The Health Care of Adults with Differences in Sex Development or Intersex Traits Is Changing: Time to Prepare Clinicians and Health Systems

Frances Grimstad, Jessica Kremen, Carl G. Streed, Katharine B. Dalke

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


Historically, the majority of differences in sex development or intersex trait (dsd/I)-specific medical care has been provided by pediatric clinicians, leading to a dearth of adult clinicians qualified to care for this vulnerable population, and pediatricians reticent to transition patients to adult care. Recent changes in routine care of children and infants with dsd/I, including reconsidering the role of early genital surgeries, highlight the critical need to address the gaps in adult dsd/I health care. In this perspective, we describe three key educational and research approaches that can be implemented to build competency to care for adults with dsd/I and improve care across the lifespan.

Original languageEnglish (US)
Pages (from-to)439-443
Number of pages5
JournalLGBT Health
Issue number7
StatePublished - Oct 2021

All Science Journal Classification (ASJC) codes

  • Dermatology
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Urology

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