I do not believe a wide spectrum of gender identities exist. I believe there are three variables: biological sex (male, female), sexual expression (masculine, feminine), and sexual attraction (straight, gay). Gay effeminate males have a hard time in life because very few people find them attractive: women and gay men are not attracted due to the femininity, and men and gay women are not attracted due to the male sex. As a result, men in this position often go through a sex change in the hopes that by being a woman, straight men will begin to find them attractive. This rarely occurs, and the suicide rate for them is unfortunately high.
These are very serious social issues. As I mentioned, suicide can result if we don't handle them well. I believe a major driving force behind modern gender ideology is to try to get people to focus their attraction on the other person's sexual expression (masculine, feminine) and to ignore what actual sex they are. And I think this is a deeply flawed solution to the problem I brought up, not for the least part because human reproduction is severely impacted, but also because it simply cannot be done. Men cannot make themselves attracted to people who were born male and changed their sex. We have a very deep repulsion towards sex with other males that cannot be turned off no matter how much we respect other people nor how much we want them to be happy.