“XY = Male
XX = Female”
XXY = ?
XY = Male
XX = Female
“XXY = ?”
XXY = Klinefelter syndrome
X2*Y
(Sorry). ;)
Genetic Mutation.
People with this very rare mutation, as well as those with XYY, can have legitimate issues with “gender identity”, as well as possibly having a need for some type of surgery, depending upon the physical manifestations of the mutation.