Dr. Ramakrishna from our division has worked diligently with with several other pediatric sub-specialties to create the regions first clinic for children with DSD (differences in sex development). DSD represent a collection of conditions whereby the usual processes of sexual development have not occurred in the usual fashion. The usual anatomic, functional, hormonal, and/or reproductive functions are altered, absent, or mixed. DSDs are often evident at or even before birth, but some forms are not diagnosed until adulthood. Dr. Ramakrishna has partnered with pediatric urologist Dr. Gina Lockwood and clinical psychologist Dr. Laura Fuller to create the Iowa Gender Multi-Specialty (iGeMS) clinic. The clinic works to maximize the physical and emotional health of youth with DSD, using a multidisciplinary approach. The clinic additionally is staffed by clinical geneticists, pediatric radiologists, with support from reproductive endocrinology and clinical pharmacy services. Referral and appointment requests can be made as outlined on Dr. Ramakrishna’s clinical webpage (link).