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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.