Condition
Pediatric Differences in Sex Development
When a child's gender is in question at birth, because genitals may not appear clearly male or female, the child is said to have ambiguous genitalia. Ambiguous genitalia can be a confusing and scary experience for parents, but these children are usually healthy. Ambiguous genitalia is more common than most people realize.
Frequently Asked Questions
What are ambiguous genitalia?
What causes differences in sex development (DSD)?
Types of DSD
How is the gender determined in a child with ambiguous genitalia?
The physicians at the Positive Reevaluation of Urogenital Differences (PROUD) Clinic, formerly known as the Differences (Disorders) of Sexual Development Clinic, will work with your family to determine the best course of care for your child. In addition, the Children’s National PROUD team will provide expertise in many fields, as well as support through social work and psychology.
Meet the Providers Who Treat Differences in Sex Development
Departments that Treat Differences in Sex Development
![Teen patient talking to provider](/-/media/cnhs-site/images/blogs/teen-patient.jpg)
Pediatric Gynecology Program
When your child needs specialized gynecologic care, Children's National Hospital has the experience and expertise to provide the most appropriate care for younger patients.
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Rare Disease Institute - Genetics and Metabolism
Children's National Rare Disease Institute (CNRDI) is a first-of-its-kind center focused exclusively on advancing the care and treatment of children and adults with rare genetic diseases.
![Daughter sits with mother while consulting physician.](/-/media/cnhs-site/images/brand-images/family-doctor-visit.jpg)
Positive Reevaluation of Urogenital Differences (PROUD) Clinic
Children's National Hospital Positive Reevaluation of Urogenital Differences (PROUD) Clinic, formerly known as the Differences (Disorders) of Sexual Development Clinic, provides specialized diagnostic, evaluation and treatment services for children with a variety of rare and complex diseases.