"Janet" was born with a penis.

Sex and gender are inseparable.  If you were born with a penis, you are male; if you were born with a vagina, you are female.  Although there are some people that wage war against that truth, it is still the truth.  Sex and gender are the same thing no matter what some human beings think or do.  A person who rejects their own gender is just plain crazy.  And since I'm not a psychiatrist, here's a link to a psychiatrist that supports the truth of my statement. 

Why is the truth that this guy was born male so upsetting to him?  "Janet" refuses to answer the question posed to him at 3:09 because the question asked by Piers Morgan exposes the truth.  I think that I would've passed out laughing if Piers Morgan had said, with his smooth British accent, "Janet... is it true, that you were born with a penis?"  OMG I would've laughed!!

More info here.