One example of the challenges involved in the use of the term is the case of women with complete androgen insensitivity syndrome (CAIS). These women often have primary and secondary sexual characteristics typical of other women; however, they are karyotypically XY and have internal testes, rather than ovaries. They have the same likelihood as a karyotypically XX woman of enjoying sexual pleasure but are unable to biologically reproduce. Their sexuality (homosexual, heterosexual, bisexual etc.) is not necessarily determined by this syndrome. However scientifically precise the description "male" "pseudohermaphrodite" may be for such women, its social inappropriateness is in controversy.