This brings up a slightly tangential thought I occasionally have. Is there as much of a gender "confusion" (for lack of a better word) in parts of the world that use languages that have gendered nouns? Over the past 40 years at least it seems that in the USA all of these new labels and identifiers have evolved for people who perceived their gender as not "masculine" or "feminine" but are something different altogethe…
For example, in Romanian (a Romance language), the scientific words for 'penis' and 'vagina' are both neuter (which in Romanian means that they use masculine form for the singular, and feminine form for the plural). Conversely, the vulgar words for these are both feminine. The word for 'breast/breasts' is masculine.
Basically only words that specifically refer to people and mammals&birds are guaranteed to have a meaningful relationship between grammatical gender and male/female sex. Even here it is not entirely guaranteed, as the words for 'child' and 'baby' are both masculine, even though they are used for both male and female (or intersex) babies and children - though there are of course specific words for 'boy' and 'girl' and those do have the expected gender.
On the other hand, what is clear is that gendered languages with two genders have a huge problem with the idea of gender-neutral language, as it is simply impossible to refer to someone without implying a gender. For example, if I had a non-binary colleague and I wanted to say that they are smart, I have to choose between calling them 'deștept' (masculine) or 'deșteaptă' (feminine) - there is simply no other form of the word to use. Even if I were to artificially introduce a plural like with 'they/them' in English, I would have to choose between 'deștepți' (masculine) or 'deștepte' (feminine) - there is no getting away from this.