Gianna has been identified as female since birth. However, during puberty Gianna's testicles descended and what was thought to be Gianna's clitoris enlarged into a penis. Gianna could be termed a…

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Gianna's condition is consistent with being a DHT-deficient male, where a genetic male (XY) has a deficiency in dihydrotestosterone (DHT) leading to female-like external genitalia at birth, but masculinization occurs at puberty.

Gianna Has Been Identified as Female Since Birth