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It's never explicitly spelled out, due to in part being a game intended for an audience that is already familiar with these sorts of things, but most importantly one that thinks it's funny to use exposition as a tool to confuse the reader even more (which it is). Missing things on a first read is completely understandable, even for a native speaker.
There are direct references to hormone therapy, deadnames, and other aspects of transitioning.
Spoilering just in case anyone wants to discover the details in-game for themselves:
Pluto and Luna-Terra are trans women. Mercury is a trans man.
Even Saturn's relationship to gender - despite her being ostensibly cisgender - stands out, in that she's the one most invested in transhumanism; in becoming something other than human, something truly alien.
Aevee Bee - the writer - is a trans woman herself.