@CharlotteEowyn
It's the 19th century America civil war, you're "Mrs. Nash" (sorry I can't find her first name), trans/intersex woman and friend to George Custer and his wife Libbie. You do not wish to be undressed after you pass when you fall badly ill...
Transitioning is new and experimental.

it's the 16th / 17th century, you're the gender nonconforming (it's hard to put any assignment to them as they dressed and acted masculine but how they identified is harder to say) Mary Frith / Mol Cutpurse / Tom Faconer. Gender non conformity (and transition) is new and experimental.