Genital defects may be caused by abnormal levels of sex hormones during fetal development, chromosome abnormalities, environmental factors, or inherited factors. Genital defects may be caused by abnormal levels of sex hormones during fetal development, chromosome abnormalities, environmental factors, or inherited factors. summary a true hermaphrodites internal sex organs contain both ovarian and testicular tissue. In some cases, this means a ball on one side and an ovary on the other in others, it means hybrid beasties known as ovatestes. To the naked eye, their external genitals tend to be iffymaybe its a big clit, perhaps its a teeny. Sex chromosome conditions typically men are xy and women are xx in the pair for the 23rd chromosome. However, sometimes people are born with only one sex chromosome (monosomy of the sex chromosome), or with three sex chromosomes (trisomy of the sex chromosome). I am not sure if this helps you, but hopefully it answers some of your concerns. Chromosomes that are either normal female or male, or a mixture (mosaic) gonadal dysgenesis. External genitals that may vary between normal female and normal male. Files are available under licenses specified on their description page. All structured data from the file and property namespaces is available under the creative commons cc0 license all unstructured text is available under the creative commons attribution-sharealike license additional terms may apply. clinical psychologist and sex therapist dr tiger devore was born with indeterminate sex.