The problem with gender ideology is that it is regressive on this very point: that societal gender roles inform and even dictate the reality of being a man or a woman, and that people who are uncomfortable, reject or invert these roles are actually supposed to be the opposite sex, or something.
Puberty blockers, cross-sex hormones and sex reassignment surgery are not about "gender identity" because gender is an entirely social construct and these are physical interventions. Affirming "gender dysphoria" has come to mean changing physical reality to conform to our social expectations, often in very regressive ways (i.e., "I knew I was trans/felt different when, as a little boy, I played with dolls and make-up.")
Are you seriously saying that this person isn't a progressive, feminist individual:
https://twitter.com/mamamatra/status/1644821378888245249