Those things don’t trade off against each other. What trades off is accommodating some people’s feelings about words vs accommodating other people’s feelings about words. Since these different feelings are about the same words both sets of feelings can’t be accommodated. When we as a society make our choice between two incompatible options we express our values.

Yes, why it is important to use clear words referring to biological sex, as that has far more important ramifications for medical treatment than gender identity.

I'm not sure what the best words to use are, as if many cis women find these gender neutral terms offensive, they have a right to complain and push back. However, trans men have a right not to be ignored, for their view in what they're called to be taken into account by the medical literature and for their existence to be reflected in the medical literature.