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People with Klinefelter Syndrome don't necessarily want a gender change, but they enjoy what other women like to do. Testosterone injections make them get "hyped" (as the cool kids call it) and feel like a "man" for a few days then they go back. People with this disorder sometimes feel insecure. You can get married but, since you are infertile, you can't have kids the "normal" way.

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Treatment that you can get is hormone replacement. If you want to have children you still can with Assisted Reproduction Technology.

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You have to go to the doctor to get tested for Klinefelter Syndrome. They will test you Klinefelter Syndrome by taking your blood and urine to see if the hormone levels are okay. If they are not they have to do another test called Chromosome Analysis where check the shape and number of chromosomes in your blood. This can be diagnosed before birth but not a lot of people do get diagnosed before birth. If that happens they do that by examining the fetal cells in the amniotic fluid.

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This disorder isn't passed down from your parents, the only thing is that you get another X Chromosome from a parent. If someone in your family has it, it is unlikely you will.

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If your mother has you after the age of 35, you are more likely to get it

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There are less than 200,000 cases in the US every year. 1 in 500 boys get it. It is a rare disorder.

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https://www.theguardian.com/lifeandstyle/2011/oct/14/i-am-a-man-and-a-woman-experience
Mayo Clinic
https://medlineplus.gov/ency/article/000382.htm

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Smaller testicles

Little to no testosterone production

Reduced muscle mass

Reduced body hair

Enlarged breast tissue

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This is a diagram of a normal male compared to a male with Klinefelter Syndrome.

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Klinefelter Syndrome is a chromosomal mutation in which a male or twin gets an extra X or Y chromosome.