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No necessarily germane to this discussion, but prompted by CW's excellent post above.
We had a child at my school with Klinefelter syndrome (XXY syndrome). This was apparent in some of the classic symptoms of learning difficulties, poor speech and motor control and coordination. But it also meant that when he reached puberty he might develop female sexual characteristics, for example growing breasts.
All we could offer him at our school was meeting his Special Educational Needs. He's going to need more specific help in the future.
"Treatment may include hormone therapy, cosmetic surgery, speech therapy and counselling."
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