A 32-year-old lady, gravida 2 para 1, with an easy prenatal history, spontaneously delivered a 4.1-kg (9-lb) infant at 39 weeks gestation. At 1 and 5 minutes, Apgar values were 8 and 10, respectively. Additional testing in the neonatal nursery reveals improper sexual differentiation. A 46,XY genotype was discovered during karyotype research. A biopsy of gonadal tissue reveals the absence of Sertoli cells but the presence of adequately functioning Leydig cells. Which of the following traits is the most likely?

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Eductional Objective: The testes-determining factor, which differentiates the primitive gonads into testes, is encoded by the SRY gene on the Y chromosome. Sertoli cells secrete anti-Müllerian hormone, which promotes Müllerian duct regression and inhibits female internal reproductive organ development. Wolffian ducts are differentiated into internal male reproductive organs as a result of testosterone production by Leydig cells. Dihydrotestosterone is essential for outward male genitalia differentiation.

A 32-Year-Old Lady, Gravida 2 Para 1, with an Easy