Yes, the reactions of all the people around, forcing and judging based on their own expectations of gender, was painful to read... "It doesn't matter if this is reality or dream, the feelings are real" - wow, this quote summarizes the game absolutely perfectly!! I think you really conveyed that well!
Oh nooo, I'm glad that you didn't decide to end it there! I want them to be able to escape the expectations of others/accept themselves/overcome their traumas...of course not every story has to have a happy ending, but I hope that's the case!