Question:medium

What is the most common karyotype seen in true hermaphroditism (ovotesticular disorder of sex development)?

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Recall the gonad named ovotestis and its usual chromosome count.
Updated On: Jun 23, 2026
  • 45 X0 with streak gonads
  • 46 XX with ovotestis
  • 47 XY +9
  • 47 XX
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The Correct Option is B

Solution and Explanation

Mnemonic-led answer: True hermaphrodite carries the ovotestis, the gonad that holds both ovarian and testicular tissue. Tie that picture to its commonest chromosome pattern, 46 XX, which appears in roughly 9 out of 10 cases.

Ruling out the distractors: 45 X0 with streak gonads is the signature of Turner syndrome, a girl with short stature and gonadal dysgenesis, not mixed gonadal tissue. 47 XY +9 is a trisomy aneuploidy unrelated to sex reversal. 47 XX is not a recognised karyotype for this disorder.

So: the option that pairs the ovotestis with 46 XX is the correct one, matching the 90% figure quoted in the literature.
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