gonadal intersex occurs when the person has both: ovarian and testicular tissue. The person may have XX chromosomes, XY chromosomes, or mix of both. The external genitals may appear as male, female or be ambiguous. The underlying cause is unknown, but some studies link it to common agricultural pesticides exposure.
4. Complex or undetermined intersex disorders of sexual development, where multiple chromosome configurations such as 45 XO, 47 XXY, 47 XXX disrupt proper sex development. In this case, there is no discrepancy between internal and external genitalia, but there are issues with sex hormone levels, overall sexual development, and altered numbers of sex chromosomes.
The symptoms associated vary due to the underlying cause, and may include: an enlarged clitoris, micropenis, ambiguous genitalia at birth, partial labial fusion, hypospadias, electrolyte abnormalities, delayed/absent puberty, undescended testes, labial or inguinal masses, and unexpected changes at puberty.
Tests used to obtain proper diagnosis are: chromosome analysis, hormone stimulation tests, electrolyte tests, molecular testing, endoscopic exam, ultrasound, and…