Yikes. You agree sex is complicated and yet wont see trans men as male? Medically, once (those who choose to be) on HRT trans men are male. They have the same elevated risks of heart disease as cis men and when medication has sex based differences in administration, trans men are given the “male" treatment. For research purposes, therefore, trans men are male. Pretty simple.

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A trans teenager. They/them (perferred) or he/him.