As always, the issue comes down to what is meant by female/woman, and what SHOULD be meant by female/woman.
If the true factual meaning is used as the defining factor for female sports categories, then upbringing is irrelevant, presentation is irrelevant, pronouns are irrelevant, identity is irrelevant, clothes worn at school is irrelevant, what your family thought you were is irrelevant, even what is on your birth certificate is not the ultimate factor and should be subject to challenge where there is evidence that it may not be in accordance with biological sex . How one has always thought of oneself is irrelevant. The age at which one discovered one's condition is irrelevant.
And hormone levels are irrelevant too. A woman with undetectable oestrogen is exactly as female as a woman with high oestrogen, no more, no less. And a man with higher oestrogen than either remains 100% male. The same applies to testosterone. You cannot measure a hormone and conclude a person is 'more male' or 'more female'. What categorises a person as male or female is an entirely different criterion.
Female is understood to mean the sex class that has developed along one of two distinct types of evolved reproductive anatomy: ovaries and not testes. These are the primary sex organs, the gonads.
The secondary implications that flow from being the sex that has testes vs the sex that has ovaries are profound.
If female is distilled back to its actual biological meaning and all misconceptions are stripped away (ones personal beliefs, or identity, or sense of self, or upbringing, or superficial appearance, or hormone levels) then the category is clear. We have allowed vestiges of other, false ideas to remain influential in the category of what it means to be female, and that's a mistake.
If ever there was a time for clarity about what female actually means and why we provide different categories for the sexes, the time is now.