The #nodebate policy has caused all these types of problems, because nobody was allowed to say that people who transition fall into groups which are very different in many ways, including why they wish to transition.
The activist group which has the most power doesn't want us to discuss any of that. We are just expected to accept all transitioners, whatever the outcomes for women and girls might be, and to pretend that there aren't a whole bunch of reasons for transitioning and that some of those really should have been publicly discussed.