DSD and disclosure in a medical context

  • Research type

    Research Study

  • Full title

    The Lived Experience of Individuals with a Difference of Sex Development (DSD) Condition Navigating Disclosure in Medical Contexts – An Interpretative Phenomenological Analysis (IPA)

  • IRAS ID

    356923

  • Contact name

    Hazel Learner

  • Contact email

    hazel.learner@nhs.net

  • Sponsor organisation

    University College London Hospitals

  • Clinicaltrials.gov Identifier

    179305, Edge Reference number

  • Duration of Study in the UK

    0 years, 8 months, 1 days

  • Research summary

    Difference of sex development (DSD) is a term used to describe many different conditions where the development of the reproductive or sexual characteristics do not follow typical patterns. For many individuals with a DSD condition, past experiences of medical disclosure have been marked by confusion, stigma, and inadequate communication. When information is not conveyed with clarity and empathy it can impact on treatment choices and lead to a disengagement with medical care. Poor disclosure can not only can lead to distress and mistrust in healthcare professionals but the way a person learns about their diagnosis can have a lasting impact on their self-esteem, identity, and mental health.

    This study using interpretative phenomenological analysis methodology, will recruit up to twelve participants from long-term follow clinic follow up with the DSD service at UCLH. Individual, semi-structured interviews (of 60-90 minutes) will be conducted to identify key themes related to disclosure. The research will offer important perspectives for clinicians, and DSD support networks, in providing more empathetic, patient-centered care.

  • REC name

    London - South East Research Ethics Committee

  • REC reference

    26/LO/0055

  • Date of REC Opinion

    29 Jan 2026

  • REC opinion

    Further Information Favourable Opinion