That's the thing, the whole idea is a denial of trans existence, because trans women dont exist, its just cis men pretending so they can invade women's spaces. Because its so much easier to go through therapy, and doctors visits, learn how to dress an present as a woman, endure the stigma, run the much higher risk of assault, possibly be ostracized by society, lose one's livelihood, and run a much higher risk of suicide than to just follow a woman into the bathroom with intent to harm her.