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Aromatase deficiency: This one may not be noticeable until puberty. It is best to take the time to understand the issues before rushing into a decision. AIS is the most common cause of 46, XY intersex. Many experts now urge delaying definitive surgery for as long as is healthy, and ideally involving the child in the gender decision. In most people with true gonadal intersex, the underlying cause is unknown, although in some animal studies it has been linked to exposure to common agricultural pesticides. An intersex support group may help acquaint families with the latest research, and may provide a community of other families, children, and adult individuals who have faced the same issues. Internally, testes may be normal, malformed, or absent.

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