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.
E foi somente quando chegou aos 19 anos, quando ele começou a ter problemas médicos o bastante, como o fato de menstruar internamente, que os médicos descobriram que, de fato, ele internamente era do sexo feminino.