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Androgen insensitivity syndrome (AIS) is an X-linked genetic disorder caused by mutations in the androgen receptor gene (), leading to impaired androgen signaling and resulting in varying degrees of undermasculinization in individuals with a 46,XY karyotype. This study aimed to expand the molecular landscape of AIS by identifying and characterizing pathogenic variants in the gene via next-generation sequencing (NGS). Molecular diagnostics revealed eight distinct variants within the gene, two of which had not been previously described.

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Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) is a rare congenital disorder characterized by agenesis of the uterus and upper two-thirds of the vagina. It affects around 1 in 4000-5000 females and is of two types: type 1, also known as isolated Müllerian aplasia or Rokitansky, which involves only uterovaginal agenesis, and type 2, presents as uterovaginal agenesis along with renal, cardiac, and other organ anomalies. Despite the absence of vaginal and uterine structures, individuals with MRKHS typically present with normal secondary sexual characteristics and ovarian functions.

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Article Synopsis
  • Complete androgen insensitivity syndrome (CAIS) can lead to challenges in diagnosing individuals with a 46, XY karyotype who appear female due to their inability to respond to androgens.
  • A case report details how a patient was misdiagnosed during surgery and later incorrectly identified as having another syndrome, but was ultimately given the correct diagnosis and a management plan that postponed surgery until after puberty.
  • The report emphasizes the need for a multidisciplinary approach in managing CAIS, calling for improved awareness and personalized treatment plans to provide effective, patient-centered care.
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The Potential Health Risks and Benefits of Progesterone in the Transgender Woman Population-A Narrative Review.

J Clin Med

November 2024

Department of Gynecological Endocrinology, Clinical Hospital of Duchess Anna Mazowiecka, Medical University of Warsaw, 2 Karowa Street, 00-315 Warsaw, Poland.

Introduction: Currently, progesterone is notably absent from conventional feminizing hormone therapies for transgender women. Anecdotal reports indicate the potential for health advantages following the incorporation of progesterone into treatment regimens. The primarily female hormone, progesterone naturally surges in women during the menstrual luteal phase.

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