Contexts of care for people with differences of sex development: Diversity is still missing in the laboratory routine

Alexandra E. Kulle; Martina Jürgensen; Ulla Döhnert; Lisa Malich; Louise Marshall; Olaf Hiort

doi:10.1515/medgen-2023-2037

Contexts of care for people with differences of sex development: Diversity is still missing in the laboratory routine

Alexandra E. Kulle^*, Martina Jürgensen, Ulla Döhnert, Lisa Malich, Louise Marshall, Olaf Hiort

^*Corresponding author for this work

University of Kiel

Abstract

The 2006 Chicago consensus statement of management of disorders/difference of sex development (DSD) has achieved advantages in clinical care and diagnosis for patients and families affect by DSD. This article provides a brief overview of contexts of care for physicians, and points out specific challenges in clinical practice that have arisen from the transformations of the sex/gender system in recent years. We focus on the impact of diagnosis and laboratory measurements. Both laboratory measurements and hormonal therapies still depend on the binary system. One problem is the lack of reference intervals for the different forms of DSD, which means that diversity is often neglected. In the following, we will give a brief insight into this complex topic.

Original language	English
Journal	Medizinische Genetik
Volume	35
Issue number	3
Pages (from-to)	181-187
Number of pages	7
ISSN	0936-5931
DOIs	https://doi.org/10.1515/medgen-2023-2037
Publication status	Published - 01.09.2023

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being
SDG 4 Quality Education
SDG 5 Gender Equality
SDG 10 Reduced Inequalities
SDG 16 Peace, Justice and Strong Institutions

Research Areas and Centers

Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)
Research Area: Medical Genetics

DFG Research Classification Scheme

2.22-20 Pediatric and Adolescent Medicine
2.22-17 Endocrinology, Diabetology, Metabolism

Access to Document

10.1515/medgen-2023-2037

Cite this

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title = "Contexts of care for people with differences of sex development: Diversity is still missing in the laboratory routine",

abstract = "The 2006 Chicago consensus statement of management of disorders/difference of sex development (DSD) has achieved advantages in clinical care and diagnosis for patients and families affect by DSD. This article provides a brief overview of contexts of care for physicians, and points out specific challenges in clinical practice that have arisen from the transformations of the sex/gender system in recent years. We focus on the impact of diagnosis and laboratory measurements. Both laboratory measurements and hormonal therapies still depend on the binary system. One problem is the lack of reference intervals for the different forms of DSD, which means that diversity is often neglected. In the following, we will give a brief insight into this complex topic.",

author = "Kulle, \{Alexandra E.\} and Martina J{\"u}rgensen and Ulla D{\"o}hnert and Lisa Malich and Louise Marshall and Olaf Hiort",

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language = "English",

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T2 - Diversity is still missing in the laboratory routine

AU - Kulle, Alexandra E.

AU - Jürgensen, Martina

AU - Döhnert, Ulla

AU - Malich, Lisa

AU - Marshall, Louise

AU - Hiort, Olaf

PY - 2023/9/1

Y1 - 2023/9/1

N2 - The 2006 Chicago consensus statement of management of disorders/difference of sex development (DSD) has achieved advantages in clinical care and diagnosis for patients and families affect by DSD. This article provides a brief overview of contexts of care for physicians, and points out specific challenges in clinical practice that have arisen from the transformations of the sex/gender system in recent years. We focus on the impact of diagnosis and laboratory measurements. Both laboratory measurements and hormonal therapies still depend on the binary system. One problem is the lack of reference intervals for the different forms of DSD, which means that diversity is often neglected. In the following, we will give a brief insight into this complex topic.

AB - The 2006 Chicago consensus statement of management of disorders/difference of sex development (DSD) has achieved advantages in clinical care and diagnosis for patients and families affect by DSD. This article provides a brief overview of contexts of care for physicians, and points out specific challenges in clinical practice that have arisen from the transformations of the sex/gender system in recent years. We focus on the impact of diagnosis and laboratory measurements. Both laboratory measurements and hormonal therapies still depend on the binary system. One problem is the lack of reference intervals for the different forms of DSD, which means that diversity is often neglected. In the following, we will give a brief insight into this complex topic.

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M3 - Journal articles

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JO - Medizinische Genetik

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ER -

Contexts of care for people with differences of sex development: Diversity is still missing in the laboratory routine

Abstract

UN SDGs

Research Areas and Centers

DFG Research Classification Scheme

Access to Document

Other files and links

SFB 1665: Sexdiversity - Determinants, meanings and implications of sex diversity in sociocultural, medical and biological landscapes

Cite this

Contexts of care for people with differences of sex development: Diversity is still missing in the laboratory routine

Abstract

UN SDGs

Research Areas and Centers

DFG Research Classification Scheme

Access to Document

Other files and links

Projects

SFB 1665: Sexdiversity - Determinants, meanings and implications of sex diversity in sociocultural, medical and biological landscapes

Cite this