Aphallia

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Aphallia

Aphallia (/əˈfæliə/; from Greek a- meaning "without", and phallos meaning "penis") is a rare congenital condition where the penis or clitoris is absent. It is a form of genital abnormality and is considered a intersex condition.

Definition

Aphallia is a rare congenital disorder characterized by the absence of the penis in males or the clitoris in females. This condition is usually identified at birth and can cause significant challenges in gender assignment and sexual function later in life.

Causes

The exact cause of aphallia is unknown, but it is believed to be due to a disruption in the development of the genital tubercle, the embryonic structure that develops into the penis or clitoris, during the first 8 to 14 weeks of pregnancy.

Diagnosis

Diagnosis of aphallia is typically made at birth based on physical examination. Further diagnostic tests such as ultrasound or magnetic resonance imaging (MRI) may be used to assess the internal genital structures and to rule out other genital abnormalities.

Treatment

Treatment for aphallia is complex and often involves a multidisciplinary team of specialists. It may include surgery to create a functional and cosmetically acceptable genital organ, hormone therapy, and psychological support. The decision about gender assignment is a complex issue and should be made with the involvement of the child's parents and, when possible, the child themselves.

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