Intersex

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  • Developmental abnormalities resulting in discordance between genetic, gonadal or phenotypic sex.
  • Includes true hermaphrodites, pseudohermaphrodites and other forms of sex reversal.


Hermaphroditism

  • Individual possessing gonads of both sexes.
  • Rare


Aetiology

  • Failure of embryological differentiation of gonads during foetal life leads to the presence of both ovarian and testicular tissue (ovotestis or one of each type).


Consequence

  • The tract is predominantly female, although there is often an enlarged clitoris and reduced vulval lips.
  • Usually XX with H-Y antigen (protein normally coded for by Y chromosome).