Ryan was born genetically male but has external genitals that are completely female. He would be referred to as female pseudohermaphrodite. It’s a term used when a male is born with an ovary or there are external genitals which looks like an intermediate of a female reproductive organ. The opposite of which is a male pseudohermaphrodite. Pseudohermaphroditism in general is usually linked to Androgen insensitivity syndrome or 5-alpha-reductase deficiency.