Aromatase deficiency (https://homosaurus.org/v3/homoit0002822)
- People with aromatase deficiency do not have the enzyme responsible for converting androgens into estrogen. At birth, someone with aromatase deficiency and XX chromosomes may have a larger-than-typical clitoris and partially or completely fused labia (resembling the appearance of a scrotum). At puberty, they may not develop breasts, may not begin menstruating, and may develop some secondary sex characteristics associated with a typical testosterone puberty. They may also develop multiple cysts on their ovaries. People with XY chromosomes can also have aromatase deficiency, but they do not typically experience variations in their sex characteristics, though they may grow taller than is typical because estrogen is usually responsible for closing the bone growth plates.
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