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Androgen Insensitivity syndrome

What are the symptoms?

An affected infant has no virilisation, either during fetal life or during adult life. However, the presence of a testis does not allow the development of any internal female genitalia (no fallopian tubes, uterus or upper two-thirds of the vagina) despite having female external genitalia. The child is born an apparently normal girl. At puberty, the testes produce a large amount of the male hormone testosterone but, in the absence of its receptor, this has no effect. However, testosterone is converted to oestrogen and the girl will have normal breast development, without pubic or axillary hair, and will have no periods (there is no uterus or vagina). Because the testes are usually found in the abdomen in girls with AIS, there is a risk of them becoming cancerous.
 

View Background Background  |  What are the causes? View What are the causes?

Medical text written May 1997 by Dr R Stanhope. Last reviewed October 2005 by Dr R Stanhope, Consultant Paediatric Endocrinologist, Great Ormond Street Hospital, London, UK.

 

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