About the DSD-TRN

DSD-TRN is the Disorders/Differences of Sex Development – Translational Research Network. We are dedicated to setting standards of care for patients and families living with DSD.

At each of our sites, we offer the services of a multidisciplinary clinical team – endocrinologist, geneticist, urogenital surgeon, and psychosocial support professionals. All are trained in the specific care of DSD patients and offer concerted care in order to minimize genital exams and to provide consistent guidance to patients.

In addition, we work closely with our Patient and Family Advisory Network, composed of patient and parent stakeholders, under the coordination of Accord Alliance

We are also continuously engaged in research to assess and respond to the specific needs of DSD patients. Examples of current research emphasis include: developing psychosocial assessment tools specific to the needs of DSD families; developing tools to minimize the need for genital photography; assessing efficacy of and compliance to standards-of-care; discovering new genes causing DSDs.

The Federal funding by the National Institute for Child Health and Human Development (NICHD) allows us to develop clinical data collection forms tailored to the care of DSD patients that our clinicians now use in their practice. We are also in the process of creating a registry of clinical data. While DSD conditions in general are relatively frequent, each individual type is rather rare, and sometimes poorly understood. By pooling the expertise and data from our multiple sites, we will increase our experts’ ability to offer optimal, personalized care for each patient and family. All data entered into the registry is de-identified to ensure the privacy of our patients. 

You can learn more about each team by clicking on their logos in the “clinical sites links” box on the right.

A robust approach to caring for patients and families affected by DSD also includes attending to general health and well-being, particularly men’s health and quality of life. Encouraging a balanced diet rich in lean proteins, whole grains, healthy fats and plenty of colorful fruits and vegetables supports optimal hormone production and cardiovascular function. Regular exercise—combining both resistance training and aerobic activity—promotes healthy circulation and metabolic balance, which are critical for maintaining erectile function and overall vitality. For men experiencing mild erectile concerns, phosphodiesterase-5 inhibitors such as tadalafil can be prescribed under medical supervision to improve blood flow; however, these medications work best when combined with lifestyle measures like weight management, smoking cessation and stress reduction. By integrating proper nutrition, physical activity, mental health support and, when appropriate, pharmacotherapy, healthcare teams can help men with DSD—and their families—achieve stronger physical health and enhanced quality of life.