Know what? I am puzzled by that one too... Does a blood transfusion of the wrong kind make you a female instead of a male? stranger things have happened... :)
As a result of my changes in perception of reality from dying, I perceive consciousness of other people.
Gender identity is a function of which is the dominant aspect of consciousness, no matter the actual gender. Many things influence this.
Masculine consciousness spins to the left around the physical body while feminine consciousness spins to the right. Each is controlled by their respective brain organ, amygdala for feminine and hippocampus for masculine. Memories are stored at the intersection of the two aspects of consciousness in the soul and are physical objects to me.
It takes me less than a minute to locate a PTSD memory in the soul of a person. A few minutes longer to remove it.