Merge pull request #19 from timawesomeness/contributions-1

More cleanup, more non-binary inclusion
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Jocelyn Badgley 2020-09-21 10:38:41 -07:00 committed by GitHub
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# Biochemical Dysphoria # Biochemical Dysphoria
The primary sexual features of the body begin development during the 8th week of human gestation. Typically by week 11 it is possible to determine the genitals of a fetus via ultrasound. The brain, however, forms itself in [between weeks 14 and 24](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989000/#Sec5title). Current prevailing understanding of neurological development suggests that it is during these 10 weeks when the brain will either masculinize or feminize based upon the presence of testosterone in the infant's bloodstream (initiated by the SRY gene on the Y chromosome, or introduced from other sources). This process locks the brain into a pattern of either desiring estrogens or androgens. The primary sexual features of the body begin development during the 8th week of human gestation. Typically by week 11 it is possible to determine the genitals of a fetus via ultrasound. The brain, however, forms [between weeks 14 and 24](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989000/#Sec5title). Current prevailing understanding of neurological development suggests that it is during these 10 weeks when the brain will either masculinize or feminize based upon the presence of testosterone in the infant's bloodstream (initiated by the SRY gene on the Y chromosome, or introduced from other sources). This process locks the brain into a pattern of either desiring estrogens or androgens.
If your brain is wired for one gonadal hormones (such as testosterone) and your body produces the other hormone (such as estradiol), this can result in a biochemical malfunction within your brain chemistry. This produces a sort of brain fog, a reduction in mental capacity, and a general state of anxiety and unease. This is the source of the first two symptoms that often alleviate with medical hormonal therapy, Depersonalization and Derealization (DPDR). If your brain is wired for one gonadal hormones (such as testosterone) and your body produces the other hormone (such as estradiol), this can result in a biochemical malfunction within your brain chemistry. This produces a sort of brain fog, a reduction in mental capacity, and a general state of anxiety and unease. This is the source of the first two symptoms that often alleviate with medical hormonal therapy, Depersonalization and Derealization (DPDR).
@ -101,17 +101,17 @@ If you found yourself strongly relating to The Matrix or The Truman Show, you mi
DPDR sometimes comes with an emotional stunting. You are able to laugh and find humor, but rarely ever genuine joy. Moments of sadness or grief cause you to just go numb, dissociated by the event that caused it. This can also go in the opposite direction, where the person is under so much anxiety that their emotional response is extremely disproportionate to the catalyst, resulting in severe crying or violent outbursts from seemingly small events. DPDR sometimes comes with an emotional stunting. You are able to laugh and find humor, but rarely ever genuine joy. Moments of sadness or grief cause you to just go numb, dissociated by the event that caused it. This can also go in the opposite direction, where the person is under so much anxiety that their emotional response is extremely disproportionate to the catalyst, resulting in severe crying or violent outbursts from seemingly small events.
It's important to note that DPDR is not exclusive to Gender Dysphoria. This condition is co-morbid with several other mental health issues, including chronic depression, obsessive compulsive disorder and borderline personality disorder. DPDR should not be taken as a sign of Gender Dysphoria purely on its own, it's just a big alarm signal that something is very wrong. It's also usually pretty easy to spot externally, once you know how to watch for it. People with DPDR tend to have a mile long stare as they move about in the world; eyes so gloomy and dead that they look like a shell. One of the most common comments on transition timelines is how the eyes gain so much spark. It's important to note that DPDR is not exclusive to Gender Dysphoria. This condition is co-morbid with several other mental health issues, including chronic depression, obsessive compulsive disorder, and borderline personality disorder. DPDR should not be taken as a sign of Gender Dysphoria purely on its own, it's just a big alarm signal that something is very wrong. It's also usually pretty easy to spot externally, once you know how to watch for it. People with DPDR tend to have a mile long stare as they move about in the world; eyes so gloomy and dead that they look like a shell. One of the most common comments on transition timelines is how the eyes gain so much spark.
### The Ebb and Flow ### The Ebb and Flow
The intensity of physical and biochemical dysphoria is highly influenced by other factors in the body. Because it is a function of endocrine balance, it is also manipulated by those balances. This means that it can rise and fall from day to day. For example: The intensity of physical and biochemical dysphoria is highly influenced by other factors in the body. Because it is a function of endocrine balance, it is also manipulated by those balances. This means that it can rise and fall from day to day. For example:
- If your blood sugar is out of whack, or you have a thyroid condition, it could cause your dysphoria to spike. - If your blood sugar is out of whack, or you have a thyroid condition, it could cause your dysphoria to spike.
