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I just answered why it's necessary. What 'may' happen isn't exactly relevant to the discussion. Lots of things 'may' happen.
Look at it this way, is it really such a big deal to check the right gender box for your baby? If not checking the box results in some future medical mistake, or other problem, like not being able to get a scholarship to play women's sports, then you'll feel like a fool for making such a fuss over checking a box.
Except for medical reasons, I see no reason why it 'needs' to be included.
You still claim societal reasons...so please justify them.
and if it has the potential to cause harm later...why enter it on the bc?