I suspect his own family may not even know he "identifies as female." Everything we've ever heard or seen of his offline life indicates that he's sticking with the name Lou Gagliardi and has no intention of ever changing it, just as he has no intention of ever presenting as anything other than an unkempt male with a shitty beard. You know, it's not exactly uncommon for people to construct elaborate online personas for themselves that differ wildly from their offline lives, including presenting as the opposite sex. Some go for years before being found out. I'm sure some are never found out. On the Internet no one knows you're a dog, and all that. Problem is, Lou apparently can't be fucked to hide the details of his offline life (or, more likely, hiding his real identity would get in the way of waving his PayPal in everyone's face all the time), so he pretends to be trans instead, which has the added benefit of providing an excuse for his chronic unemployment (TrAnSpHoBiA) as well as giving him vital begging points with the troons in the furry community.
I'm almost certain he doesn't really consider himself to be a woman. It's just a thing he likes to pretend to be, just as he likes to pretend he's a cougar/tiger/whatever the latest one is, I haven't checked Twitter yet this morning.
