, sex, the fetus is not distinguishable, 6 weeks gestation, ovaries begin to develop in those, two x chromosomes, testicles develop in those, an x, y chromosome, sexual ambiguity, arise, additional x chromosomes, y chromosome is not functioning correctly, x chromosome, primary determinant of feminine traits, geneticists have noted over 200 traits, thought to be x-chromosome linked, hemophilia, color blindness, y chromosome has only been linked, testicular formation, development of male secondary sexual characteristics, puberty, fetal development progresses, the pregnancy, arise, in the development of internal, external sexual organs, embryonic tissue is initially the same, no male, female differentiation, such problems, genetic males to have "female" genital structures, genetic females to have "male" genital structures, an example of this is true hermaphroditism, most of these individuals were raised, males, external genitalia appeared more masculine, in fact, had early diagnosis been available, most should have been raised, females, they all developed significant breasts, many menstruated, after surgical removal of testicular tissue, become pregnant, delivered normal children, recurring pelvic pain, lack of menstrual periods, urinary retention, painful intercourse, absent menstruation, an inspection, the external genitalia, reveal, one side of labia larger than the other, unusually large on both sides, vaginal opening extremely close, urethra, anus, urethra located on the clitoris, enlarged clitoris, an examination, the vagina, reveal, an absent, partially-formed vagina, fused labia, an abnormal septum, "wall" of connective tissue, vaginal canal, either partially, completely divide the vagina horizontally, vertically, an imperforate hymen, solid membrane obstructing the vaginal opening, in preadolescent girls, secretions, accumulate, vaginal swelling, a shiny, bulging protuberance, vaginal opening, in adolescent girls, menstrual blood accumulates, causing a purplish-red, bulging protuberance, vaginal opening, early recognition of developmental disorders is important, that involve sexual ambiguity, surgical treatment, cases depending upon the abnormality, neonatal/infant period, instances, reconstruction deferred, after puberty, surgical reconstruction, most closely associate physical characteristics, the gender role assigned, individual child, best done, the expert advice of a geneticist, specialist after chromosomal studies, completed, hormonal supplementation, necessary depending on the condition present, psychosocial support/counseling, the parents, child, applicable, to address concerns, provide anticipatory guidance specific, child's development, optimal outcome, based upon early identification, the abnormalities, neonatal period, early chromosomal studies, expert advice, early intervention, treatment aimed at addressing physical, emotional, social issues, potential complications arise, a diagnosis is made late, in error, children, apparent gender-specific external characteristics found, at puberty, to have internal sexual organ functions specific, sex opposite from which they were raised, internal sexual organs, at risk, cancer, must be surgically removed around the time of puberty, abnormal gynecological structures, breasts, pubic hair, not develop at puberty, menstrual cycle, does not begin at puberty, unexpected male characteristics develop, adequate prenatal nutrition, avoiding exposure to illness, medications, alcohol, all important, adequate fetal growth, developmental disorders, still occur despite the mother's efforts to assure a healthy pregnancy, no current means of prevention.