True, it could serve as a placeholder. I didn't even mention the biological side of things because that's another can of worms. I'm also concerned about the transgender aspect, are trans women really women? Can they conceive or are they sterile? It can be a very divisive topic since the game took the inclusive approach, so it remains to be seen how the author wants to handle it.
i think that's kinda easy to do? in the start maybe the author can add some choices if we are "fully" transitioned, so, if the player is a trans men, they can decide if they still have a womb, if they are taking the female hormone blocker, if they are taking testosterone, etc, so the game can track if the player is *capable* of getting pregnant.
with trans women is very simple too, i guess?? trans women don't have a womb, so, they can't get pregnant and im pretty sure the game won't add a "add a womb" in the clinic bc it is not realistic, does this mean that trans women are not women? absolutely not, they are! we are just talking about the biologic sides <3
also, in real life, if a trans women is taking the testosterone blocker and it is taking the contraceptive, they CAN still experience PMS (Premenstrual Syndrome) or PMT (Premenstrual tension) wich i think it would be really cool to implement! <33