Lal: “Yes. But the critical point is that the phenomenon of sex change during a life is extremely rare.”
Of course, I was going with the possibility of the unusual case where a gandhabba with the opposite sex takes possession of the zygote (e.g. female occupying XY). This is supported by the studies that show that trans people’s brain structure resembles those of cis individuals with the same gender identity. For example, White matter microstructure in female to male transsexuals before cross-sex hormonal treatment. A diffusion tensor imaging study
It is true that this issue has become too political due to greedy corporations not refraining from overrating it. But Gender affirming care has been shown to have positive impacts on the individuals who need them and medical organizations do not recommend surgeries for children (unless they’re intersex and need them). Stats say only 1% of people are affected by this problem, and I don’t see evidence of this being a rampant trend. So I just wanted to mention that I don’t see a contradiction here.