Mullerian derivatives- persistent
Overview
A very rare syndrome where a genetic defect results in the development of female organs in an otherwise normal male. The genetic defect causes a hormone deficiency (anti-mullerian hormone) which allows mullerian derivates, such as a uterus, to form in males.
Symptoms
* Undescended testes * Inguinal hernia * Male pseudohermaphrodism * Presence of uterus * Presence of fallopian tubes * Presence of part of vagina * Presence of a cervix
Treatment
Explain to the patient how to use prescribed ointments or creams. Advise him to use a heat lamp to dry moist lesions or to take sitz baths to relieve crusting and itching. Also, instruct him to report any changes in the lesions. Explain to male patients that condoms effectively prevent many STDs when used correctly. Advise them to use a new condom for each coitus; to avoid damaging the condom with a sharp object, such as fingernails or teeth; to put the condom on the erect penis before any genital contact; to use only water-based lubricants; to hold the condom firmly while withdrawing the penis; to always withdraw the penis while it’s still erect to avoid premature condom loss; and to check the expiration date on the individual condom packet. Teach the patient that hormonal contraceptives, diaphragms, foams, and jellies don’t protect against STDs.