Here is why I believe that he was
1. He had long hair
2. He walked around society with a dress on
3. He cared for people in a feminine way
People are made in the image of God.
We all have a male side and female side, though we tend to favor one.
That does not make us transgender or bisexual.
Studies on transgender brains have shown that the parts of the brain normally larger in females are likewise larger in males who identify as female personalities or souls.
This is not the same thing as all people having both
yin/yang, male/female energy, things we inherit from our mothers/fathers. We all have both.
But people who are truly transgender experience being a male persona born in a female body or a female persona born in a male body.
Others theorize that during formation in the womb there could be hormones or chemicals or other changes that get mixed up, where the gender identity isn't consistent. I think it is SPIRITUAL first and then it manifests in genes or environment or psychology second.
I believe people are born in these situations to work out karma, resolve past conflicts that otherwise repeat, and move forward in spiritual growth and development so any adverse conditions can be resolved.