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    Back to Health A to Z. Differences in sex development DSD is a group of rare conditions involving genes, hormones and reproductive organs, including genitals. It means a person's sex development is different to most other people's. Some adults and young people with DSD prefer to use the term intersex. You or your child may have sex chromosomes bundles of genes usually associated with being female XX chromosomes or usually associated with being male XY chromosomes , but reproductive organs and genitals that may look different from usual. This happens because of a difference with your genes or how you respond to the sex hormones in your body, or both.
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    46,XX testicular disorder of sex development: MedlinePlus Genetics

    No one sums up the opposing attitudes of what constitutes a healthy, normal sex drive better than Woody Allen. But more on that later. What is less understood is the shifting matrix of biological, psychological and social factors that influence it. Testosterone is the key hormone controlling sex drive in men and women, but excessive work hours, lack of sleep, depleted energy levels or too much alcohol also have adverse impacts. So too do unresolved conflicts in the relationship or wider family. Then, factors such as stress and personality type can also put a dent in your drive, as well as medical conditions hypothyroidism, diabetes or depression and medications antidepressants and blood pressure treatments. And even if the desire and the arousal are present, personal, moral or religious reasons can put the kibosh on the whole shebang — assuming, of course, one has a consenting, reciprocal partner.
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    How normal is your sex drive?

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