Between 1986 and 1995, a pedigree of six Arabs with male pseudohermaphroditism 
due to 5 alpha reductase-2 deficiency have been identified. All, were raised as 
girls since birth. At the time of diagnosis, three were post-pubertal, one 
pubertal and two pre-pubertal. The external genitalia of 'pseudo-vaginal 
perineoscrotal hypospadias' was identical in these subjects. Although these 
individuals were a homogeneous group in terms of their sex of upbringing, 
phenotypic appearance, endocrinological profile and socio-cultural background, 
the development of the gender identity and role was not uniform in these six 
cases. Their psycho-sexual make-up was closely related to the transaction of 
their life experiences. These cases provide further insight into the interaction 
between various factors involved in the development of gender identity and role 
in male pseudohermaphrodites in an Eastern culture.