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The Algerian boxer who was disqualified for having male XY chromosomes was raised as a girl. Imane Khelif has what’s known as disorders of sex development (DSD).

DSD is a group of about 60 congenital conditions that affect the human reproductive system. DSDs was previously called “intersex.”

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Khelif’s XY chromosomes and testosterone levels give them a distinct physical advantage over biological women.

Like South African runner Caster Semenya, Khelif was born with XY chromosomes. They were both born with a malformed penis that resemble a vagina, but no uterus or ovaries.

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In 2010 and 2015, Semenya, 33, was given testosterone-suppressing medication by the IAAF and allowed to run in track meets.

Khelif, 25, and Semenya both have internal testicles (gonads) and they produce the same amount of testosterone as a normal male.

They both have the same musculature and skeletal systems of a biological male.

They both identify as women, but they have a physical advantage over most women.