Educated in visual arts this artist is using his own body and that of his associates as source material for his art. He is not in any way in doubt about his gender as a man but he is feeling suppressed as a human being because of what society considers as 'manly'. That's one of the theme's he is expressing in his art.
left 'me', right Emil Alzamora
Left Umberto Mastroianni, right 2 of my associates