In my opinion, at least gay men are. The big age gap is even more. This is a kind of manipulation in the sense of personality.
The country(state) should establish and improve laws on transgender people, encourage such people to receive psychotherapy voluntarily, and even provide them with free gender transformation services.
Rather than say whether homosexuality is sick or not, it is better to discuss the limits of secular tolerance of homosexual relationships. Women are more likely to be accepted by the world than men.
And gay men have hemorrhoids, have sex, the probability of being infected with AIDS, is it much more than those without hemorrhoids? On the contrary, women are less likely to have this problem.