In Russian, gender confusion is mostly about professions (the rest of the gender system makes no sense, like a car is "she" but the plane is "he" -- so no one bothers with it).
For example, the word for "doctor" is, well, "doktor". But the word is masculine. There's a feminine derivation, "doctorsha" - "female doctor" -- but it sounds somewhat condenscending to me, like you doubt her competence. "Oh this doktorsha prescribed me wrong pills again".
So the neutral, respectful way to refer to a female doctor is to refer to her using the "neutral" masculine form "doktor". And it doesn't sound odd to me at all. But here's where the fun starts: adjectives need to agree in gender with their noun. And the correct grammar is "good (masc.) doctor (masc)". However, there's a recent trend to have it like "good (fem.) doctor (masc)". I.e. the grammar is completely bonkers but somehow it sounds acceptable to my ear.
For example, the word for "doctor" is, well, "doktor". But the word is masculine. There's a feminine derivation, "doctorsha" - "female doctor" -- but it sounds somewhat condenscending to me, like you doubt her competence. "Oh this doktorsha prescribed me wrong pills again".
So the neutral, respectful way to refer to a female doctor is to refer to her using the "neutral" masculine form "doktor". And it doesn't sound odd to me at all. But here's where the fun starts: adjectives need to agree in gender with their noun. And the correct grammar is "good (masc.) doctor (masc)". However, there's a recent trend to have it like "good (fem.) doctor (masc)". I.e. the grammar is completely bonkers but somehow it sounds acceptable to my ear.