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Okay, so if a person has Magic XX Genetic Defect Syndrome, and is born with XX chromosomes, a vagina, etc. but no large gametes, they're... third gender? To be clear: there is no world where this person produces large gametes, since as you said, changing their genetics results in a completely different person.
Honestly, if they have a functioning vagina from birth (not a weird amalgamation of penile tissue and intestines sewn into a gaping hole that needs to be prevented from healing over) then I am comfortable calling them a woman. It's clear what direction their body would go. If it would take modern medicine to determine that their reproductive system doesn't work, they belong to the sex they appear.
We're talking about a magic person, so it's hard to specify what I mean by "direction." But I imagine that such a person either has ovaries or could receive an ovary transplant in a way a man could not. Their body would naturally make the hormones to stimulate the follicles and bring forth an egg. This egg could be fertilized by a motile gamete that had a straight path through the vagina. This conceptus would find a home in a uterus.
If you only have to bring one thing to health to make the female reproduction system work, then it's obviously the female reproduction system. A male reproductive system isn't a defective female reproductive system and vice versa.
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