Lyric discussion by projectZ 

Cover art for Learning lyrics by Perfume Genius

Pretty much all of his first two albums are very autobiographical and he is possibly the least masculine male on the planet, so it is quite likely that this is all quite literal. These are things he and all LGBT people have heard thousands of times in their lives, and my own personal experience makes this song hit very hard for me. Its very comforting to know I share this kind of experience with someone, though I still cry when I hear it.