Since I don't recall him ever insisting on being referred to as a woman (not counting his okama name), I would say he just cross-dresses. He reminds me a bit of Ritsu from Fruits Basket, just with an opposite personality.
He seems more like wanting to be seen as Ranka more as an overall identity rather than a gender-based identity and this could j...... reply
If you're about 23 and up, I pretty much guarantee Solanin will make you cry. It hits home for a lot of folks but is also kinda uplifting in it's own way. Definitely recommend. If into BL, I'd say maybe Lonely to Organdy. reply