I knew a child from birth, she’s now about 22. She was always, and I mean always masculine. She looked like a boy her entire life. She played softball on a full scholarship at a major university. But she was always extremely masculine.
I knew one little boy from about age 5 until now. He was in our homeschool group and I don’t see that he was exposed to being molested since he was very sheltered. But that child from the time I met him until now was/is very effeminate. He practically flutters when he walks and always has.
Tomboys and sissies often grow out of it.
Nowadays, of course, they are targeted for corruption.
I have known men who were superficially effeminate but sexually normal, and women who...well, I once met a girl at the carpenter’s union who turned out to be delightfully feminine under the overalls.