Well, in my opinion her biological sex is female and nothing can change that.
That being said if a person is trans, I will respect them by referring to them as gender they identify with.
But yeah, I still stand by that theory as to why they broke up. If his partner is a lesbian and she likes feminine women and loves women’s bodies, she probably wouldn’t be that turned on by her partner who transitioned.
What if Elliot plans to do top surgery and wife is into boobs?! Or if he goes even farther and does a bottom surgery?! Those things looks awful and leave huge scar on upper leg, so I don’t think it’s really appealing for people who are into penises, and especially not appealing for someone who is into vaginas.
And maybe he already takes testosterone and is getting harry and his voice dropped. I’m just guessing here, I don’t know if Elliot has started his transitioning and how far he plans to go with it.
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