NEW YORK (AP) — Like some 260,000 Americans, Sean Saifa Wall was born with significant intersex traits. The sex on the birth certificate was checked “ambiguous†and then crossed out.

Wall was instead labeled female on the document and, at the age of 13, after his mother was inaccurately warned of a cancerous threat, his testes were removed. Doctors told his parents to raise him as a girl, though Wall later developed masculine features and now identifies as a man.

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