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Anyway, I was going to send a text of over 300 lines explaining what is or isn’t futa, but to summarize:
1. Do they have a vagina and all male organs simultaneously? Then it’s futanari/hermaphrodite (the original term).
2. Do they have a fully formed penis, complete testicles, a full scrotum, and no vagina? Then it’s a shemale/trans.
3. I want to clarify a misconception in Western games: there is a specific condition — which many artists reference, even without naming or explaining it — called de la Chapelle syndrome (also known as XX male intersex with SRY translocation).
Yes, that’s correct: an individual with XX chromosomes can develop a fully formed penis, complete testicles, external testicles, a full scrotum, and no vagina. In some cases, they may even produce sperm. This is why, in games labeled as futa/trans, where the character clearly has no vagina, technically they are not futa. The creators usually justify it by citing this rare condition (often mentioned at the beginning of the game).
Many readers might recall a game in which a “girl” comments that she was born with a penis, even though she has no vagina. This intersex condition is extremely rare, but there is something even more unusual: individuals in this situation can naturally develop breasts, sometimes of significant size.
It’s a controversial topic because, biologically, the individual is male with feminine characteristics. However, in terms of identity, they may perceive themselves and live as a woman or girl.