The idea of it being a pain killer for birth but requiring a vibrator is interesting, because I don’t think any culture developed clitoris stimulation as a child birth helper. If it did help I would expect it to change birth outcomes and thus being a source of positive selection.
The only thing that bothered me is that gender affirming is in fact an amputation, because they gave their clitorises to science. It even took me a while to understand what the term “gender affirming surgery” meant.