Challenges in Management of Ovotesticular Differences in Sex Development in Resource-Limited Settings

Table 1

Results of investigations.

Laboratory investigation	Results	Normal range
Luteinizing hormone (U/L)	6.04	2.0–8.0
Follicular stimulating hormone (IU/L)	4.17	3.0–5.5
Estradiol (pmol/l)	363.6	<150
Testosterone (nmol/l)	3.9	10.0–30.0
hCG stimulation test (single dose protocol)-increment in testosterone (%)	37	200–300
Gonadal biopsy histopathology	Both ovarian follicles and testicular tubular elements seen with connective tissue separating them. Ovarian portion appeared normal with fallopian tube attached. Testicular portion showed degenerative and cystic changes; spermatic cord attached. No evidence of malignancy

Normal range denotes the value for a pubertal 15-year-6-months-old male.