I know i have to be female to change into miko, but can i do the pre-requisites as a male?
i can’t see the altar on orsha on my char right now… is it because i have a weiner 
?
You can do the pre-quests as a male, the ones to unlock the Miko Master.
To see the altar you need to have the spiritless Gohei (and to get it you need to complete all quests in Manahas).
ohhh, i see, thanks a lot! i just went looking for the altar in orsha and assumed the worst.