They also have female hormones due to hormone replacement therapy. They also believe themselves to be female. Gender Dysphoria is a recognised medical condition. They aren't hurting anyone.
The people you refer to are a tiny minority of trans activists, if indeed they are trans activists at all (probably not). Few, if any, TRAs have gender dysphoria. Few of them
have changed sex, at all, in any way. All of them promote authoritarianism and grotesque amounts of sexism (in order to promote the idea that sex==gender and stereotypes==gender==sex) they specifically target children (as all authoritarian ideologies with any political skill do because children are more easily manipulated).
Are you OK with children being coerced into "changing sex" because they happen to be interested in something that's TRAs declare is the "wrong gender" for them? That's not hyperbole - it's a key part of TRA ideology and it's happening right now.
Are you OK with children being coerced into permanent irreversible surgery and other medical treatments for the same reason? That's not hyperbole - it's what some TRAs want and it's happening right now.
Are you OK with anyone who wants to change gender more than once being intimidated and threatened by TRAs who won't allow anyone to leave the ideology? It's a cult. Still not hyperbole, still happening right now.
Are you OK with people being threatened and coerced into sex they don't want because of the enforcement of the idea that gender == sex? Still not hyperbole, still happening right now.
Are you OK with anyone who disagree with any of the above being threatened with assault, jail or death? Still not hyperbole, still happening right now.
You are ignorant of the subject, at best. What you're doing is akin to mistaking "white" people for white supremacists. White supremacists will claim that they speak for all "white" people, but they don't. They're also not just living their own lives and not hurting anyone.
Sexism hurts everyone. Authoritarianism hurts everyone.