this post was submitted on 07 Jan 2024
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Labels are used to help us describe and understand the world around us. Calling glass "sand" isn't helpful, because glass and sand have vastly different properties and are used very differently. Calling a MtF trans-person a woman can have some advantages for some people. For example in a sexual context, they may be perceived by their partner as a woman, and that may be enough to get them off. But using the same label in a medical context would probably make less sense, because it's still a male. Albeit maybe with less testosterone, breast implants, plastic surgery or castration. But I'm sure a medical doctor will still take these factors into consideration, even though they may not see the patient as a biological female in order to not misdiagnose and hurt the patient.
Might not wanna use "it" for trans people, but you're getting the idea. The societal context is most important though, since the person's gender would indicate social expectations. In a sexual context, many people find their trans partners attractive because they act like their gender, not because they completed a physical transition. In the medical context, doctors can easily use preferred pronouns while referring to body parts, "his vagina," "her penis," etc.