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Shouldn't it be that you identify with your birth sex? If gender is a social construct you don't have a gender at birth. When the doctor says "It's a boy" they're referring to the genitalia you have, not assigning you a social position.
You might not believe in the social construct at birth, but the social construct believes in you. Children are treated differently based on assigned gender from birth.
Now that I think about it, you're right. If you're a male, you get swaddled and handed to your mother, but if you're female, you get swaddled and handed to your mother.
And either way, your mother starts treating you differently based on apparent sex.
https://psycnet.apa.org/buy/2005-02259-007
When does your mother start treating you differently based on sex?
Depending on the country, really really early. e.g. - in India its illegal to disclose the sex of the fetus to the parents/family because of high female infanticide.
In-laws, the father, and many times even the mother will want a son to carry on the family name instead of a daughter who will be married off to some other family (with the cost of marriage and dowry). And it was quiet common for the fetus to be aborted if it was female. The situation has improved a bit today, but gerl children are still treated very poorly is many parts of the country.
Of course, girls here are treated a million times better than trans folk here. 90% of them (hijra community) are beggars on the streets/trains.
So not at birth then?
Typically before you even leave the womb, these days.
So not at birth?