In spite of the disabilities they are still elite level athletes, some of whom have beaten able-bodied elite level athletes. Clearly it follows that they'd be even better were it not for their disability.
That's true of DSD athletes too where they've got a partial male advantage, they'd be even better if not for that.
Intersex with male advantage are not elite enough to even compete against regular male athletes.
Nor are Paralympic athletes necessarily. It's the same issue in principle save for the semantics of whether the disadvantage they're born with si a "disability" or a medical condition.