Genetic males with 5$\alpha$-reductase deficiency may be born with ambiguous or female-like genitalia because

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The enzyme 5α-reductase is responsible for converting testosterone to dihydrotestosterone (DHT), which is crucial for the development of male external genitalia in utero. A deficiency in this enzyme leads to the inability to produce DHT, resulting in ambiguous or female-like genitalia in genetic males.

Genetic Males with 5 α\alphaα -Reductase Deficiency May Be Born with Ambiguous or Female-Like Genitalia

Genetic Males with 5 $\alpha$ -Reductase Deficiency May Be Born with Ambiguous or Female-Like Genitalia