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Or a person may be born with genitals that seem to be in-between the usual male and female types—for example, a girl may be born with a noticeably large clitoris, or lacking a vaginal opening, or a boy may be born with a notably small penis, or with a scrotum that is divided so that it has formed more like labia.

Or a person may be born with mosaic genetics, so that some of her cells have XX chromosomes and some of them have Though we speak of intersex as an inborn condition, intersex anatomy doesn’t always show up at birth.

Now, they're both proud to work with the youth-run intersex awareness organization Inter/Act. MTV: When did you first learn that you were intersex?

Keating: I found out I'm intersex at 19 years old, which is a little bit later than most people find out that they're intersex.

I also identify as trans, so I was having blood work done in order to start hormone therapy.

One of the findings was that my hormone levels weren’t in the typical “female” range.

And some think you have to have both ovarian and testicular tissue to count as intersex.

Rather than trying to play a semantic game that never ends, we at take a pragmatic approach to the question of who counts as intersex.

But the decision to distinguish, say, between orange and red-orange is made only when we need it—like when we’re asking for a particular paint color.

We work to build a world free of shame, secrecy, and unwanted genital surgeries for anyone born with what someone believes to be non-standard sexual anatomy.

By the way, because some forms of intersex signal underlying metabolic concerns, a person who thinks she or he might be intersex should seek a diagnosis and find out if she or he needs professional healthcare.

“Intersex” is a general term used for a variety of conditions in which a person is born with a reproductive or sexual anatomy that doesn’t seem to fit the typical definitions of female or male.

For example, a person might be born appearing to be female on the outside, but having mostly male-typical anatomy on the inside.

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