They might feel that their inner selves are female for whatever reason, but their sexed bodies - which is the important bit at that point in time as far as ethics, morals, law, society, and more immediately the female patient goes.
So an unprovable feeling in a male bodied persons head weighed on the scales of balance against female bodily autonomy, privacy, dignity, possible inability to advocate for herself in the given scenario discussed, possibly of a religion that would also view trans identifying males via the lens of their sexed bodies, disability, general respect for fellow human beings, morality, professional ethics, and ooh a whole load of other reasons that would take a very long time to type, all of which you have already heard from countless posters, because we've collectively been down this road before haven't we.
You keep saying you are proving that the whole thing is just too complex for us to understand (as you judge us to be intellectually illiterate), and that we are entrenched in our anti-trans prejudice, when yet again (hello deja vu our friend and constant companion) we keep repeating that what we are advocating for is women's rights, in this case the right not to be sexually assaulted by a male bodied person who is in full possession of all the facts necessary to inform him that he is committing an act of sexual assault.
Your misogyny shines through every time. I'm just waiting for the question that is too difficult even for you to answer with a not quite an answer / deflection, etc. That's when you usually abandon thread.
I'm genuinely thrilled you've stuck around for these two whole threads set up so you could educate us on your opinions. I also genuinely hope you stay to continue answering questions.
It is my opinion having viewed your posts over time, that you've probably rather enjoyed yourself on them (for all that I'm also sure you'll disagree with me on that point too), and I'm sure it's been very informative for those posters who haven't come across you before, or are lurking, so thanks Tandora!
Operation Let Them Speak! Two opposing sides, one goal! ✊😁