Paralympics allow an Italian man to run in 200m women’s race.
https://www.bbc.co.uk/sport/articles/cpvymmpyjeko
Plenty of good detail in that article that demonstrates how male physical advantage persists even if you follow up your belief that you’re a woman by taking female hormones. If Valentina Petrillo wants to race at the Paralympics then he should be racing against men, which of course he did for most of his life.