- If you are having dopamine withdrawl because of ceasing stimulants, that can make it worse. - If you are having dopamine withdrawal because of ceasing stimulants, that can make it worse.
- If you start on an SSRI Antidepressant and start running with more serotonin, that can make it less intense. - If you start on an SSRI Antidepressant and start running with more serotonin, that can make it less intense.
- Transfeminine AMABs (people assigned male at birth) with testicles experience surges in testosterone in relation to attraction and desire, which can make them more dysphoric. - Transfeminine AMABs (people assigned male at birth) with testicles experience surges in testosterone in relation to attraction and desire, which can make them more dysphoric.
- Transmasculine AFABs (people assigned female at birth) with unsuppressed ovaries experience rises and falls in estrogen and progesterone over the course of their menstrual cycle, making their dysphoria worsen and lessen based on what day of the cycle they are on. - Transmasculine AFABs (people assigned female at birth) with unsuppressed ovaries experience rises and falls in estrogen and progesterone over the course of their menstrual cycle, making their dysphoria intensify and lessen based on what day of the cycle they are on.
There are dozens of systems in the body that all work in tandem, and they all fluctuate from day to day, manipulating general mental state. This general dysphoria can amplify the affect of all other dysphoria. One day you can shrug off misgendering like it's nothing, and then the next it hurts like a stab in the heart every time. One day you see yourself in the mirror, the next you're staring at the old you. There are dozens of systems in the body that all work in tandem, and they all fluctuate from day to day, manipulating general mental state. This general dysphoria can amplify the affect of all other dysphoria. One day you can shrug off misgendering like it's nothing, and then the next it hurts like a stab in the heart every time. One day you see yourself in the mirror, the next you're staring at the old you.

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# What is the Cause of Gender Incongruence? # What is the Cause of Gender Incongruence?
Here is what we know today. If youve seen Jurassic Park then you may remember this scene: Here is what we know today. If you've seen Jurassic Park then you may remember this scene:
{!{ {{import '~/img' images.jurassicpark className="card borderless center span34" alt="All vertebrate embryos are inherently female anyway. They just require an extra hormone given at the right developmental stage to make them male."}} }!} {!{ {{import '~/img' images.jurassicpark className="card borderless center span34" alt="All vertebrate embryos are inherently female anyway. They just require an extra hormone given at the right developmental stage to make them male."}} }!}
This isn't science fiction, though it is very dumbed down. In human fetuses the gonads initially develop in a bi-potential state, meaning they can become either ovaries or testes. The SRY gene on the Y chromosome releases a protein called [Testis Determining Factor](https://en.wikipedia.org/wiki/Testis-determining_factor) (TDF). This protein then starts a chain reaction with SOX9 production (another protein), which causes the gonadal cells to form into the Sertoli and Leydig cells that make up the testes. If TDF is never produced or is interfered with then the gonad cells form into the Theca cells and follicles which comprise the ovaries. This isn't science fiction, though it is very dumbed down. In human fetuses, the gonads initially develop in a bi-potential state, meaning they can become either ovaries or testes. The SRY gene on the Y chromosome releases a protein called [Testis Determining Factor](https://en.wikipedia.org/wiki/Testis-determining_factor) (TDF). This protein then starts a chain reaction with SOX9 production (another protein), which causes the gonadal cells to form into the Sertoli and Leydig cells that make up the testes. If TDF is never produced or is interfered with then the gonad cells form into the Theca cells and follicles which comprise the ovaries.
