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Endocrinologist

Real-Life Activities

Real-Life Decision Making

You are facing a very difficult decision in your clinical practice. A baby has been born with ambiguous genitalia. That is, you cannot tell by looking whether the infant is a boy or a girl. The baby's parents are very distressed. They urge you to tell them what gender the baby is. They are very impatient to know the answer.

Your decision is very important. What you say will determine whether the parents raise the child as a boy or as a girl. If you make a mistake, it is very difficult to change later.

When these cases occur, you are expected to make your decision based on your knowledge and experience, according to the best-known possibilities and depending on the condition of the child.

The best thing to do is to discuss the situation with a group of people -- to have a multidisciplinary discussion with surgeons, pediatricians and with persons from many other specializations. Many people should go over the possibilities and assist in the decision.

However, this is very time-consuming. You are very, very busy and the parents are pressuring you to tell them the answer. Your expertise tells you that the child is a girl.

What do you do?