instead of making that he could add an option in the start to be a woman the whole game, and only change to male in genderbender parts like he does to become a woman
sorry for bad english
Agreed he can even make it super narrative like our body begins breaking down and we end up in the emergency room at "that place" in a medically induced coma where we wake up in that mindscape realm with our mom again and she tell us that our cells are degenerating because it's becoming too hard transforming between genders so we have to make a permanent choice. Thatd be cool