The genitals aren't always clearly affected. XXY males for example have seemingly normal genitals. There are also intersex complications caused by hormones alone. On the most extreme end this can actually result in a XX male or XY female. Born, not transed. There are issues with fertility but they otherwise function normally. The difference is they had those hormones since before birth, whereas trannies were already mostly developed one way before switching them.

My guess is, someone like me had abnormal brain development pre-birth. That doesn't really mean I have a "female brain", because 99% of the differences come along during puberty; but unfortunately my sense of how my body should feel (and to some extent certain skills I should have) seems to have been set from the beginning.

This condition has been linked to certain genetic defects, on genes that just so happen to be involved with hormonal development. What a coincidence. It's also linked to other intersex conditions such as XXY (which I actually might be).

I do have a few physical abnormalities too. Nothing noticeable, but I have slightly curvy hips, and some feminine facial features I've not noticed on any other men. I don't know if that's connected. It's not nearly enough for me in any case.

I've completely failed to develop either a sexuality or a gender identity (if such a thing even exists), so there's no explaining this as me wanting to escape gender expectations. Although I very much do, I acknowledge that as a completely separate issue. And I don't have much desire to fit into female roles either, so there's that. Actually, I'd be fine with only changing sexes in my own perspective. Referring to me with certain a pronoun isn't going to do me any favors or disservice. I understand that those people want to be seen a certain way and included, but they are facing sexism, not sex dysphoria (I'm trying to avoid the word "gender" since its definition changes every like, minute).