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I mean, this is supposed to be where the distinction between sex and gender comes up. So it'd be incorrect to say trans women are men, but correct (I guess) to say they're male. I don't know, I might be behind the times.
Biology is not that cut and dry. If you medically transition you're somewhere in the middle, and that's important for your healthcare. As in, maybe you need breast cancer checks that you didn't need before, things like that.
Sure, but it's still important for a doctor to know that they're in the middle and weren't, say, born with a uterus. The distinction still matters.
It is important info for your doctor. But not for politicians, or strangers you avoid eye contact with in a public bathroom.
Of course it matters, if the doctor asks you about your period and you don't have one. But it's the same for AMAB or AFAB people that were born without a uterus, or had it taken out.
A lot of the distinction of sex and gender gets muddied because as scientific evidence mounted about how blurry the lines between the sexes actually were "gender" ( not as we understand it in a modern queer context) started out as a construct that played fast and loose with phenotype and form to create a scientific construct of sex. It's in part why gender is sometimes a synonym for sex because it was aiming to preserve a biological binary which was really falling apart.
However philosophy looked at that construct and elaborated on what they were seeing and realizing that we draw arbitrary cultural lines around these things so "gender performativity" theory tends to group gender as something you do.
However gender performativity theory doesn't really cover what trans people experience. Basically, a lot of gender dysphoria is actually closer to the original use of gender. It involves people reacting to their physical bodies sex characteristics not falling in line with a sort of internal compulsion...so for a severely compressed example if I feel like everytime I am reminded through language that I do not conform to the physical features typical of the male phenotype I feel depressed, anxious and like essentially life has denied me something essential to me then I can backwards engineer that series of reactions to "I am a man / male"... Man might be a cultural category but the lack of the cultural category isn't what is upsetting, it's the social construct of woman drawing attention to the real problem of existing in my own body.
So where this gets culturally sticky is if someone insisting I am "female" it really is no different then misgendering. What's often culturally happening is they are just trying to do it in a pseudo scientific way which is why people will call you out on it.... Here's where it gets complicated. Trans people are a group of people who are lay masters with personal experience of the malleable nature of physical sex and the science of sex. Since the people often trying to categorize us as "male and female" alone are not actually giving any kind of scientific specificity it's not actually correct in a scientific biology based context so when we say you are wrong we usually don't mean it on a strictly metaphysical axis. We mean, * that's not how science uses those words*.
If I have been on testosterone a while and a couple of surgeries / or if I never went through a feminizing puberty at all I am going to fit more aspects of the male phenotype than female. I might have female chromasomal make up... but chromasomal makeup is only one facet of sex. If you wanted to be actually scientifically correct in regard to the "biological sex" of a trans person then you are going to have to take us on as individuals and that answer is going to be a lot more complicated than just rendering it down to "male" or "female". From a strictly taxonomic perspective a lot of us have become intersex. We biologically fit a category that is beyond the male/ female binary... We just did so as a matter of using technology to achieve that end.
Thanks for sharing your perspective!