Differences of Sex Development
Learn more about Intermountain Children's Health DSD Center.
Whole-person care for growing bodies
Conditions we support
- Variations in chromosomes, gonads, hormones, or reproductive anatomy
- Congenital adrenal hyperplasia (CAH)
- Androgen insensitivity syndromes (AIS)
- Gonadal dysgenesis and 45,X/46,XY mosaicism
- 5-alpha-reductase and other enzyme deficiencies
- Ovotesticular and testicular DSD
- Müllerian/anatomic differences identified in childhood or adolescence
Services and care
- Comprehensive evaluation: genetics, endocrine labs, imaging, and child-centered exams only when needed
- Hormone support and puberty planning
- Fertility counseling and preservation options when appropriate
- Surgical consultation for medically necessary or elective procedures, with a careful, no-pressure approach
- Psychosocial care: dedicated psychology, social work, and peer support connections
- School, sports, and life planning (letters, care plans, pain/period management, activity guidance)
- Care coordination with Primary Care, Urology, Pediatric & Adolescent Gynecology, Endocrinology, and Genetics
- Transition support for teens moving to adult care
Care that honors who your child is.
Dignity first
We create a safe, inclusive space for questions and decisions. Teens have private time with clinicians; caregivers stay informed and supported.
Shared decisions, not rushed ones
Most choices aren’t urgent. We provide clear information and decision aids so your family can choose what feels right—now or later.
Pediatric-only expertise
Our surgeons, endocrinologists, and gynecologists specialize in growing bodies and futures.
One coordinated plan
Multiple specialists work together, often in a single visit, so you get fewer appointments and a plan that makes sense.
What to expect
First visit: Gentle history, review of prior tests, and a discussion about goals and language. Exams and imaging only if needed and with consent/assent.
Your plan: Plain-language recommendations, written next steps, and direct contact information.
Follow-up: Ongoing medical and emotional support; we revisit choices as your child grows.
When procedures are considered: We review benefits, risks, timing, and alternatives with your family and our ethics and psychology partners.
Featured locations
National recognition
Intermountain Primary Children's Hospital is ranked by U.S. News & World Report as one of the nation's best children's hospitals in 11 of 11 pediatric specialties, including urology.
