They have a point.
if you have a child with what looks like normal female external anatomy, that child will be “female”
if that child gets to 15, 16, and doesn’t appear to be going through puberty/starting periods, so you take her to the doctor.
it turns out she has a dsd where testosterone didn’t do it’s job in utero. So despite being externally female, they have no uterus, a blind vagina, and internal testes. Genotyping reveals XY chromosomes.
so now what. Do we go full mumsnet, point and shout “MAN”, and give no thought to how the child feels?
do we start genotyping everyone at birth so we can identify those who’s phenotype doesn’t meet their genotype to avoid this issue and identify “real” sex?
I suspect with sport we will have to have a blanket ban on XY in female sport, dsd or not. But dsd’s do exist in real life so yes, in those cases do we go by physical appearance or XY?