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The thing is.
You have a male and a female.
If someone's turns from a male to a female aren't they just chosing one of two sexes. They aren't creating a new one or am I missing something? I'm unsure.
here's how it works from a quick browse of the article on gender reassignment
so you got men, women, trans men and trans women
when a trans go through the gender reassignment, they dont stript the body down like hotting up an old car and rebuilding it, they change the external bits and internally they are similar, except for trans women who have some bits removed internally