Persons with this syndrome develop testes that produce normal or above normal male quantities of testosterone, but they lack androgen receptor sites to bind to the hormone in a normal way. The degree to which the syndrome is manifested depends on the quality and quantity of the available receptor sites. In the most extreme cases (called complete androgen insensitivity), affected children appear to be females, and are reared as such. At puberty, all of the usual secondary feminine sex characteristics appear except for menstruation. The determination that they are genetic males often is made for the first time when menarche fails to appear even quite late in adolescence. Longitudinal studies of affected individuals have noted a striking absence of most male-typical behavior and interests (Ehrhardt, 1975; Ehrhardt, Epstein, & Money, 1968; Money, 1969; Money, Ehrhardt, & Masica, 1968). The androgen insensitivity syndrome also illustrates how the concept of heterosexuality-homosexuality occasionally is difficult to apply, as persons with this syndrome are genetic males with all F/dM phenotypic traits. By most conventional criteria, they would be considered heterosexual females”
Persons with this syndrome develop testes that produce normal or above normal male quantities of testosterone, but they lack androgen receptor sites to bind to the hormone in a normal way. The degree to which the syndrome is manifested depends on the quality and quantity of the available receptor sites. In the most extreme cases (called complete androgen insensitivity), affected children appear to be females, and are reared as such. At puberty, all of the usual secondary feminine sex characteristics appear except for menstruation. The determination that they are genetic males often is made for the first time when menarche fails to appear even quite late in adolescence. Longitudinal studies of affected individuals have noted a striking absence of most male-typical behavior and interests (Ehrhardt, 1975; Ehrhardt, Epstein, & Money, 1968; Money, 1969; Money, Ehrhardt, & Masica, 1968). The androgen insensitivity syndrome also illustrates how the concept of heterosexuality-homosexuality occasionally is difficult to apply, as persons with this syndrome are genetic males with all F/dM phenotypic traits. By most conventional criteria, they would be considered heterosexual females”