Sounds like semantics to me. There is gender (sense of self / how you 'identify') and sex (the physical / objective anatomy). The dysphoria is that the two don't align.
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Do we really need Gender?
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A semantic problem is that pronouns and nouns for gender concepts are seen as the same as for sex, when they are not. Leading to 'she's a man', and 'a woman can't have a penis'. If they had different lexicons that were understood, things may be easier. Leading back to culture and language comments above.One day Canada will rule the world, and then we'll all be sorry.
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