The scale of the MC compared to all the girls is very weird & disturbing, even more when the MC look 30 years old... nothing against the shota but it don't fit very good here imo.
Sorry dev, i have nothing against swap gender/transformation but you lost me by forcing it like that, either remove the 3 previous choice buttons letting the player "think he can skip it" (to finaly end with this screen on the 4th) or remove your last forcing button who lead to unavoidable content...