Lyric discussion by anodognosic 

The speaker is a transvestite or transgender. "Photo Jenny" is his female alter ego. I suspect the "drugs" are female hormones that could make him appear more female. Other lyrics refer to genderbending or queer sexuality, including the reference to "Man About the House", which is a sitcom in which a man pretends to be gay while living with two young women. The final verse cinches it, though. The boy/girl is a transvestite, transgendered person, or otherwise genderbending person, who inspires the speaker to think about his own female alter ego.

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