"Through human intervention"
https://www.myjewishlearning.com/article/the-eight-genders-in-the-talmud/
"The Eight Genders in the Talmud
Judaism has recognized nonbinary persons for millennia."
"Saris adam, identified male at birth and later developing female characteristics through human intervention."
"Hirschfeld understood the soldier’s plight—he was himself both homosexual and Jewish"
"Looking back on the story of Hirschfeld’s institute—his protocols not only for surgery but for a trans-supportive community of care, for mental and physical healing, and for social change"
https://www.scientificamerican.com/article/the-forgotten-history-of-the-worlds-first-trans-clinic/
"The rabbis understood this to mean that Adam was created as an intersexed being, a hermaphrodite;"
"Rabbinic midrashic tradition and modern students of the Bible both understand Genesis 1:27 as depicting the adam as having been created an intersex being"
@LysanderMooner
"Waldenberg, considered to be one of the foremost modern scholars of Jewish law in medicine, writes that severe psychological distress is as much of a legitimate reason for an abortion as severe physical distress (Tzitz Eliezer 13:102; 14:101)."
https://www.jta.org/2019/05/22/ideas/what-jewish-law-really-says-about-abortion