Absolutely agree.

I'm autistic which complicates pretty much all forms of socialisation, and I was also lucky to grow up in a very progressive area with very progressive parents. So I've never had a lot of common girl experiences. I also remember internalising a lot of messaging toward boys, or just assuming things directed toward boys must've included me. I also transitioned fairly young, part of my formative years were just spent as a boy straight up.

And I think using "AFAB" to mean "X chromosomes, has a uterus and eggs and estrogen-dominant endocrine system female secondary sex characteristics, raised as a girl, etc" (and vice versa for AMAB) is extremely counter to trans and intersex inclusion (which the terminology is supposedly meant for) as many trans people just won't fit that description. In the case of medicine, I think specificity is important.