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This condition is also called 46, XX with virilization. There are several possible causes:46, XY INTERSEXThe person has the chromosomes of a man, but the external genitals are incompletely formed, ambiguous, or clearly female.
Internally, testes may be normal, malformed, or absent.
In the past, the prevailing opinion was that it was generally best to assign a gender as quickly as possible.
This was often based on the external genitals rather than the chromosomal gender.
These disorders do not result in a condition where there is discrepancy between internal and external genitalia.