The body of someone with PMDS has a penis, testes, and XY chromosomes. They may also have fallopian tubes, a uterus, and/or upper vaginal canal. During fetal development, the internal structures known as the Müllerian ducts typcially break down in a fetus with XY chromosomes. For someone with PMDS, these internal structures do not break down, and instead begin to devlop as they would in a fetus with XX chromosomes. PMDS is not usually noticed at birth, but may be discovered if the person with this intersex variation starts to experience pain or a hernia.
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