I know that. I'm just saying its redundant, and even confusing, to add a third option. Your comment example, "born as a man, fine w a man", itself only really had two variables in it.
looking futher, i think its an option so you havent "transitioned" yet, as oposed to the first option at the very beggining, where it mightve said you had. I dunno as i didnt look into it but its a really good addition to the game in my opinion