In the current political climate, it has become accepted wisdom that gender comes before physiology in determining physiology.
You got it exactly correct Jobiska. That point was in my first days lecture when I taught THE SOCIOLGY OF GENDER ROLES. Currently I'm trying to understand the whole "identity" issue/conundrum. It's hard to understand how silly things became in such a short period of time (and to think that I used to teach Social Change as well). Glad I'm retired.
Apparently we're all located somewhere between male and female (TBD and some unspecified later date), and penii and vaginas are incidental. The western world is upside down