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Because the absurdities pile up quickly once you start to look.

Like, on a basic level, some women are just stronger than some men whether by genetics, training, or what have you.

An AFAB person who grew up as a perfectly normal girl and looks completely female might not have a uterus because she has XY chromosomes and Complete Androgen Insensitivity Syndrome.

The idea she should be recategorized as "a man" wasn't taken seriously even by the standards of decades past.