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When she approaches the midwives about this, they refer her to a hospital where (after a very unpleasant and unfeeling examination by a doctor and a group of medical students) she discovers that she has "Testicular Feminisation Syndrome" (now called Androgen Insensitivity Syndrome), which occurs when the body of a person with XY chromosomes does not respond to masculinizing hormones, resulting in a typically "female" body