Complete Androgen Insensitivity Syndrome: Diagnosis and Psychological Impact in Two Adolescents, A Case Report
- Author:
Salma Yasmin Mohd Yusuf
1
;
Mazapuspavina Md Yasin
1
;
Akmal Zulayla Mohd Zahid
2
;
Akmal Hisham Arshad
2
;
Khariah Mat Nor
3
Author Information
- Publication Type:Case Reports
- Keywords: Primary Amenorrhoea, Infertility, 46 XY Female, Complete Androgen Insensitivity Syndrome, Psychological impact
- From:Malaysian Journal of Medicine and Health Sciences 2022;18(No.1):365-368
- CountryMalaysia
- Language:English
- Abstract: This case report illustrates two cases of complete androgen insensitivity syndrome (CAIS) which is a rare form of sexual development disorder. Both presented with primary amenorrhea at the age of 18 and 19 years old. The hormonal profiles ruled out hypothyroidism, hyperprolactinemia, and primary ovarian failure. Magnetic resonance imaging of both patients showed the absence of uterus, fallopian tubes, ovaries, but the presence of proximal 1/3rd of the vagina. There is a single testis in the left inguinal region with unknown status of spermatogenesis. Women with CAIS are vulnerable to various psychological conditions caused by the appalling fact of being genotypically male when they have been raised female all their life. The gender confusion, reproductive issues, and how others perceive them require sensitive support. Hence, accentuate the need to explore and address the emotional, psychological, and psychiatric vulnerabilities, religious and spiritual beliefs in issues of relationships, infertility, and conception.
- Full text:11.2022my1225.pdf
