Name of the Condition

• Congenital malformation of clitoris
  
  • Also known as clitoromegaly or clitoral hypertrophy in some contexts.

Summary

• Congenital malformation of the clitoris is a condition present at birth where the clitoris does not have the typical shape or size, possibly leading to functional or cosmetic concerns.

Causes

• These malformations can be caused by exposure to androgens during fetal development, genetic factors, or part of complex intersex variations, such as congenital adrenal hyperplasia (CAH).

Risk Factors

• Family history of intersex conditions or genetic disorders.
• Maternal hormonal imbalances during pregnancy.
• Use of androgenic medications during pregnancy.

Symptoms

• Enlarged clitoris or atypical appearance.
• In some cases, urinary or sexual function issues may be noted as the individual matures.

Diagnosis

• Physical examination and assessment of genitalia at birth.
• Genetic testing and hormonal evaluations to understand underlying causes.
• Imaging tests like ultrasounds to examine internal reproductive structures.

Treatment Options

• Monitoring and regular follow-up for mild cases with no symptoms.
• Surgical reduction of clitoral size for cosmetic or functional reasons, usually after careful consideration and counseling.
• Hormonal treatments if part of broader endocrine imbalances.

Prognosis and Follow-Up

• Many individuals can have a healthy, normal life, especially when the condition is diagnosed and managed appropriately.
• Ongoing follow-ups are needed to monitor development and address any emerging issues.

Complications

• Psychological distress due to appearance or societal concerns.
• Sexual dysfunction or urinary problems if untreated.
• Potential fertility issues depending on any associated conditions.

Lifestyle & Prevention

• No specific preventive measures as this is a congenital condition.
• Supportive environment and counseling to help with the emotional aspects of the condition.

When to Seek Professional Help

• If noticeable physical differences cause distress or concern.
• If there are associated symptoms like pain or dysfunction.

Additional Resources

• Intersex Society of North America (ISNA) for patient support.
• Children's Hospital Networks with specialized departments for congenital malformations.

Tips for Medical Coders

• Ensure accurate documentation of the condition with the correct ICD-10 code Q52.6.
• Be aware of associated conditions that may require additional codes such as congenital adrenal hyperplasia.
• Avoid coding errors by distinguishing between congenital and acquired conditions.