Genito-urinary issues are some of the more awkward medical issues to diagnose. Many people do not like to discuss the more private parts of a person’s anatomy, but we need to—for the simple fact there are some illnesses that can be high-risk for the patient. You don’t want to risk a patient’s life or limb because you are too shy to ask certain questions.
Some of them are gender specific and require different “plumbing” to manifest. It is important to do a good patient history and to determine the biological sex of the patient. They might identify as any gender, but as a medical provider we are concerned with the anatomy they were born with.