"Nothing medically significant," Ilphyl said quickly. After all, they ahd taken the healer lecture to heart. But they had to think about their words carefully. It wasn't like someone was writing books about this. At least not that Ilphly had found. And this was another world, and Deedee was from a third. "Where I come from, some elves have the ability to just rest and wake up as a man, or a woman, or in between. It's supposed to be a divine blessing. Dark elves don't get that blessing, but my mind kind of does that on its own. Not like, daily. But enough that sometimes I just feel a bit... disconnected. I couldn't pin down why until I started learning how to change into animals."

Well, and unpacked a crapload of internalized sexism from their birth culture. When women were the people in power, there were other reasons one might want to be female sometimes, and not exactly space to opt out of the gender binary.

But if other people are remarking that Ilphyl is acting a bit disconnected from their body, maybe time to check in to see if they need to start presenting more feminine to be a bit more comfortable. Or it could just be too much time in wild shape. Minds were complicated.