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WHAT DO MALE AND FEMALE MEAN THEN???????

Whatever someone wants them to mean. There is no reality, only what we want. Caster Semenya wants to be a woman, so we have to ignore that Semenya, and others with the same condition, is one of those rare cases where a mistake in identifying* a child's sex was actually made at birth, but we're not allowed to say that because what someone wants to be is more important than what they actually are.

*I know there is some evidence that Semenya may not have been identified as female and raised as a girl. I have not heard the same claims about other athletes with the same DSD. Missexing at birth is a known problem with certain DSDs. With Gender Ideology, we're no longer allowed to correct those mistakes.