Reproductive endocrinology

Prenatal care for disorders/differences of sex development: 10 years look back in an expert center

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

Prenatal assessment may support counselling and care planning for families expecting a child with DSD.

Study context

Population
Pregnancies referred to the Multidisciplinary Center for Prenatal Diagnosis of Lyon, January 2013–December 2022, for isolated US suspicion of disorders/differences of sex development (DSD); family-history referrals excluded57 confirmed by experts
Participants
71 patients
Outcome
Prenatal management of isolated US suspicion of DSD
Methodological detailssingle-centre, 10-year period
  • Single-centre
  • 10-year period

Main finding

As reported in the abstract

SRY testing on maternal blood
17.5%
Invasive examination
59.6%
Amniotic fluid steroid profile
76.5%
Amniotic fluid biochemical analyses for SLO
64.7%
Amniotic fluid genetic analyses
100%
Karyotype
100%
CGH array
67.6%
DSD panel
14.7%
Targeted gene analysis
35.3%
Molecular diagnosis obtained (cases)
13
Molecular diagnosis obtained prenatally (cases)
5

Observational data: associations, not effects.

Further findings

Outcomes at birth

Preterm newborns
52.3%
Intrauterine growth restriction (IUGR)
52.3%
Children with DSD phenotype among 57 prenatally suspected
41
Fetuses ultimately diagnosed with severe neurological condition
3

Original publication

Prenatal care for disorders/differences of sex development: 10 years look back in an expert center. J Clin Endocrinol Metab. Published 24 July 2026. doi:10.1210/clinem/dgag289

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