I'm skimming through some of the older episodes and clips and it never ceases to both amaze and frighten me how woefully ignorant Jazz is about female anatomy, even for a teenage boy. During his brief stint in actual high school or even just junior high, was he ever taught sex education?
When I was a freshman in high school (I was 14, same age as Jazz was when this trainwreck of a reality show started), health/sex ed was a required course as I'm sure it is in most schools. When we were discussing the structure and functions of the female reproductive system, it was explained that unlike men, a woman's vagina and urethra are two separate parts with separate functions. I remember myself and nearly every other guy in the classroom exchanging slight glances of mild amazement at one another. At 14 or 15, none of us ever considered that women didn't piss through their vaginas the same way we did with our cocks! Our young female teacher who was only in her early twenties saw this and chuckled something like "That's right, guys. Women have separate parts for those things." and the whole class had a little laugh. From then on, I never forgot that a vagina and female urethra were not one and the same, and I'm sure most of the other guys didn't either.
Could part of Jazz's depression after freshman year (it was freshman year, wasn't it?) be because for the first time in his life, he got exposed to REAL sexual and reproductive education instead of the vagina fairy shit Jeannette always sold him? That may have been the first time he realized that actual vaginas are complex parts with very specific biological functions and that "bottom surgery" would not make him into a real woman.
I also wonder if that's what prompted Jeannette to pull him out of school and do online courses. It's classic grooming behavior to purposefully isolate a child from their peers and other "outside" influences. This way they never look around or talk to their classmates and learn once and for all that no, other teens don't discuss their genitalia at the dinner table with their parents (or anywhere else if they can possibly help it) and that this is in fact a form of sexual abuse. Jeannette needed to keep Jazz as close to her as possible in order to teach him how to be a real "woman". Hell, Jazz didn't even know that women have pubic hair too! Remember that episode where he freaked out over a pube because he thought he was turning back into a boy again?
I think purposely keeping your child that ignorant about sex when they hit puberty is a form of serious neglect, trans or not.