PPSH

PPSH (Pseudovaginal Perineoscrotal Hypospadias) is an intersex variation in which a CTM individual has male chromosomes (XY) however their body does not not produce enough of a hormone called dihydrotestosterone (DHT) which causes more feminine developments within the body.

Because of this variation, the individuals likely will have a vagina, ambiguous genitals, a smaller than average penis, or a partially formed penis. Due to this, they are often assigned female at birth, despite their male chromosomes. If they have a penis, they often have a urethra opening that is on a unusual spot of the genitals (hypospadias.) They may also have AMAB hypogonadism and/or be classified under aromatase excess syndrome as well.

Individuals with this variation often have a deepened voice, increased muscle mass, and very little body hair during puberty, making their puberty (in most cases) usually quite androgynous in nature.

This is a rare variation and the exact rarity is unknown. Those with this variation often are fertile and can produce sperm and parent children, so long as they have horomone or medical assistance (HRT.)

It is important to note that not all the symptoms listed in this page are guaranteed to occur in someone with this condition, as someone may only experience one or several of these symptoms, yet still hold the variation.

History
It is unknown when this variation was discovered, however it has been discovered since 2005.

Flag
The PPSH flag was coined by Reign of the breadsticcs on May 7th of 2021. It has no confirmed meaning.

Resources

 * https://medlineplus.gov/genetics/condition/5-alpha-reductase-deficiency/#synonyms
 * https://en.wikipedia.org/wiki/5%CE%B1-Reductase_deficiency
 * https://lgbta.wikia.org/f/p/4400000000000137332/r/4400000000000449105