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It's similar to how if you think heterosexuality or homosexuality are choices due to your own experience, that's not everyone's experience, and you're probably bisexual...congratulations. Even though there are only two sex chromosomes, issues with them can cause people who are physically intersex. Then there's all the complexity of the sense of self. Some people could feel they have the 'wrong' body and be fine with…
It is completely different if it is a physical disorder, but this is not the case in vast majority of cases.