Not exactly the type of information I'd encounter when discussing the subject but a quick look up makes it possible to have those due to prolonged therapy. I learned something new on this comment. I'd be giddy if I get to have that case. The other possibility is seeing these cases occur more in the future due to how relative the "gender" tagging can be, like some identifying as men but not biologically men.
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Yes. Apparently liver cirrhosis and any other condition increasing estrogen in men can cause it too