There are hermaphrodites and intersexes. It is a biological and neurological issue, and they are still created in God’s image no matter the state of their body.
1. Both are more that just "issues." IMHO they are serious biological errors in the make up of that body.
It's not "their body" because the horrible errors are in only ONE person, NOT multiples. I have always read lots of scifi, so the image isn't unknown. But it's a TERRIBLE aberrancy for some poor soul, God's soul, to endure.
They seem to be biological, rather than neurological.
From the Internet:
Intersex: in humans and other animals, is a variation in sex characteristics including chromosomes, gonads, and/or genitals that do not allow an individual to be distinctly identified as male or female. Such variation may involve genital ambiguity, and combinations of chromosomal genotype and sexual phenotype other than XY-male and XX-female. Intersex infants with ambiguous outer genitalia may be surgically 'corrected' to more easily fit into a socially accepted sex category. Others may opt, in adulthood, for surgical procedures in order to align their physical sex characteristics with their gender identity or the sex category to which they were assigned at birth. Others will not become aware that they are intersex—unless they receive genetic testing—because it does not manifest in their phenotype. Some individuals may be raised as a certain sex (male or female) but then identify with another later in life, while others may not identify themselves as either exclusively female or exclusively male. Research has shown gender identity of intersex individuals to be independent of sexual orientation, though some intersex conditions also affect an individual's sexual orientation.
Hermaphrodite is an organism that has reproductive organs normally associated with both male and female sexes.
Historically, the term hermaphrodite has also been used to describe ambiguous genitalia and gonadal mosaicism in individuals of gonochoristic species, especially human beings.
The word intersex has come into preferred usage for humans, since the word hermaphrodite is considered to be misleading and stigmatizing, as well as "scientifically specious and clinically problematic".
Plants are hermaphroditic...not people.