culture and social influences The Batista family from the Dominican Republic 4 children were born with external female genitalia and raised as girls. The large amounts of testosterone produced during puberty caused their male genitalia to appear externally. They were geneticaly XY, but the external male genitalia had not appeared because of an inherited gene that caused testosterone insensitivity. It is said the'girls' accepted their new male role without any difficulty. It has been suggested that the ease of transition from female to male highlights the importance of culture.