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They most certainly do - and appear to have always been. Look at the Hijra or another similar group. Do you really think that of all the billions and billions of humans that have been made that nothing has ever gone slightly differently than usual at around week 9 of pregnancy when biological sex begins to be determined? Really? If you can be born missing a limb or fused to your twin it’s not a stretch of imagination to realise it could be possible to land somewhere in the middle of the two established biological sexes.