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Parents should understand controversies and changes in treating intersex in recent years.

In the past, the prevailing opinion was that it was generally best to assign a gender as quickly as possible.

These include 45, XO (only one X chromosome), and 47, XXY, 47, XXX - both cases have an extra sex chromosome, either an X or a Y.

The best answer will depend on many factors, including the specific cause of the intersex.

It is best to take the time to understand the issues before rushing into a decision.

Therefore, it requires the adequate production and function of male hormones.

46, XY intersex has many possible causes: TRUE GONADAL INTERSEXThe person must have both ovarian and testicular tissue.

Internally, testes may be normal, malformed, or absent.

This condition is also called 46, XY with undervirilization. Formation of normal male external genitals depends on the appropriate balance between male and female hormones.

The following organizations provide further information: Updated by: Neil K.

Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA.

In general, it was considered easier to reconstruct female genitalia than functioning male genitalia, so if the "correct" choice was not clear, the child was often assigned to be a girl.

More recently, the opinion of many experts has shifted.

This was often based on the external genitals rather than the chromosomal gender.

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