According to leftists, anyone can "transition" and demand the "right" to be called a "woman":
The clinic offers fully integrated and interdisciplinary expertise and clinical services in pediatrics, adolescent and young adult medicine, endocrinology, nursing, social work, child and adolescent psychiatry, and mental health care designed to improve the health and well-being of gender variant, gender non-conforming and transgender youth and young adults.
Through a collaborative relationship with endocrinology and psychiatry, we work to provide comprehensive services for all youth. Clinical services are available for children, adolescents and young adults 5–25 years old and include education, family and individual support, pubertal blockade, cross-hormonal therapy and mental health support and treatment. The clinic additionally provides referrals for gender affirmation surgery for adolescents and young adults according to the Johns Hopkins Center for Transgender Health guidelines.
https://www.hopkinsmedicine.org/center-transgender-health/services-appointments/nonsurgical-services.html