The fact that this is even a topic shows how far off the reservation the left has become. They'll rough ridin' accost you if you screw up the difference between sex and gender, but then conflate the two at their pleasure.
Pragmstically, ifor someone who lopped off their penis went into the women's room in drag, nobody is going to rough ridin' know the difference. Same goes for any chick sporting a prosthetic prick.
I'm sorry, but if you're a women who "identifies" as a man, you still go to the women's room. That is your sex. We don't need to rough ridin' the whole thing up. There are far more perverts than gender confused people.