Γυναίκα ή intersex (μεσοφυλικός) που προσδιοριζόταν, έως τώρα τουλάχιστον, ως άνδρας;Congenital Adrenal Hyperplasia (CAH) is the most prevalent cause of intersex among people with XX chromosomes. About 1 in 10,000 to 18,000 children are born with congenital adrenal hyperplasia, but it does not cause intersex in those with XY chromosomes, so the prevalence of CAH-related intersex is about 1 in 20,000 to 1 in 36,000.CAH occurs when there is a broken genetic “recipe” for making cortisone in the adrenal glands (the glands on top of the kidneys that make various hormones and add them to the blood stream). Because the recipe is broken, the adrenal glands, while trying to make cortisone, may make an unusually high level of other hormones that are “virilizing”. That is, they can make XX embryos have larger than average clitorises, or even a clitoris that looks rather like a penis, or labia that look like a scrotum. Because the virilization originates metabolically, masculinizing effects continue after birth. So CAH can cause the person to develop masculine-typical characteristics like dense body hair, a receding hairline, deep voice, prominent muscles, etc. Sex phenotype varies along the full continuum.http://www.isna.org/faq/conditions/cahΕπίσης:The final body appearance does not always correspond with what is dictated by the genes. In other words, there is sometimes an incongruity between genetic (or chromosomal) and phenotypic (or physical appearance) sex. Citing medical research regarding other factors that influence sexual differentiation, the Intersex Society of North America challenges the XY sex-determination system's assumption that chromosomal sex is the determining factor of a person's "true" biological sex.(wiki)