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Most with this variation [[Agenital|have small testicles or a missing testicle]] or a urethra opening that is on a unusual spot of the genitals ([[hypospadias]].) On rare occasion, one with this variation may have [[Ambiguous Genitalia|ambiguous genitals]]. Because of this, they may have [[AMAB Hypogonadism]].
Many with this variation tend to be shorter than average and infertile, however with testosterone treatments ([[Hormone Replacement Therapy|HRT]]) one may have a higher chance at a more natural flow of growth during puberty.<ref>{{Archive|Site=web|URL=https://www.sciencedirect.com/topics/biochemistry-genetics-and-molecular-biology/xx-male-syndrome}}</ref> Breast growth may also occur in some with this variation.<ref>https://web.archive.org/web/20221230173653/https://en.wikipedia.org/wiki/XX_male_syndrome#Signs_and_symptoms</ref>
A similar intersex variation is [[SERKAL Syndrome]].
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