{!{ <div class="gutter flex" style="justify-content: center"> {{import '~/img' images.fetalgenitals className="card" caption="<a href=\"https://schoolbag.info/biology/concepts/188.html\">Source</a>" alt="Fetal development of internal sexual anatomy"}}</div> }!} {!{ <div class="gutter flex" style="justify-content: center"> {{import '~/img' images.fetalgenitals className="card" caption="<a href=\"https://schoolbag.info/biology/concepts/188.html\">Source</a>" alt="Fetal development of internal sexual anatomy"}}</div> }!}
@ -51,22 +51,22 @@ The fact is, the vast majority of the population has never been tested for genet
#### Brain Split #### Brain Split
The prenatal brain doesnt really start to develop until between week 12 and 24. The cerebral cortex, the thin outer layer of the brain that contains most of what we think of as consciousness, grows substantially during those periods of time. Prior to that, the structure present is more like a scaffolding, the basic parts of the nervous system necessary for bodily function. The primary sulci (the wrinkles in the cerebral cortex that allow for more surface area) [start to form at week 14](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989000/#Sec5title), well after the genitals have developed. The prenatal brain doesn't really start to develop until between week 12 and 24. The cerebral cortex, the thin outer layer of the brain that contains most of what we think of as consciousness, grows substantially during those periods of time. Prior to that, the structure present is more like a scaffolding, the basic parts of the nervous system necessary for bodily function. The primary sulci (the wrinkles in the cerebral cortex that allow for more surface area) [start to form at week 14](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989000/#Sec5title), well after the genitals have developed.
It [has been confirmed multiple times](https://www.the-scientist.com/features/are-the-brains-of-transgender-people-different-from-those-of-cisgender-people-30027) via MRI studies that there are small but significant differences between cis male and cis female brains, differences which align with the gender identities of trans people in the study. Note, **this does not mean that anyone with those differences will have that gender**, because gender identity isnt that simple, but it provides evidence that there is a clear difference in masculine and feminine brains. It [has been confirmed multiple times](https://www.the-scientist.com/features/are-the-brains-of-transgender-people-different-from-those-of-cisgender-people-30027) via MRI studies that there are small but significant differences between cis male and cis female brains, differences which align with the gender identities of trans people in the study. Note, **this does not mean that anyone with those differences will have that gender**, because gender identity isn't that simple, but it provides evidence that there is a clear difference in masculine and feminine brains. [There is also evidence](https://www.pnas.org/content/112/50/15468) that brains can have mosaic combinations of these differences, which may be the case in non-binary people.
A change in the testosterone levels in the fetus after the 11th week can directly impact the masculinization of the cerebral cortex, as well as changes in other parts of the brain structure. This has been examined [over and over again](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4350266/) in studies of female assigned children with CAH (congenital adrenal hyperplasia) and CAIS (complete androgen insensitivity syndrome). A change in the testosterone levels in the fetus after the 11th week can directly impact the masculinization of the cerebral cortex, as well as changes in other parts of the brain structure. This has been examined [over and over again](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4350266/) in studies of female assigned children with CAH (congenital adrenal hyperplasia) and CAIS (complete androgen insensitivity syndrome).
<blockquote class="cite"><p>We found a significant relationship between fetal testosterone and sexually differentiated play behavior in both girls and boys.</p>&mdash; <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2778233/">Fetal Testosterone Predicts Sexually Differentiated Childhood Behavior in Girls and in Boys</a></blockquote> <blockquote class="cite"><p>We found a significant relationship between fetal testosterone and sexually differentiated play behavior in both girls and boys.</p>&mdash; <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2778233/">Fetal Testosterone Predicts Sexually Differentiated Childhood Behavior in Girls and in Boys</a></blockquote>
An excess of testosterone in the mothers body during the second trimester can (and does) cause masculinization of the brain in an externally female fetus, and an interference in testosterone production or uptake can (and does) cause feminisation of an externally male fetus. This interference does not have to be external in origin, either. Any number of genetic traits can cause the brain to respond differently to testosterone. An excess of testosterone in the mothers body during the second trimester can (and does) cause masculinization of the brain in an externally female fetus, and an interference in testosterone production or uptake can (and does) cause feminization of the brain in an externally male fetus. This interference does not have to be external in origin, either. Any number of genetic traits can cause the brain to respond differently to testosterone.
A fairly large study of transgender individuals released in 2018 [found several key genes](https://academic.oup.com/jcem/article/104/2/390/5104458) which were statistically more likely to be longer among trans women (longer, as in having more repeated fragments). Individually these genes may not have an impact strong enough to cause a malfunction of masculinization, but collectively they absolutely could reduce the ability for the fetal brain to masculinize. These genes are all passed from parent to child, giving credence to a tendency for trans parents to have trans children. A fairly large study of transgender individuals released in 2018 [found several key genes](https://academic.oup.com/jcem/article/104/2/390/5104458) which were statistically more likely to be longer among trans women (longer, as in having more repeated fragments). Individually these genes may not have an impact strong enough to cause a malfunction of masculinization, but collectively they absolutely could reduce the ability for the fetal brain to masculinize. These genes are all passed from parent to child, giving credence to a tendency for trans parents to have trans children.
