Questions about differences in sex development (DSD)?

Specializing in growth, puberty, and hormone disorders

Former Professor at Baylor College of Medicine & Texas Children’s Hospital. Established one of the nation’s early multidisciplinary DSD programs

Castle Connolly Top Doctor
Recognized as Exceptional Woman in Medicine

Confidential consultations for families seeking guidance and expert care. Appointments available within 1–2 weeks.

Signs or Reasons Families Seek Consultation

Families seek guidance for many different reasons.

A consultation may be helpful if there are:

  • Differences in genital development noted at birth
  • Variations identified during prenatal or genetic testing
  • Delayed or atypical puberty
  • Hormone test abnormalities
  • Questions about sex development or fertility

 

Every situation is unique.
Our goal is to provide clear guidance and thoughtful care.

Young girls practicing ballet

What to Expect

Your visit is led personally by Dr. Karaviti

Evaluation may include:

  • Review of medical history and prior testing
  • Focused physical exam when appropriate
  • Targeted hormone testing
  • Genetic testing when indicated
  • Coordination with other specialists and teams if necessary

The goal is understanding and guidance.
Many consultations focus on helping families understand development and discuss next steps.

Why Families Choose Blue Sky

Lefkothea Karaviti at Rocky Mountain Children's

Care led by Dr. Lefkothea Karaviti, a board-certified pediatric endocrinologist with over 30 years of experience in DSDs evaluation and treatment

  • Direct physician care — every visit
  • Individualized, evidence-based evaluations
  • Extensive experience in complex DSD cases
  • Clear guidance for families facing complex decisions
  • In-person care in Denver & telemedicine statewide
  • Most families seen within 1-2 weeks

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“Dr. Karaviti explained everything clearly and helped us understand our child’s development. We felt reassured and supported.”

[ Schedule an Evaluation ]

You Do Not Need to Wait Months for Answers

Early clarity reduces anxiety and prevents unnecessary delays.

Appointments available within 1–2 weeks.

Schedule a Puberty Evaluation 

Call
720-445-8118

You Do Not Need to Wait Months for Answers

  • Early clarity reduces anxiety and prevents unnecessary delays.
  • Appointments available within 1–2 weeks.
  • Schedule a DSD Consult 

Insurance & Access

We welcome most commercial insurance plans.
Transparent self-pay options are available.
Visits are billed after care is provided, with flexible arrangements when needed.

Care should feel accessible — not complicated.

Conveniently located in Central Denver, serving families across Central Denver, Cherry Creek, and North Denver seeking DSD care.