gender crankiness
Take all that away and you’re left with what, 30% of the time where it’s useful to know the endocrine definition of someone’s body to figure out industrial design, epidemiology, whatever, and even then that says so little about a person’s identity.
Then we get into pre-teen/20-something/20-something with PCOS/post-menopausal body are all pretty different endocrinology and that could easily be the same individual anyway, before you even get into how they perceive themselves.