#### Gender is Biological #### Gender is Biological
Sadly, western society has actively prevented a deeper understanding of gender. Ancient civilizations understood it well, but colonialism wiped them off the map. 100 years ago, [scientists in Germany were actively studying](https://en.wikipedia.org/wiki/Institut_f%C3%BCr_Sexualwissenschaft) transgender medicine and made extraordinary advancements, until the nazis burned it all in 1933. Conservative and fascist pressures in the modern day have hindered advancements in transgender healthcare whenever possible. Sadly, western society has actively prevented a deeper understanding of gender. Ancient civilizations understood it well, but colonialism wiped them off the map. 100 years ago, [scientists in Germany were actively studying](https://en.wikipedia.org/wiki/Institut_f%C3%BCr_Sexualwissenschaft) transgender medicine and made extraordinary advancements, until the Nazis burned it all in 1933. Conservative and fascist pressures in the modern day have hindered advancements in transgender healthcare whenever possible.
Yet, progress continues, and every few years we learn a little bit more. Yet, progress continues, and every few years we learn a little bit more.
What we know for certain is that it is not a psychological condition, it is not something caused by trauma or by any external influence, nothing can make a person transgender. It happens in the womb, and is not something that a person can choose to be, any more than they could choose their race or their eye color. It has nothing to do with sexual orientation, it has nothing to do with kinks or fetishes, it has nothing to do with social influences from their parents or from their peers. [Transgender children are as firm in their identities as cisgender children are.](https://www.forbes.com/sites/dawnstaceyennis/2020/12/29/study-transgender-children-recognize-their-authentic-gender-at-early-age-just-like-other-kids/#20bbb14526bf). What we know for certain is that it is not a psychological condition, it is not something caused by trauma or by any external influence, nothing can make a person transgender. It happens in the womb, and is not something that a person can choose to be, any more than they could choose their race or their eye color. It has nothing to do with sexual orientation, it has nothing to do with kinks or fetishes, and it has nothing to do with social influences from their parents or from their peers. [Transgender children are as firm in their identities as cisgender children are](https://www.forbes.com/sites/dawnstaceyennis/2020/12/29/study-transgender-children-recognize-their-authentic-gender-at-early-age-just-like-other-kids/#20bbb14526bf).

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@ -88,6 +88,6 @@ There are dozens of ways that chromosomes can be much more complex than XX and X
- [Aromatase Deficiency](https://en.wikipedia.org/wiki/Aromatase_deficiency) causes masculinization of an otherwise female child due to excess levels of testosterone (and can bleed-over into the mother during gestation). - [Aromatase Deficiency](https://en.wikipedia.org/wiki/Aromatase_deficiency) causes masculinization of an otherwise female child due to excess levels of testosterone (and can bleed-over into the mother during gestation).
- [Aromatase Excess](https://en.wikipedia.org/wiki/Aromatase_excess_syndrome) causes feminisation in an otherwise male child, as all testosterone is converted into estrogen. - [Aromatase Excess](https://en.wikipedia.org/wiki/Aromatase_excess_syndrome) causes feminization in an otherwise male child, as all testosterone is converted into estrogen.
{!{ {{import '~/img' images.barbosa className="card borderless center" alt="The code is more what you'd call guidelines, than actual rules."}} }!} {!{ {{import '~/img' images.barbosa className="card borderless center" alt="The code is more what you'd call guidelines, than actual rules."}} }!}

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@ -22,7 +22,7 @@ Or to put it bluntly, WPATH says that if you think you're trans, you're trans. T
{!{ <div class="gutter d-md-block d-sm-none"><div class="card"><div class="card-body"><h4 class="card-title">For Your Information</h4> }!} {!{ <div class="gutter d-md-block d-sm-none"><div class="card"><div class="card-body"><h4 class="card-title">For Your Information</h4> }!}
Diagnoses of Gender Dysphoria in pre-pubescent children requires the child must have a documented six month history of meeting 6 of these criteria, as well as demonstrated distress or impairment in function. Diagnosis of Gender Dysphoria in prepubescent children requires the child must have a documented six month history of meeting six of these criteria, as well as demonstrated distress or impairment in function.
