Determined female at birth*
She has an intersex condition, and in the place she was born (rural south africa) they obviously didn't know better.
She has internal testicles and XY chromosomes.
On the other hand she probably has external genitalia that looks more like a woman, or somewhere in between. We won't ever know. And would we want to know? I don't see her sporting a bulge in her pants.
So she is not a woman, but she is also not a man.
She is intersex.
And generally doctors will encourage such individuals to be raised as girls as it's easier - they can keep their true sex better hidden.
Of course she is free to self identify as whatever she wants. she is an adult.
However sports has only 2 categories: male and female and she is nether.
But if she impregnated her wife, then she is closer to a man, no?
And men should not compete with woman, as that's one of the definitions in sport.
This HRT ruling is stupid too.
In fact there is no real solution to this problem that will satisfy everyone
Ban her? ---> How is this fair?
Put her in men's category? ---> walks around naked in men's change room without a penis and testicles?
Put her in woman's category? ---> beats all the woman
Make an intersex category? ---> be embarrassed to be forced to identify as intersex
Take all money out of sport? --> then it doesn't matter who wins
Biology doesn't follow rules like we want sometimes...