In the past, most of these individuals were raised as males since their external genitalia appeared more masculine. In fact, had early diagnosis been available, most should have been raised as females since they all developed significant breasts and many menstruated. After surgical removal of testicular tissue, some have even become pregnant and delivered normal children. Developmental disorders may still occur despite the mother's efforts to assure a healthy pregnancy . There is no current means of prevention.
Symptoms vary according to the abnormality present.
Urinary retention may also occur. Incomplete vaginal septum may allow adequate menstrual flow but later may cause pain with intercourse . In preadolescent girls, secretions may accumulate causing vaginal distention and a shiny, bulging protuberance at the vaginal opening. In adolescent girls, menstrual blood accumulates causing a purplish-red, bulging protuberance at the vaginal opening. Early recognition of developmental disorders is important, particularly for those that involve sexual ambiguity.