Janeway always looked a bit like a dude to me. Plus she also sounded like a man as well. So by 2380 or so I would think that reassignment surgery would be much better. Bashir made Quark look like a really convincing Ferengi girl. I'm guessing Janeway went to a hack that advertised during late night Pakled softcore porn.
Not sure this fits the concept of media central. Can you connect this to the show in some way? Did she suffer negative outcomes due to her perceived masculinity? Chop chop Ed, make it relevant!