A genetic male who does not produce enough of a hormone called dihydrotestosterone may have an external genitalia that appear female.This condition is most likely caused by

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5-alpha reductase deficiency is a condition in which the body cannot convert testosterone into dihydrotestosterone, a more potent androgen. This can cause the external genitalia to appear female despite the individual being genetically male. Klinefelter syndrome (A) is a condition in which a male has an extra X chromosome, which can result in reduced levels of testosterone and infertility. Too much androgen (C) would typically lead to masculinization of the external genitalia. Too much progesterone (D) would not affect the development of the external genitalia in a male.

A Genetic Male Who Does Not Produce Enough of a Hormone