For parents, the birth of a child with DSD (Differences of sex development) is a stressful event, that often causes confusion, shame and guilt. Good care is essential to accommodate and have faith in the future. Acceptance of the diagnosis is important. Good clinical management involves care for the psychosocial challenges that parents, children, adolescents and adults face. Some children with DSD stand out because they show atypical gender role behavior, but most children cannot be distinguished from other children in everyday life. Most persons with DSD develop a gender identity in accordance with the gender in which
they grew up, but confusion about identity and gender dysphoria can occur. These issues deserve attention and guidance, where the child, the young person or adult should be given room to develop their identity. Whenever they can, children and adolescents should be involved in decisions regarding their own body and care. Young people with DSD face a number of extra challenges in their relational and sexual development. There is uncertainty and fear of rejection when seeking sexual contact and relationships. Sexual milestones are often achieved at a later age and there are problems reported regarding sexual functioning, such as problems with arousal and pain during intercourse.