For me, it's sbout what this ideology represents.
This attempt by a group of people with a political agenda to divorce womanhood from femaleness, i.e. being the childbearing sex, essentially so that men get to use women's spaces and compete in women's sports.
This stuff, calling us menstruators and people with cervixes and pregnant people, and maintaining this absurd pretence that some people who get pregnant are not women, is just a symptom of it. And I find it completely offensive.
In this instance it may manifest itself as female people demanding that we refer to them as male, but make no mistake, it's really all about the male people. If this movement were led by women wanting to be treated like men then society at large would have no truck with it. But because it's men wanting, not to be treated like women, because women are actually treated like shit, but to be granted access to everything we have that is supposed to be for women, society says, "Yes, that's reasonable, everyone be kind!" and bends over backwards to accommodate it.
I have to admit to feeling a certain amount of contempt for women choosing to have babies and then demanding that we refer to them as something other than women, because it comes across as attention seeking rather than genuine dysphoria, and because they are contributing to what I see as an assault on the rights and dignity of their own sex.
I also feel contempt for public sector organisations, in particular the NHS, for indulging it.
In the case of maternity care, the default assumption should be that everyone is happy to be referred to as what they are: a woman. If someone can cope with having a baby but can't cope with being referred to as a woman, it's on them to signal that to their healthcare professionals on an individual basis, rather than wanting the default assumption to be that we have no way of knowing whether these people giving birth are women or not.