It didn't cause any problems.
https://64.media.tumblr.com/83308f0513790d8503264e72aa5e854a...
I was under the impression that Caster Semenya tends to confound simple categorization like you suggest.
From the same article:
> Management of this condition in the context of sex assignment is a challenging and controversial area.
As I said, it seems that there are cases where things are not clear.
The question is not whether you can briefly look between someone's legs and determine their sex. We know (per the article) that this can fail as much as 0.05% of the time.
The question was what is Caster Semenya's biological sex: the answer is male. This is, in fact, clear.
https://en.m.wikipedia.org/wiki/Androgen_insensitivity_syndr...