Menstruating man: female internal, male external genitalia
27 years old male complain of bleed through penis since he was 9 years old. A rare case of ambiguous genitalia discovered during Ultrasound examination. The patient was discovered to have both ovaries and uterus even though he has only male external genitalia. The coexistence of a male phallus and a uterus in one individual is a rare form of ambiguous genitalia, often linked to disorders of sex development (DSDs). This condition can result from atypical chromosomal, gonadal, or hormonal development during fetal growth. Possible Causes: 1. Ovotesticular DSD (True Hermaphroditism): Individuals have both ovarian and testicular tissue, which may produce a mix of male and female reproductive structures. 2. Androgen Insensitivity Syndrome (AIS): Partial AIS can cause ambiguous genitalia due to incomplete masculinization. 3. Congenital Adrenal Hyperplasia (CAH): This can lead to ambiguous genitalia due to excessive androgen production. 4. Persistent Müllerian Duct Syndrome (PMDS): Genetic mal...