Sex xx 100
In mild cases CAH results in a slightly enlarged clitoris, while in more severe cases it can be difficult to decide (just by looking) whether a baby is male or female (this is called having ambiguous genitals).Nevertheless, if they are old enough to know the difference, most children with CAH think of themselves as girls. PGS (pre-implantation genetic screening) can help couples not only select the gender of their child but also can determine if an embryo contains the normal number of chromosomes seen in humans.
(When this adrenal problem occurs in people with male (XY) chromosomes, the result is over-masculinization and premature puberty).
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With statistics approaching 100%, PGD gives couples the best odds in determining their baby’s sex. Patients who are already undergoing fertility treatment may consider family balancing because they are already undergoing in vitro fertilization (IVF) and want to take advantage of the option of choosing gender with PGD/PGS.
However, a couple may choose gender selection for their own reasons; for example, perhaps they are an older couple who wants to have one child of each sex.
A frequently-used medical adjective for people with DSDs is "intersex".