I cannot be bothered to look up a source but pretty sure abnormalities are not a requirement in some localities, I was pointing out the extremes and why it is a difficult subject.
https://www.dailymail.co.uk/news/article-10762699/Midwives-taught-university-help-biological-men-penises-birth.html
Midwives are being taught otherwise, there was a couple of better sources but behind paywalls.
My comment was about Emergency Medicare, all sorts of medical conditions can produce very nasty issues, but this provides routine care so why this and why not other conditions.