Biological females with two X chromosomes are sometimes born with congenital adrenal hyperplasia (CAH),which causes their external genitalia to appear more like those of a male.They may be misidentified at birth and raised as males.If the correct identification is not made before age 3,physicians often advise parents to continue raising the child as a boy,because the child's gender identity may be difficult to change after age 3.The experiences of CAH girls and other gender atypical children have helped demonstrate that

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The experiences of CAH girls and other gender atypical children demonstrate that social assignment (i.e. being raised as a male or female) is a powerful influence on gender identity. This suggests that biology and genetics alone do not determine gender identity.

Biological Females with Two X Chromosomes Are Sometimes Born with Congenital