This person obviously has no fear of dress sense, sexuality or how they are perceived. Their actions speak loudly and clearly in wanting the whole world to know. Most confusion is fear to make the decision to remain one sex or move to another. Usually it is not possibly to return once done. That fear can be motivated by a wide number of causes. Rejection by parent's siblings, friends and even your own children.Everything we decide has an affect on others.
I believe everyone is normal in their own space. But people are cruel and it usually begins in the play ground. Whatever the hang-ups, pros and cons. We have to find time to face decisions bravely and make our choices... Never go into relationships till you are firmly sure of what you want...Never do anything because someone else wants you to do it...