Hey. There is a clinic on the second floor of Akra. It will take a while for you to unlock this area of the map.
Edit: I just tested this combination of body and pronoun that you mentioned and the scene with Rylan had no problems with me, he said the pronoun correctly and in the sexual act it was described that I had the female body. Try starting the game again, I think you may have clicked on something wrong when choosing.
