Insisting that people with CAIS are biologically female is factually incorrect and deeply unhelpful to any honest discussion about sex. Every person with Complete Androgen Insensitivity Syndrome (CAIS) is genetically male.They have a Y chromosome, an XY karyotype, and their sex was determined as male at fertilisation. That is an immutable biological reality.
While they may be phenotypically feminine due to their body’s inability to respond to androgens, this does not make them female. They do not—and cannot—develop female reproductive anatomy: no ovaries, no uterus, no fallopian tubes, no capacity to ovulate, menstruate, or become pregnant. They develop testes, which may be undescended, but are biologically male gonads. This places them squarely and unambiguously in the male category, medically and biologically.
Saying that they are “legally” or “socially” female is a separate issue—legal or social identity does not redefine biological sex. Medicine may treat them “as female” for pragmatic reasons (e.g., hormone replacement with oestrogen), but that does not imply they are female—only that they lack androgen response and require specific clinical management. Their treatment is entirely because of their male biology failing to masculinise properly, not because they are female.
As for the Supreme Court judgement: it was not a biological ruling, but a legal one about how “sex” may be interpreted in equality law. It does not override, rewrite, or redefine decades of settled biological science. Biological sex remains binary and rooted in reproductive function.
To claim otherwise—especially in a medical or scientific context—is not only inaccurate, but misleading to the public, and ultimately damaging to clear, evidence-based safeguarding, research, and care. It is not “harmful” to state that a person with CAIS is male. What’s harmful is denying reality to preserve a comforting fiction.