The correct version would be non-classic congenital adrenal hyperplasia, an incurable hereditary defect of the endocrine system that typically manifests during the early onset of puberty. The endocrine system produces too many free floating adrenal androgens, resulting in masculinazation of the body. Women with NCCAH will slowly lose their female appearance, will have the body hair of a man *including facial hair, will experience male-pattern baldness, and will have trouble reproducing. In later life, you would not be able to tell they are female unless you examine their genitalia.
There are 128 variants of NCCAH. An ACHT stimulation test is the only way to screen for all variants.
So yes, it could definitely have been a woman.
Hospitals screen newborns for CAH since it can be fatal in infants.
Though a bit gruesome, teratology is an interesting subject.