Complete Androgen Insensitivity Syndrome: Diagnosis and Psychological Impact in Two Adolescents, A Case Report

• Published in: Malaysian Journal of Medicine and Health Sciences
• Main Author: Yusuf S.Y.M.; Yasin M.M.; Zahid A.Z.M.; Arshad A.H.; Nor K.M.
• Format: Article
• Language: English
• Published: Universiti Putra Malaysia Press 2022
• Online Access: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85124481033&partnerID=40&md5=c6ff99545838bb0e5362345f08fee98a

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. © 2022 UPM Press. All rights reserved.