Which statements best describe the relationships between biological sex, gender identity, and gender expression? check all that apply. biological sex, gender identity, and gender expression are always in alignment. a person can be biologically a male and have a female gender identity. it is not uncommon for someone with a male gender identity to have a male gender expression. biological sex and gender identity do not always align. biological sex is not related to culture, but gender identity and gender expression are. if a person has a female gender identity, she will be biologically female.