With high heels, you stole your mom's birth control pills
You on some new stuff, I heard about that sex change
You got a vagina, your grandmother think it's strange

from Kool Keith – Keep it Real... Represent Lyrics on Rap Genius

Meaning

if a male takes enough birth control pills it is essentially chemical castration, they will also start developing breasts, just like what happens when guys juice up too much and get Gynecomastia from all the estrogen fighting the juice…

anyways hes implying you’re wanna-be transgender or are already… which to say the least implies you ain’t a “real man”

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