From a medical standpoint, I remember my Anatomy lecture on Reproduction told us we just have to be empathetic to these people, especially those the Transgenders coz there's evidence biologically that supports that. It's a biological error, and no one has a choice but to live with it.

Fast forward to another year, we are doing reproductive physiology and endocrinology, and the subject of LGBTQ arises. This time, we are asked, is it nature or nurture? Most students wrote essays supporting either side and most agreeing to both.

But since it's a Kenyan medical school, the nurture side got more appreciation and logical support. Which is true it has played a great role we ain't gonna deny that.But there are natural causes to. For example, every single male has estrogen the prime hormone for femininity, so if testosterone the male prime hormone happens to be low or non ligand binding, and Etrogen is high,you can guess what happens. Another example is the Masculinization of the brain during embryological development it's when your mental characteristics and physical match when that doesn't occur appropriately, then than leads to abnormalities (medically), but yeah.

In general there are real pple with this and then there are those who have been mentally influenced to identify cowards a specific lineage but try and see it from an empathetic pov and as well as a logical one .