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Dunno if you deleted your comment or what but I have the notification for it so I’ll reply to this one:
XXY karotypes exist, sure - that would be a male with a DSD. All DSDs affect either a male or a female. They are disorders that affect one or both sexes, not different sexes.
Phenotypes are whole irrelevant. They’re just observable traits , like height or eye colour. There are no “female sex determining phenotypes”.
It all is very complex, but the number of sexes isn’t - male and female are all there is.
Also you used a fungus as an example of 20k sexes? This is incorrect. There are “20k” mating types, not sexes.
I didn't delete anything, your instance must be slow federating.
Having the one or other set of reproductive organs, or something in between, is a phenotype. Phenotypes are the result of genes interacting with the environment, and your genitals are, indeed, a result of that. All of you is a result of that (because you don't have any of your original cells any more).
In any case so you do seem to acknowledge complexity. Sexes, btw, as you describe them, are precisely "mating types", I mean you started out with gametes. As to the choice of organism: You baited me, you said "creature on earth". Fungi, last I checked, fit that category. Andorians have four sexes, btw.
Given that you accept all that complexity, why not the possibility of mind and body not matching up, making affected people have a rather intense desire to live their life as the gender opposite their overt phenotype?
What about the absolute deluge of studies that show that that, indeed, is a thing that happens? Why even argue this, when the science is settled? What's in it for you?