As your post indicates, this issue can be complicated.
Suppose someone has Swyer Syndrome, for example.
That person would have XY chromosomes, but also a vagina, uterus, and fallopian tubes.
With hormone therapy, that person could menstruate.
That person could carry a pregnancy and give birth.
That person is a woman. She simply has a genetic condition.
If the above describes these athletes, then they are female, and they should be competing in women’s competitions.
Experts have weighed in and said not likely sawyer. Their best guess is Pais or 5-ard.
Although it might apply to other sports figures.
There is a pic of Fatima whitbread on twitter that you would swear is a man. She could have been taking steroids because she looks more like a female when not competing.