“…Though wrong male gender rearing has been previously reported in some other countries [10,12,17,24], the reason for this may be related to severe virilization in a genetic female as seen in cases with Prader 4 and Prader 5 anomalies [24,25]. Alternately this tendency may be induced by the pressure to have male offspring in some cultures to secure family name, secure marriage, and to ensure reasonable inheritance [26]. This socio-cultural influence coupled with poverty and lack of education, may compel some families to assign male gender to a child with a significant phallus irrespective of the nature of the rest of the external genitalia [9,10,24].…”