A married woman who tried for a year to get pregnant without success was shocked to find she was born a biological man. 

By Mandy Zuo, South China Morning Post

The 25-year-old Chinese woman was told she had the male Y chromosome, despite having female genital organs and having lived as a woman all her life – a rare condition affecting people who sometimes describe themselves as intersex. 

The discovery emerged following an X-ray on an injured ankle, but also explained why she had never had a period and failed to get pregnant with her husband. 

The woman, whose name was given as Pingping, was told she had a condition called a ’46 XY disorder of sexual development’ in which people with male chromosomes have ambiguous, underdeveloped or missing genital organs.

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A hospital doctor told the South China Morning Post that the patient was now mulling her future as she reconsiders her gender identity. 

The woman, whose name was given as Pingping, was told she had a condition called a ’46 XY disorder of sexual development’ in which people with male chromosomes have ambiguous, underdeveloped or missing genital organs. 

Because the woman had ostensibly female organs, she had never questioned her sex, and had turned a blind eye to the fact she had never menstruated. 

But the doctors who looked at her ankle were struck by her underdeveloped bones and investigated further – bringing forth the surprising result. 

Doctors informed her that she had no uterus or ovaries, which explained why her 12-month effort to get pregnant had ended in disappointment. 

But she also had no male genitalia or testes, with doctors saying that these might have existed once but ‘degenerated and atrophied’.

The US-based Genetic and Rare Diseases Information Center (GARD) says many people with this condition have ‘genitalia that is not clearly male or female’. 

GARD experts say that some people with 46 XY have ‘fully to underdeveloped female reproductive organs’ such as a uterus and fallopian tubes, while others do not. 

Treatment can involve surgery or hormone replacement therapy, but Pingping is apparently still deciding how to respond. 

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