"I know that some subjective experiences of sex are very firm and fundamental, even unchangeable. They can be so firm and unchanging that we call them "innate". But given that we report on such a sense of self within a social world, a world in which we are trying to use language to express what we feel, it is unclear what language does that most effectively. I understand that "innate" is a word that conveys the sense of something hired-wired and constitutive. I suppose I would be inclined to wonder whether other vocabularies might do the job equally well."