Symptoms of PAIS can vary widely but generally include ambiguous genitalia in newborns, such as a micropenis, bifid scrotum, or clitoromegaly. During puberty, individuals may experience incomplete virilization, gynecomastia, and reduced body hair. Some may also have undescended testes (cryptorchidism) and may be raised as either male or female depending on the degree of genital ambiguity.