Consider also that receiving HRT requires you to convince your doctor you are trans, and Informed Consent comes into play. They would likely be informed of all of the side effects.
I would say that the 10% of cis men who wouldn’t experience dysphoria in your hypothetical weren’t cis in the first place. In fact, anyone who transitions to “own the libs” is probably just trans and scared.
They said patent violations, not copyright, so it is about some sort of mechanic or system and not the pals or any specific designs. I’m guessing the thrown ball capture system, since it seems no other developers have published anything using that specifically.