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Notes -
That one is interesting, because Wikipedia is claiming it affects "5-15% of women of all ethnic backgrounds," which is less than the number of women I've seen with facial hair. I'm guessing it's fairly easily managed with a razor, and in any case facial hair is far from the only physical tell of sex, so that doesn't seem to pose an issue to what I'm saying.
To be more charitable we can go with whatever rare genetic condition may cause a woman to appear extremely mannish. In which case I would probably assume she is male unless corrected. That would be very unfortunate and I feel sympathy for her having to go around life that way, but she is by definition a rare genetic outlier. We can openly say that this is not the way it normally biologically works and don't feel the need to collapse biological gender categories over it.
If it was a political issue where people were identifying with this disorder or trying to medically induce it, demanding at risk of job loss you accept it, trying to normalize and give it to children, etc. and this was all surging at once within the last 10 years? At that point it leaves the category of weird genetic outlier and I start to ask what's going on here.
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