Originally Posted by
Turnintino
I'd argue that it doesn't, necessarily. Male miqo'te rarely appear throughout the Source, and the game has always been consistent about that, thus far.
Hhetsarro (never mind the mystel of the First, or their equivalents on other shards) are another matter. Like the Ishgardian elezen, I think it's best to think of them as their own (sub)race with their own rules. Self-evidently, they diverged from their miqo'te cousins long enough ago (if we assume they were ever one race, post-Sundering) that either could easily have developed their own peculiarities, genetic or otherwise.