Genetically male children who underwent sex-reassignment surgery and were raised as girls later

A) all described themselves as female.
B) all described themselves as male.
C) all had an unclear sexual identity.
D) described themselves either as female or male,or had an unclear sexual identity.

Studies on genetically male children who underwent sex-reassignment surgery and were raised as girls show that they have varied outcomes in terms of their gender identity. Some describe themselves as female, some as male, and some have an unclear or fluid sexual identity. Therefore, the best choice is D - describing themselves either as female or male, or having an unclear sexual identity.