1. A strong desire to be of the other gender or an insistence that one is the other gender 1. A strong desire to be of the other gender or an insistence that one is the other gender
2. A strong preference for wearing clothes typical of the opposite gender 2. A strong preference for wearing clothes typical of the opposite gender
@ -35,18 +35,18 @@ Diagnoses of Gender Dysphoria in pre-pubescent children requires the child must
{!{ </div></div></div> }!} {!{ </div></div></div> }!}
**Note** These are the criteria for adolescents and adults. Children have a different set of criteria, which [you can find here](https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria). I have also changed the wording slightly, here, as the official criteria are binary centric. **Note** These are the criteria for adolescents and adults. Children have a different set of criteria, which [you can find here](https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria). I have also changed the wording slightly, here, as the official criteria are binary-centric.
For an adult to be diagnosed with Gender Dysphoria by a licensed mental health professional they must meet two of these six criteria, and have experienced those criteria for longer than six months. For an adult to be diagnosed with Gender Dysphoria by a licensed mental health professional they must meet two of these six criteria, and have experienced those criteria for longer than six months.
- **A marked incongruence between ones experienced/expressed gender and primary and/or secondary sex characteristics** - **A marked incongruence between ones experienced/expressed gender and primary and/or secondary sex characteristics**
The way the person sees the world and interacts with the world does not align with the way it is typically expected for someone of the gender they were assigned at birth. There are a very broad number of traits which fit into this description. It can be in the way they interact with others, how they talk, what hobbies they prefer, how they dress, their body language and mannerisms, what genders they relate to more. The way the person sees the world and interacts with the world does not align with the way it is typically expected for someone of the gender they were assigned at birth. There are a very broad number of traits which fit into this description. It can be in the way they interact with others, how they talk, what hobbies they prefer, how they dress, their body language and mannerisms, what gender(s) they relate to more.
- **A strong desire to be rid of ones primary and/or secondary sex characteristics** - **A strong desire to be rid of ones primary and/or secondary sex characteristics**
- **A strong desire for the primary and/or secondary sex characteristics of another gender** - **A strong desire for the primary and/or secondary sex characteristics of another gender**
These two are pretty well paired, this is physical dysphoria as I defined it above. The person finds discomfort with aspects of their body which are a result of their sex at birth, or may even be their sex at birth. These two are pretty well paired. This is physical dysphoria as previously defined. The person finds discomfort with aspects of their body which are a result of their sex at birth.
- **A strong desire to be of another gender** - **A strong desire to be of another gender**
- **A strong desire to be treated as another gender** - **A strong desire to be treated as another gender**
@ -57,10 +57,10 @@ For an adult to be diagnosed with Gender Dysphoria by a licensed mental health p
This is pretty self explanatory. This is pretty self explanatory.
As I said, only two of these conditions need be met for a formal diagnoses. You may notice that only two of these comprise the physical body. It is perfectly valid for a trans person to be experiencing Gender Dysphoria without actually hating any part of their body, or wanting to change any part of their body. Physical Dysphoria is only one fraction of the many ways that lead to being trans. As I said, only two of these conditions need be met for a formal diagnosis. You may notice that only two of these comprise the physical body. It is perfectly valid for a trans person to be experiencing Gender Dysphoria without actually hating any part of their body, or wanting to change any part of their body. Physical Dysphoria is only one fraction of the many ways that lead to being trans.
Now, here is the kicker. If you identify as transgender, meaning that your gender does not align with the binary sex you were assigned at birth, you already meet two of these criteria! You have a strong enough desire to be of another gender that you are identifying that you *are* another gender, and you have a strong conviction of what your gender feels like, and it isn't what you were given at birth. Now, here is the kicker. If you identify as transgender, meaning that your gender does not align with the binary sex you were assigned at birth, you already meet two of these criteria! You have a strong enough desire to be of another gender that you are identifying that you *are* another gender, and you have a strong conviction of what your gender feels like, and it isn't what you were given at birth.
So, it is literally impossible for a person to identify as trans and not experience gender dysphoria. By the WPATH requirements anyone can identify as trans. Ergo, the statement "you do not have to have dysphoria to be transgender" is a logical paradox. So, it is literally impossible for a person to identify as trans and not experience gender dysphoria. By the WPATH requirements anyone can identify as trans. Ergo, the statement "you do not have to have dysphoria to be transgender" is a logical paradox.
Then why do we still say it? Because most people don't know what gender dysphoria actually is, and it is easier to repeat the mantra, than to explain the nuances and subtleties of how Gender Dysphoria manifests. But hey, look, now you've got a nice article to link to that can help people understand that. Then why do we still say it? Because most people don't know what gender dysphoria actually is, and it is easier to repeat the mantra than to explain the nuances and subtleties of how Gender Dysphoria manifests. But hey, look, now you've got a nice article to link to that can help people understand that.

