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When a child's gender is in question at birth, because genitals may not appear clearly male or female, the child is said to have ambiguous genitalia. Ambiguous genitalia can be a confusing and scary experience for parents, but these children are usually healthy. Ambiguous genitalia is more common than most people realize. Early in fetal development, the tissue that will become the gonads ovaries or testes is identical and has the potential to become either ovaries or testes, depending on the genetics of the fetus.

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Trisomy X is often not diagnosed until later in life, if ever.

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Triple X syndrome, also called trisomy X or 47,XXX, is a genetic disorder that affects about 1 in 1, females. Females normally have two X chromosomes in all cells — one X chromosome from each parent. In triple X syndrome, a female has three X chromosomes.

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