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The whole "nothing there" sequence in particular confused the hell out of me as well. How would no one would have known about Michel's condition prior to that? Surely the parents/nanny/wet nurse etc would have noticed the baby lacked female/male parts at birth.
Maybe someone with more knowledge on the subject can shed some light, but the 30 minutes of googling I remember doing back when I finished the game never really gave me an adequate explanation.
So possibly Michel could be sufferig from this.
In the context of the conversation, I think Aimee was just referencing Michel not having a penis, not literally "nothing there". I have no idea why it would have been worded like that though, and the subsequent conversation just makes it even more confusing.
It's a lot easier to assume it was a weird translation than try to explain how no one managed to notice a child growing up with no genitals.
46, XY intersex
This condition used to be called "male pseudohermaphroditism". This is defined as incomplete masculinization of the external genitalia.[160] Thus, the person has the chromosomes of a man, but the external genitals are incompletely formed, ambiguous, or clearly female.[153] This condition is also called 46, XY with undervirilization
From wikipedia.
Amiee's "There's nothing there" and the fact that the family were misled to believe that Michel is female, suggests that his genitalia presented as female or close enough to that.
I don't believe they did much more examination than that - and why would they?
Yeah, we already told that XD but that's not the point