RT Book, Section A1 Grumbach, Melvin M. A2 Rudolph, Colin D. A2 Rudolph, Abraham M. A2 Lister, George E. A2 First, Lewis R. A2 Gershon, Anne A. SR Print(0) ID 7054293 T1 Chapter 538. Normal Human Sex Differentiation T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=7054293 RD 2024/04/19 AB Phenotypic sex is determined by a sequential process that involves the establishment of chromosomal and genetic sex in the zygote at conception, gonadogenesis and the determination of gonadal sex (sex determination), and sexual differentiation of the genital tract and external genitalia as programmed by gonadal sex.1 Divergent differentiation from the sex chromosome constitution is possible at each level of sexual organization. Table 538-1 considers the hierarchal ontogeny of sex from chromosomal sex to gender identity.