It's a bit hard to buy that in a nightmarish world where pretty much everyone lives a cursed, hellish existence this deranged "muh gender dysphoria" character should be the one suffering the most and deserving the emotional scene that begs for sympathy.
"What did you REALLY think when you heard I was a man, uh??"
No one would have thought nothing of it because it's fucking irrelevant in the grand scheme of things.
And it's not like the mental case was exactly being considered top quality pussy, to begin with.
Her sexuality was hardly of any relevance and completely secondary to the fact she's a psychopath.