His sex was innate. This case does not demonstrate that there is something different and seperate from the material reality that he actually was male, and that this was not changed by the abuse done to him.
As i said millions of years of evolution have made human beings, like all other animals that reproduce sexually, pretty damn good at sensing their own and each other's sex. It would be more of a mystery if we weren't good at this than that we are.
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We get better at it as we approach the usual age of puberty for obvious reasons.
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