Poisonousholly,
A person who has XX chromosomes is a male. A person who has XY chromosomes is a Female. If someone who looks like a woman has XY chromosomes, that person is a male.
Now, is it possible for someone with XY chromosomes to have female genitalia? Throughout history there have been countless freaks of nature who are born. Some are conjoined twins, some have other deformities. And it is probably true that somewhere in the annals of history there was a person (perhaps more than 1) who had XY chromosomes and female genitalia. Those freaks of nature had genetic mutations. But those freaks of nature have nothing to do with people who simply 'Identify With' a gender other than what is in their chromosomes.
I'll repeat that those people, who are not freaks of nature, but who simply 'Identify with' a sex other than male or female have a mental disorder.
Now I am a 5'6" overweight male in his 60's, and I identify with being an NBA player. Does my identifying as an NBA basketball player make me an NBA player in reality? Certainly not. There is reality, and there are mental disorder fantasies.