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During fetal development, the sex determining region of the Y chromosome (SRY) inhibits female internal sexual organ development and induces the development of internal male sexual organs.

Both guevedoces and normal male fetuses possess functioning SRY. They seem to lack functioning copies of the 5 α-reductase enzyme, which converts testosterone to the biologically active dihydrotestosterone (DHT).

Like I said, my husband was probably pretty okay with that.

This phenomenon poses many challenging questions about what defines gender and how societies shape their concepts of it.

On how being busy hurts your sex life:"The use of time is very different in our society today. There is a limit to how much energy and desire and time you can give to one person when there is all this pressure make more money, to be the CEO, to buy a summer house, people want more and more and more. I had a patient say to me, ‘ I love my husband, I love making love to him, but I come home from work, I've been with people all day, I just want to crash.’"On an increased openness about sex:“I don’t think that the stigma around sex therapy exists like it was in the early years.

I mean it was just like it had been since we got married which is different from when we were dating. Jeff We weren’t really trying to push it at that point to try to force having a baby again with as much stuff that we’d been through and the troubles we had.

Zussman is still a practicing sex therapist in New York City.

She's one of the oldest sex therapists in the world, but that might be the least extraordinary thing about her life and career.

Born at the beginning of World War I, she graduated from Smith college in 1934, in the same class as Julia Child.

Meredith My sex life when we were trying to conceive actually my first and then second and third babies was probably pretty good for my husband because I was not going to leave anything to chance.

I would say it was probably something never since and never before because it was pretty intense.

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