I don't have sex with people other than my partner and I prefer women anyway, so "he" won't be giving me any kind of reactions.

My insurance company threw a fit and required that I see a gynecologist to justify why someone my age (36) was menopausal and needed an endocrinologist and HRT. Since I've switched insurance post-transition, they do have me listed as female with no qualifiers. I fully expected to go in and explain my situation, and that my medical records would have included the relevant information that I was 14 months post-op... and instead the gyn bustled in, briskly poked a speculum in and did a quick exam, looked up, and said "No problem, I'll write you a letter." When I SAW the letter, it listed me as having had a hysterectomy and oophorectomy, and certified that there was internal evidence of that surgery! I had to call back and tell the office there'd been some mistake, and the doctor called me back to say she'd rewrite the letter to simply "surgical menopause" but sounded like she thought I was making up the explanation. It was a really weird experience all around.
To be fair, the external scarring is essentially invisible, the internal is apparently located more or less appropriately (?), and the gyn didn't go rummaging about to examine my clit (which would be unprofessional in the context).
My GP who saw everything initially also told me that the only giveaway on an internal exam was some half-healed scar tissue. And I was in the
ER at about 10 months post-op with a nasty GI bug and had 2 nurses and one doctor who'd seen me with my pants off (...nobody wants to know why), and they still also ran a pregnancy test on the urine sample they'd taken to check for UTI. I was too sick to argue at that point
and looked like hell and my voice was awful, too. I have no clue why nobody twigged to anything there.
Aside from my own experiences, I've seen photos of one other friend's results, and at least in 2-D it looked perfectly ordinary.