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In March, Nevada legislators introduced a bill that would ban surgeries on children too young to understand or consent to them, which passed the state Senate but died in the Assembly.

For us, all of that got shut down.” After Adams was born, her parents had to wait for test results that would help determine her gender.

Ultimately, she was diagnosed with androgen insensitivity syndrome, in which people with XY chromosomes and internally “male” reproductive systems — including undescended testes — are wholly or partially immune to androgen hormones, such as testosterone, that their bodies produce.

In 2000, the American Academy of Pediatrics went so far as to declare the birth of an intersex child a “social emergency.” (Since then, the AAP has grown more circumspect.

She wants to be a therapist, or possibly a psychiatric nurse. “I can’t wait to be engaged one day,” she says not long after I climb into her car, complimenting the ring on my left hand. I hate being single.” In her free time, she scrolls through dating apps, looking for women she’d like to get to know over coffee or Chinese food, since she’s not a big drinker.

People with complete AIS are born looking like typical girls.

Adams’s insensitivity is partial; in cases like hers, children are often born with an enlarged clitoris that may look like a small penis, and sometimes with a single “urogenital” opening instead of separate openings for the vagina and urethra.

“I think I’m a very strong-willed person,” she said.