Lots of this sounds familiar. Won't go into my family history here but unusually rigid ideas about gender and roles in society.
No diagnosis but GP has looked at my history and gone, "yep fairly sure you are neurodiverse, get back to me on how you want to approach this one way or another if you think it will help."
Went through a period in my teens to early twenties wishing I wasn't a girl. I hated it. I was awkward and couldn't get 'doing a girl' right.
Didn't really make peace with it until about 25. I decided I wanted to leave everything behind and start a new life on the other side of the world. Turns out you can't run away from yourself... And a bit of distance makes you rethink a lot of things. Came back and things were just - different.
Does she get anxious around doctors more generally or just over certain things?
I have had issues with pill and blood pressure due to white coat hypertension. I get so anxious around doctors I struggle with getting sensible blood pressure readings in a medical setting. Its caused issues on numerous occasions.
I was fine with Combined Pill - weirdly (but perhaps unsurprisingly as it turns out) this was a pretty stable time in my twenties. They later insisted I went on minipill due to blood pressure. Omg. When It says in the side effects 'mood swings' it doesn't really cover what this means. It pretty much triggered a breakdown for me. Like proper complete meltdown. Couldn't function day to day.
So it turns out my current GP is a specialist in womens health and she says apparently neurodiversity is somehow linked to hormonal imbalances and sensitivities. Revelation. And as I found out with the minipill, it turns out I do not agree with at least some synthetic progesterones... As I have since found out synthetic progesterone sensitivity is much more common with neurodiversity (Fab this isn't it?!). Given this information, I am pretty glad I didn't go for the implant at the time. It scares me to think about.
What I'm saying is really do your research on this and keep an eye on it. Different pills have different progestins. Not all may agree with everyone - and this is a higher risk if you are neurodiverse. Really watch out for mood swings - I was fine on the combined pill I had but really really not fine on the minipill. I had no idea what was going on as I was in the midst of it. DH noticed the swings far more, before it just went off a cliff.
Anyway, moving on... I couldn't cope with the very idea of giving birth. I can't explain it. Never have been able to. I said for many many years I didn't want kids. In the end I had a C-section agreed before getting pregnant.
Also it turns out that perimenopause doesn't agree very much with neurodiversity either... Again those pesky hormone imbalances. Lo and behold, that's been fun too. Went to GP. GP said "yep that's your hormones" and "yeah probably best not to put you on synthetic type progesterone again after last time".
Subsequently having looked into this a little, I've gone down a bit of a rabbit hole of realising just how bad hormone issues + neurodiversity are. Reading further one of the things I've discovered is anxiety/depression is diagnosed when actually a hormone imbalance is an underlying cause so straightening this up, actually can do a lot to relieve the anxiety/depression symptoms.
Make sure she's armed with this knowledge because it really doesn't seem well recognised and understood. Hindsight is a wonderful thing and looking back I really really wish I'd known this in order to ask better questions and spot and deal with problems a lot sooner.