I DEFINITELY didn't say "trans women are inherently horrific and grotesque". There is not a single line that describes how trans people are treated or considered in this world. I don't think the demo explains how the occultist views herself at any point either. There is not one line from her that even mentions her sex or how she views herself as.
The intro doesn't compare life as a woman vs life as a trans woman. It compares life as a woman vs life as a man in this very specific religion.
The reason these comparisons are done in the first place, is to show the evolution of the religion. In the original game the females were treated very differently in the religion of the dark priests.
I appreciate the feedback. I know people can interpret things in different ways, but I would really need more context on where you gathered these implications?