en: And it was only when he had reached the age of 19 that he began to have enough medical problems from menstruating internally, that doctors figured out that, in fact, he was female, internally.
ru: И только достигнув 19-ти лет у него начались проблемы со здоровьем в результате внутренней менструации, и тогда доктора поняли, что он имеет женскую анатомию.