An infant whose external genitalia are ambiguous is genuinely intermediate in terms of gender, regardless of chromosome pattern. (Wilson, Glenn. The Great Sex Divide. p 76-77. England: Peter Owen Publishers, 1989.)

Defines hermaphrodites as true bisexuals: one active ovary and one active testis. They could impregnate themselves, but are usually raised as either girls or as boys. (Durden-Smith, Jo, and Diane deSimone. Sex and the Brain. p 90-186. NY:Arbor House Publishing, 1983.)

A condition of pseudo-hermaphrodite, known as Machihembra (man-woman), has been found in a specific district of the Dominican Republic. Male pseudo-hermaphroditism is an inherited enzyme deficiency that causes genetic males to develop as females until puberty and then suddenly turn into males. (Wilson, Glenn. The Great Sex Divide. p 77-78. England: Peter Owen Publishers, 1989.)

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