Yes, exactly! I didn't even mention the semi-conscious determination of gender (I mean, just off the top of my head, how much more potential stress would there be in puberty if puberty was when you found out what gender sex you were?)--I'd imagine that gender dysphoria would be fairly common, just for starters. Mymy mentioning it casually would seem to indicate so, anyway.

All these things are ripe for fannish exploration, IJS.