Some may want to think about altering their existing genitals, for example by using vaginal stretch techniques. These groups can often offer more information and advice about living with a DSD, and may be able to put you in contact with others who've been in a similar situation to you. Girls and women with Turner syndrome are often infertile and their height may be shorter than average. Most people with a DSD stay with the gender linked to their sex at birth, which is the sex on their birth certificate. The most common cause is congenital adrenal hyperplasia CAH. Some people with DSD look into altering the appearance of their genitals by having surgery. Tests may be done to help get a clear diagnosis and find out whether any immediate treatment is needed. Some females are born with an underdeveloped womb or without a womb, cervix and upper vagina. Some people have XY male chromosomes, but their external genitals may develop in the usual way for girls or boys.
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