If you are looking for manga that fits this description, you will often find them in digital storefronts or indie circles (like Doujinshi ). Because the term is colloquial and sometimes controversial, official English localizations may use more clinical or sensitive language, such as "trans-masculine" or "intersex."

As digital publishing grows, independent creators are reaching the "top" of the charts through fan-supported platforms. Pixiv Fanbox Creators:

A parody of dating sim logic. The protagonist chooses the "Cuntboy" route accidentally and discovers it is the most emotionally fulfilling path. This title tops the charts for humor and character design, often ranked highly on DLsite's "Crossover" charts .

The term is highly debated; some view it as transphobic and fetishistic, while others in LGBTQ+ and intersex communities use it for self-identification or body-positive reclamation. Content Ratings and Demographics Manga containing these themes is strictly for adults.