I have a few thoughts. My first thought is that they couldn’t find the original meme? It looks so blurry, like it’s been copied and pasted a billion times. It just looks very unprofessional and less legit.
Secondly, I often say that there are typically two genders, but there are rare exceptions where there are abnormalities, like people who are born with six toes (like my Wife’s cousin). He had surgery at a young age to correct this. Had he not had it corrected, he would still be the same kid, just with extra toes : )