In unrelated but similar situation 20 million people today in the world, were born with intersex genitals. 20 million people doctors, surgeons and parents decided gender as they have for generations.
To no one's notice, no one's business, no news items. Their sexual identity chosen for them by doctors.
That some, with good, great, metal, physical and none of your business reasons, ALSO choose to present who they are, be who they are, is why PURSUIT OF HAPPINESS is guaranteed.