She addresses the earlier rumors that she's a man

"When I was in my early 20s there was a rumour that I was a man.

"I went all over the world.

"I traveled for tours and for promoting my records and almost every interview I sat in they said there was this imagery on the internet that had been doctored. "They’d say, ‘There’s rumours that you’re a man. What do you have to say about that?'”

The reason why I didn’t answer the question is because I didn’t feel like a victim with that lie and I thought: What about a kid who is being accused of that who would think that a public figure like me would feel shame?”

"I’ve been in situations where fixing a rumour was not in the best interest of the well being of other people.

"In that case, I tried to be thought provoking and disruptive in another way."

https://www.unilad.com/celebrity/news/lady-gaga-man-gender-rumours-437194-20240919