Generally, even under the so-called "patriarchy" there were a wide variety of "gender expressions" among men and women. Only within the last decade or so have TRAs made this an issue when no issue existed at all. https://twitter.com/GCStrudels/status/1348254152690905088
2/There's always been a number of non-comformists, normally eccentrics, who defined themselves and went about their lives not caring what the rest of society of them, and they've always been more or less tolerated although recognized as being strange.
3/The difference between age-old eccentrics and TRAs is the TRAs are demanding that the rest of society accept them as "normal" when in fact they are not normal, either statistically or functioning wise.