According to the episode "The Accidental Tsuris" she was raised as a girl, despite being genetically male or perhaps a hermaphrodite.

In the case of 46,XY (genetically male) individuals who are phenotypically female and/or identify as the female gender, they should be treated with estrogens instead.

Typical features include undescended testes (cryptorchidism) and the presence of a small, underdeveloped uterus in a genetically male infant or adult.

The condition can come to attention because of a bulge in the inguinal canal of a genetically male infant due to herniation of the uterus.

Surgery need never be considered for genetically male (XY) infants because the excess androgens do not produce anatomic abnormality.

One study conducted by Reiner & Gearhart provides some insight into what can happen when genetically male children are sexually reassigned female and raised as girls.

Gynemimetophilia denotes sexual attraction to male-assigned people who look or act like women, including genetically male crossdressers.

People who have this duplication usually appear to be female, but are genetically male with both an X and a Y chromosome.

Some intersex children with ambiguous genitals, and genetically male transgender children, may also be classified or self-identify as girls.

Through the seventh week, genetically female and genetically male fetuses appear identical.