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Before I can talk about discomfort, I have to talk about relief. Gender Euphoria is itself a sign of Gender Dysphoria. You might be asking yourself, "how can happiness be sadness?" The answer to that is simple. Before I can talk about discomfort, I have to talk about relief. Gender Euphoria is itself a sign of Gender Dysphoria. You might be asking yourself, "how can happiness be sadness?" The answer to that is simple.
Imagine a person who was born in a cave, who spent their entire life living underground, their only source of illumination being candles and oil lamps. Imagine they've never been above ground, they don't even know the surface exists. Then one day a cavein happens in a side tunnel, and reveals an opening to the surface. Sunlight pours into the opening, and at first it is blinding and the person runs away in fear. Later they return to the opening, and as the person's eyes adjust they look out through the hole and see a bright and brilliant world full of colors they didn't even know existed. Imagine a person who was born in a cave, who spent their entire life living underground, their only source of illumination being candles and oil lamps. Imagine they've never been above ground, they don't even know the surface exists. Then one day a cave-in happens in a side tunnel, and reveals an opening to the surface. Sunlight pours into the opening, and at first it is blinding and the person runs away in fear. Later they return to the opening, and as the person's eyes adjust they look out through the hole and see a bright and brilliant world full of colors they didn't even know existed.
That world is scary, it's huge and full of unknowns, so they crawl back into the cave for safety, but that hole is still there, and they see the light every time they pass it. Gradually they peek out more and more frequently, and further and further from the opening. They start to want that light, they find reasons to visit it more often. That world is scary, it's huge and full of unknowns, so they crawl back into the cave for safety, but that hole is still there, and they see the light every time they pass it. Gradually they peek out more and more frequently, and further and further from the opening. They start to want that light, they find reasons to visit it more often.
@ -64,7 +64,7 @@ Examples:
- Getting a haircut in a masculine / feminine / androgynous manner - Getting a haircut in a masculine / feminine / androgynous manner
- Shaving your legs - Shaving your legs
- NOT shaving your legs - NOT shaving your legs
- Being included in something you wouldn't otherwise because of your assigned gender (eg, bridal party or bachelor shower) - Being included in something you wouldn't otherwise because of your assigned gender (e.g. bridal party or bachelor shower)
- Feeling sexy / having sex in a way that aligns with your gender and sexuality. - Feeling sexy / having sex in a way that aligns with your gender and sexuality.
Even just being out in the world as yourself and being seen as yourself can be massively euphoric. Even just being out in the world as yourself and being seen as yourself can be massively euphoric.

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@ -14,7 +14,7 @@ siblings:
# Historical Dysphoria # Historical Dysphoria
When you grow up as the wrong assigned gender, you are going to miss out on a lot of things that should have been available to you if only people had known. Sleepovers, camping trips, girl/boy scouts, shopping trips, cheerleading or sports. Events that are co-ed may have very different feelings attached to them based on how you engage with them, like going to prom, religious ceremonies (such as having a bat mitzvah instead of a bar mitzvah), and even just the act of courtship. These dysphoria may also be biological in origin, such as a sorrow over having not given birth to or breastfed your children. When you grow up as the wrong assigned gender, you are going to miss out on a lot of things that should have been available to you if only people had known. Sleepovers, camping trips, girl/boy scouts, shopping trips, cheerleading or sports. Events that are co-ed may have very different feelings attached to them based on how you engage with them, like going to prom, religious ceremonies (such as having a bat mitzvah instead of a bar mitzvah), and even just the act of courtship. This dysphoria may also be biological in origin, such as a sorrow over having not given birth to or breastfed your children.
These missed opportunities can manifest as feelings of loss and hurt. Furthermore, the memories of things you *did* have access to but wouldn't have otherwise, or events that were performed in the wrong gender, can also be a sour point, as these may have awkward attachments. Imagine having to be a groom at your wedding when you know you should have been a bride; growing up dreaming about your perfect wedding, and then playing the wrong role in it. These missed opportunities can manifest as feelings of loss and hurt. Furthermore, the memories of things you *did* have access to but wouldn't have otherwise, or events that were performed in the wrong gender, can also be a sour point, as these may have awkward attachments. Imagine having to be a groom at your wedding when you know you should have been a bride; growing up dreaming about your perfect wedding, and then playing the wrong role in it.
