"Other DSDs are far more complicated and people do not fall into simple male/female categories. Sex is often determined based on analysis of external sexual characteristics/hormones/genetics/personal identity but it is not straightforward."
Sex is nearly always determined based on observation at birth and this method works for over 99% of the population (in the uk at least).
The species is designed to be binary when it comes to sex, and male and female difference is simple and straight forward.
It is DSDs that can be complex and not straight forward, not the binary sex classification. The existence of DSDs reflects 'disorder' in development. Something has gone wrong. The person has not developed in line with the design of the species.
It is batshit crazy to suggest the male/female binary classification across all sexually reproducing species is wrong because some develop a-typically.
Humans are a sighted species, some are born blind- this is an impediment. The same can be said for being a bi-pedal species, a hearing species etc.
The movement to 'normalise' difference (disability, deformity) came about to stop stigma and discrimination. People who have differences, deformities, disabilities should not be socially 'othered', considered 'lesser' or denied the same rights as others. However, they are 'abnormal' when it comes to development. The notion that ideas about typical and healthy development should be re-written to suggest that these differences don't reflect an error in development is ridiculous.
How people feel about their differences/disorders/disabilities is influenced by social factors intersecting with biological features. Whatever narratives are given/believed, the material reality will remain unchanged.