[dogma1138]

Delaying puberty and sexual maturation is quite odd in this case.

It's a bit hard to know what gender you identify as when you aren't even remotely sexually mature hormonal and neurological changes during puberty might be a very important factor. And while yes sex isn't equal gender in this case but it still means allot. If you pump a man full of estrogen and make him feel like a woman you'll might be able to push him hard enough to identify as one.