Given the nature of the physics of the D&D multiverse -- namely, that there are four basic elements, and that matter can also be constituted from ideas, that faster than light travel is not particularly difficult, that travel between realities, dimensions, and times is possible, that energy can be arbitrarily created and destroyed, etc. -- I don't see any reason for genetics as we understand them to be equivalent in a D&D setting.
Simply put, the setting only exists to serve the narrative. If the narrative demands equivalent genetics, then they exist. If it doesn't, then they don't need to. It is fundamentally an irrelevant aspect of the game world.
So, my question is: "To what end? What purpose would genetics serve?"