Reality? That's an entirely useless definition for anything I've ever had to care about in my life. It's also logically nonsense before you even get to considering whether people who are infertile get to be "real".
Maybe not a problem for you, but it is a problem if you were born female. In that case the "the people who were born female" seem to need an action group. But they can't because that would be transphobic.
[1]: https://olympics.nbcsports.com/2021/07/02/namibia-400-christ... [2]: https://www.vice.com/en/article/pkgaj8/utah-parents-gender-c...