PPSH (Pseudovaginal Perineoscrotal Hypospadias) or 5α-Reductase 2 deficiency (5αR2D) 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 wolffian 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 hormone or medical assistance (HRT.)
The PPSH flag was coined by Reign of the breadsticcs on May 7th of 2021. It has no confirmed meaning.