Erotic Imagery and Male/Female Discordance in Hermaphroditic Siblings
This report is about erotic imagery relative to gender identity in two sisters who were diagnosed as virilizing male hermaphrodites. Both had 46, XY chromosomes and testes (lacking spermatogenesis) . In accordance with the Eve principle, namely that in the absence of androgenizafion the external genitals differentiate as female, these girls appeared phenotypically female at birth. The unusual feature of these patients is that they masculinized hormonally at puberty, even though they appeared likely candidates for a diagnosis of the androgen insensitivity syndrome, in which puberty is feminizing.