Mudoko dako among the Lango
The Lango people in northern Uganda had the concept of mudoko dako which can better be understood as womanized men. They were considered a category of possessing alternative gender identity even though some of them were able to marry men without sanctions, prior to British colonialism.
The British anthropologist, Jack Driberg, recorded that he even saw some mudoko dako simulating menstruation. It was thought among the Lango that those who were mudoko dako were men who were not capable of fulfilling traditional masculine expectations. So we do have an idea that their anatomy was not important to how they were treated and what roles they assumed in society.