Hazumu is very gender dysphoric at the beginning of the show. He isn't what one would consider a very masculine male, nor does his behaviour support his physical sex. Other than his attraction to Yasuna, we're not given any indication that he considers himself a boy.
Actually, based on his behavior and his wishes when the aliens crash into him, I feel that he doubted his gender prior to his change. His wish to become more manly sounds, to me, like a plea to "the heavens" for help in realizing his gender identity.
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