Body Integrity Identity Disorder is a pathology where an individual feels compelled to remove perfectly healthy parts of their body. Munchausen Syndrome by Proxy is a pathology where a caregiver, usually the mother, seeks attention through seeking medical help for a child in their care.

XX = Female, XO = Male. Everything else is just cosplay

I have no dog in this fight but I do know a fair bit about science/biology. Nature DOES create animals and likewise humans that have the chromosomes of one gender but the genitals of the opposite. I know this because scientist have used them (the animals) to find out why women live longer then men. I also know that a person can have more than one set of DNA . Do a mouth swab or skin sample and you're one person, do a blood test and your another person. It's called chimera. So why would it be SO strange that your brain is a male and your body is a female. Nature spits out odder mutations on a regular basis.