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Designated male at birth is a phrase used to identify those that were assigned the label of being of the male sex at birth. This is typically based on an individual posessing the superficial or physical charateristics that culturally define men.
Designated male at birth is a sexual designation that is used to label one's gender identity prior to self-identification. This is usually done by a medical professional and a designation based on a subjective viewing of the body along with physical characteristics. In intersex cases, the term assigned is used more frequently than designated to reflect the subjective labelling of non binary sexed bodies.