I've seen pictures of female muscovy ducks with similar caruncles, so I wouldn't based sex on the amount of caruncles alone. (Sorry can't seem to find pictures of it now).
To help clear up the matter of birds changing sexes, they do
NOT. They can however *
appear* to change sexes - enough to fool a judge that doesn't insist on a blood test.
At no point will the internal sex organs change.
The "sex change" is
always from female to male. [edit: I'm not counting eclipse molts where a male will develop female plumage after mating season]
In birds, sex is determined by the ZW sex determination system. A bird that has a Z chromosome and W chromosome is female and a double Z is male. This is the opposite of mammals where XX is female and XY is male.
The presence of estrogen causes birds to exhibit female behavior and coloration (in dimorphic species). The lack of estrogen results in male behavior and coloration.
When a female chicken or duck loses the ability to create estrogen (often due to diseased ovary), the body chemistry shifts to that of a male. This can cause male plumage or growths like combs.
Despite the plumage and possible change in behavior (such as crowing for chickens), the bird is still female by all biological definitions. It remains genetically ZW and internally only has female reproductive organs.
The human equivalent to this would be what happens to men if they lose the ability to create testosterone (via steroid abuse or testicular cancer). Their body chemistry shifts to that of a woman and they may grow breasts. They might be able to fill out a sweater better, but they are still men.