It’s a joke...

I agree with you, but I am interested to know how you would have phrased it.

I had the same birth defect, albeit as a woman. This is the first time outside of medical circles I’ve ever heard of someone having this issue, so I’m actually a little excited.

Although...poor dude. I went through so much with this defect as a woman; I can’t even imagine the difficulties men face, especially ones his…

Much like Limbaugh himself.