there is no middle ground that i can see. if just believing people about their own sexualities and identities is problematic to you, then you are supporting medical gatekeeping, you are agreeing with the straight and cis people who deny each of our identities regularly. if you don’t support medical gatekeeping, then believing people’s self-reported identities is your only option.
you can not pick which identities are real and which should be subject to medical scrutiny and examination. you do not have that right. you either believe us or abuse us.