I have a lot of sympathy for Imane Khelif and Caster Semenya, as they were assigned female at birth and raised as girls, and they want to compete with women. But I don't know if there's a case to be made that they're biologically female.

They have XY chromosomes, internal testes, a male testosterone level, and male muscle development. They have the SRY gene that the IOC is testing for, and are not one of the exceptions. Regardless of the fact that their DSD (5-ARD) results in no penis.

To be clear, I'm not saying they should start living life as men. But describing their situation as the natural variation of cis women is simplistic and not accurate.