Ps 139:13-16

13 For you created my inmost being; you knit me together in my mother’s womb.

14 I praise you because I am fearfully and wonderfully made; your works are wonderful,

I know that full well.

15 My frame was not hidden from you when I was made in the secret place. When I was woven together in the depths of the earth,

16 your eyes saw my unformed body. All the days ordained for me were written in your book before one of them came to be.

NIV

This is a very good translation but we need to fill some of the pieces in to get a sense that there is absolutely no question about "are we created this way". You can take my word for it and read no farther. This says exactly what it sounds like. God created you Gender Variant. Or wade through and see the subtleties.

13 For you created my inmost being; you knit me together in my mother’s womb.

The word Create comes to represent the inward part, the mind, the soul, the seat of the desires, affections, and passions. You knit me together in my mother’s womb, meaning that God put our parts together, as one who weaves cloth, or who makes a basket. The original word has, however, also the idea of protecting, as in a booth or hut, woven or knit together, of boughs and branches.

14 I praise you because I am fearfully and wonderfully made; your works are wonderful,

I know that full well,

15 My frame was not hidden from you when I was made in the secret place. When I was woven together in the depths of the earth,

[My frame was not hidden from you] The allusion here is to the bodily frame, (skeleton) that which has strength. Known by God, even in its inception, when most feeble.

[When I was made in secret] In the womb; or, hidden from the eye of man. .

Fashioned in a place as dark, as obscure, and as much beyond the power of human observation as though it had been done far beneath the earth where you can not see.

16 your eyes saw my unformed body. All the days ordained for me were written in your book before one of them came to be.

[your eyes saw my unformed body] The "idea" in this expression clearly is, "Before I had shape or form you did see what I was to be." The single word in the original translated "un formed," is golem. It occurs only in this place, though the verb-gaalam-is found in 2 Kings 2:8, where it is used in reference to the mantle of Elijah: And Elijah took his mantle, and "wrapped it together, or he folded it. The noun, is applicable to anything folded up or undeveloped; and would very aptly refer to the fetus, where all the members of the body are as yet folded up, Before the embryo had any distinct form, it was known by God.

[All the days ordained for me were written in your book before one of them came to be] .

The Hebrew is, "all of them." This to me says it all, he knew what and who you would be before you were conceived!

Rom 9:20-21

20 But who are you, O man, to talk back to God? "Shall what is formed say to him who formed it, 'Why did you make me like this?'" 21 Does not the potter have the right to make out of the same lump of clay some pottery for noble purposes and some for common use?

Rom 9:19-24

O man, on the contrary, who are you who answers back to God in this way? A real knowledge of the true God makes such an objection preposterous. Paul turns to an illustration. What is molded will not say to the molder, why have you made me in this fashion, will it? Or, the potter has the right over the clay, doesn't he, to make from the same lump one vessel for noble purposes and another for common usage? This illustration of the potter had been used very effectively by Jeremiah centuries before (Jer 18:4-6). Paul stresses the complete control of the potter over the clay in terms of that for which the vessel is to be used. The same material is used for both. But they are to be made for different functions, and so the potter gives each one a shape that accords with its intended function.

For so many years I felt that what I am, transgendered, was wrong, a sin. I prayed way too many times, "God I would rather be nothing rather than this". It was only five and a half years ago that I finally figured out the reason that God did not "cure me" was that he does not have a problem with it. It is our society/culture that has the problem with it. Once I dropped the guilt and shame he put me to work. It was however a couple of years later that I finally figured out that being T* can be a gift. I can do things as Sandra that I can not in male mode.