If I were to identify as the Queen of England, people would ignore me if I were to issue edicts, and they would be right to do so. However when people identify as the opposite gender that they actually have, doctors are happy to allow them to undertake life altering surgeries and allow people to invade opposite gender areas such as toilets or sport or any number of other arenas of life.
These problems occur when people ignore reality. The fact that you can't see this suggests you are stuck in a political bubble.
> people with obvious mental problems akin to anorexia
> allow people to invade opposite gender areas such as toilets or sport or any number of other arenas of life
> when people ignore reality
At least, that's what I've been told when I express similar concerns.
But these issues really do need to be discussed, as there is real-world harm arising from these medical interventions, and from the non-consensual redrawing of the boundaries around single-sex spaces.
I think you're spot on with your comparison to attitudes towards FGM, it really does highlight the double standard.