304
ab
c
Fig. 9.6 ( a ) A 14-year-old individual reared as female who presented with primary amenorrhea,
( b ) absent secondary sexual characteristics and ( c ) unambiguous female external genitalia.
Ultrasonography revealed bilateral inguinal testis. A diagnosis of 46,XY DSD due to androgen
biosynthetic defect was considered
9 Disorders of Sex Development