Jennifer E Dayner

Penn State Hershey Medical Center and Penn State College of Medicine, Hershey, Pennsylvania, United States

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Publications (2)4.46 Total impact

  • Jennifer E Dayner, Peter A Lee, Christopher P Houk
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    ABSTRACT: The recommendation for early genital surgery in children born with ambiguous genitalia has become a contentious topic. Some adult intersex patients contend that their parents were neither fully informed about the side effects of surgery nor able to predict the impact of these surgeries on sexual responsiveness. The parents of these intersex patients, on the other hand, often report that they were not given sufficient input into the treatment decisions for their children. A total of 21 parents of 17, 46 XX children with congenital adrenal hyperplasia (CAH) and genital ambiguity completed multiple response questionnaires to gain a better understanding of parental perspective to include information provided in the neonatal period, the specifics of genital surgery and their recollection of the participation they were allowed in medical decision making for their child. The majority of parents of girls with CAH were satisfied with the information provided in the newborn period, and with the preoperative discussions and outcomes of the genital surgery their daughters underwent in infancy. Most thought that their daughters would lead a well-adjusted life. Most parents of minor females with CAH who were born with genital ambiguity indicated that they were well informed and involved in the medical care given to their daughters. In most instances parents indicated that genital surgery was indicated during infancy and should be undertaken even at the risk of reducing genital sensitivity.
    The Journal of Urology 11/2004; 172(4 Pt 2):1762-5; discussion 1765. DOI:10.1097/01.ju.0000138519.12573.3a · 3.75 Impact Factor
  • Christopher P Houk, Jennifer Dayner, Peter A Lee
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    ABSTRACT: Recommendations for sex of rearing in newborns with genital ambiguity, testicular differentiation and a Y chromosome continue to be challenging. Complaints from former patients have forced those providing the medical, surgical and psychological care for these individuals to reassess evaluation and treatment strategies. In this paper, the histories of six patients born with genital ambiguity and at least partial testicular differentiation with a karyotype containing a Y chromosome are presented. Three of these patients were assigned as males and three as females. The factors involved in these individuals' adaptation to the assigned gender and their subsequent quality of life are discussed. Factors needing further study, including the parents' ability to accept and support the sex of rearing, the child's temperament, associated psychological disorders, and other influences, such as masculinization of the central nervous system, are highlighted.
    Journal of pediatric endocrinology & metabolism: JPEM 07/2004; 17(6):825-39. DOI:10.1515/JPEM.2004.17.6.825 · 0.71 Impact Factor

Publication Stats

39 Citations
4.46 Total Impact Points

Institutions

  • 2004
    • Penn State Hershey Medical Center and Penn State College of Medicine
      • Pediatrics
      Hershey, Pennsylvania, United States