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By Mayo Clinic staffMany factors influence a person's gender identity. Families of babies born with ambiguous genitalia may need long-term support to help with ongoing issues regarding gender and sexuality. In the past, a baby born with ambiguous genitalia was quickly assigned a gender and surgery was performed to ensure the baby looked like a boy or girl. The newer approach encourages parents to allow children born with ambiguous genitalia to participate in decisions about their gender as they grow up.
The future sexual functioning and fertility of a baby born with ambiguous genitalia depends on the specific diagnosis. For example, genetic females with congenital adrenal hyperplasia usually can get pregnant if they so choose.
Some disorders of sex development are associated with an increased risk of cancer in sex organs or the liver.
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