There are ONLY two sexes.

CDC Director Uses Gender Neutral Language to Discuss ‘Pregnant Persons' 

How have we gotten so far into this bullshit that people [with a straight-face, no less] actually want us to believe that gender is a choice. Listen up fuck-face, there is no fucking choice... you're born with either a cunt or a dick, END OF DISCUSSION! Allowing morons to even entertain such ideas is a disservice to their mental [in]stability. Any man claiming to be a woman needs a good swift kick in the balls. Any woman claiming to be a man deserves a lube-free ass fucking! These mental misfits are obviously confused; they know it, and you know it. When you go along with their little pretend world, you allow them to devolve even deeper into mental illness. Once they've gone all the way to the point of surgery and hormone therapy, well frankly they're too far gone to be saved and just need to be eliminated at that point. No hormone therapy or surgery is going to change your DNA. You are born either a man or woman, and that is what you will always be regardless of how you accessorize or defile your body.