We cannot really change it and we have to live with it, yet we still have to make decisions dictated by societal conditions and our ability to deal with those conditions. From this perspective, for certain groups in our society, it may be difficult, if not practically impossible, to deal with one's gender identity and expression and the decisions associated with that without a certain amount of suffering and a feeling of helplessness.
De ce point de vue, pour certains groupes de notre société, le constat et les décisions à prendre peuvent être difficiles, sinon même pratiquement impossibles à appliquer sans un certain lot de souffrances et sans un sentiment d'impuissance.