One thing that has always struck me about people pretending to be a different sex; how unattractive they are. What might have been a modestly attractive older man turns into a truly ugly woman. The same is true for women, who are generally smaller than men and have different body proportions. You can look at them from over fifty feet away and your subconscious knows something is “wrong.” I am reminded of two different men I saw wearing dresses in Walmart. Both were substantially overweight. Both had definitely masculine proportions. One of them had forearms you could have balanced a table lamp on. They drew stares; which may have been the whole idea.
Also, notice the way fake women speak: he immediately mentioned his breasts - something women just don’t say or even think about when speaking about certain things like...insurance. It again points to the fact that these men are, in fact, fetishists: men hung up on body parts and clothing. They are not “women” trapped in a man’s body.