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[–]MarkTwainiac 4 insightful - 1 fun4 insightful - 0 fun5 insightful - 1 fun -  (0 children)

Or someone with Alpha Reductase Deficiency has testes but the genitalia is the same size as the genitalia of a female, so are they female or male?

XY persons with 5-ARD are male. 5-ARD occurs in both males and females, but it only effects sex development in males; it's a DSD exclusive to males.

Many males with 5-ARD can father children, and have done so. Coz many are perfectly capable of producing viable sperm. It's their seminal fluid that's of poor quality coz of issues with their prostates and other ancillary structures, not with their testes. Their testes are simply located in an unusual place, but they function just fine.

I don't know what you mean when you say that in males with 5-ARD

the genitalia is the same size as the genitalia of a female

But a male with a micro-penis that might get mistaken for an enlarged clit, or a scrotal sac that resembles a fused labia, isn't a female. Also, focusing on and comparing the size of genitals is a distinctly male thing to do. The only women I know who are into measuring their clits and boasting about size are those who are taking T and pretending to be male.

People with androgen insensitivity syndrome have ambiguous genitalia and duct development is incomplete, testes exist in the abdomen while the there's external female genitalia. Would this individual be a male or a female? They have both set of genitals that are just not complete.

No, people with CAIS - as well as people with PAIS and MAIS - do not have "both set of gentials."

Also, please don't lump all types of AIS together as one. These are distinct conditions that manifest very differently and should not be conflated. It's insensitive and "othering" to portray them as one and the same.