@ -22,4 +22,4 @@ Sometimes historical dysphoria can manifest existentially, hitting you with all
Many trans people attempt to recapture some of these lost events, hosting or attending queer proms, organizing sleepovers, performing vow renewals with their spouses, and engaging in common puberty rites of passage like having a mother figure help them shop for their first bra, or having a father figure teach them to shave. However, ultimately, historical dysphoria is something that can never be relieved. You can make new experiences to replace the ones you lost, but you can never turn back the clock. Many trans people attempt to recapture some of these lost events, hosting or attending queer proms, organizing sleepovers, performing vow renewals with their spouses, and engaging in common puberty rites of passage like having a mother figure help them shop for their first bra, or having a father figure teach them to shave. However, ultimately, historical dysphoria is something that can never be relieved. You can make new experiences to replace the ones you lost, but you can never turn back the clock.
This is one of many reasons why affirming trans youth is so important. Boys want to do common boy things and girls want to do common girl things, and when they miss out they will not forget. This is one of many reasons why affirming trans youth is so important. Boys want to do common boy things, girls want to do common girl things, and non-binary children want to do whatever feels correct to them, and when they miss out they will not forget.

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@ -14,13 +14,13 @@ siblings:
# A Brief History of Gender Dysphoria # A Brief History of Gender Dysphoria
In 1948 noted sexologist Dr. Alfred Kinsey (yes, [*that* Kinsey](https://en.wikipedia.org/wiki/Alfred_Kinsey)) was contacted by a woman whose male child adamantly insisted that they were in fact a girl, and that something had gone very wrong. The mother, rather than trying to suppress her daughter, wished to help her become who she knew herself to be. Kinsey reached out to a German endocrinologist named [Dr. Harry Benjamin](https://en.wikipedia.org/wiki/Harry_Benjamin) to see if he could help the child. Dr. Benjamin then developed a protocol of estrogen therapy for the teen, and worked with the family to find surgical help. In 1948, noted sexologist Dr. Alfred Kinsey (yes, [*that* Kinsey](https://en.wikipedia.org/wiki/Alfred_Kinsey)) was contacted by a woman whose male child adamantly insisted that they were in fact a girl, and that something had gone very wrong. The mother, rather than trying to suppress her daughter, wished to help her become who she knew herself to be. Kinsey reached out to a German endocrinologist named [Dr. Harry Benjamin](https://en.wikipedia.org/wiki/Harry_Benjamin) to see if he could help the child. Dr. Benjamin then developed a protocol of estrogen therapy for the teen, and worked with the family to find surgical help.
Benjamin then went on to refine his protocol and treated thousands of patients with similar feelings over the course of his career. He refused to take payment for his work, instead taking satisfaction from the relief he granted these patients, and using their treatment to further his understanding of the condition. He coined a term for this feeling of incongruence in 1973: Gender Dysphoria. Unfortunately, this term would not be used in the United States until 2013, the American Psychiatric Association opting for the term Gender Identity Disorder instead. Benjamin then went on to refine his protocol and treated thousands of patients with similar feelings over the course of his career. He refused to take payment for his work, instead taking satisfaction from the relief he granted these patients, and using their treatment to further his understanding of the condition. He coined a term for this feeling of incongruence in 1973: Gender Dysphoria. Unfortunately, this term would not be used in the United States until 2013, with the American Psychiatric Association opting for the term Gender Identity Disorder instead.
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If you are a trans person reading this, you may have heard the name Harry Benjamin before, but probably not in a favorable context. In 1979 his name was used (with permission) in the forming of the Harry Benjamin International Gender Dysphoria Association (HBIGDA), which released a Standards of Care (SoC) for transgender people. This SoC came to be known as the Harry Benjamin Rules, and were infamously limiting in regards to how Gender Dysphoria could be diagnosed. Patients were placed within a six tier scale based upon their level of misery and sexual dysfunction. If you did not land at Tier 5 or higher, classified as a "True Transexual", you were usually rejected for treatment. If you are a trans person reading this, you may have heard the name Harry Benjamin before, but probably not in a favorable context. In 1979 his name was used (with permission) in the forming of the Harry Benjamin International Gender Dysphoria Association (HBIGDA), which released a Standards of Care (SoC) for transgender people. This SoC came to be known as the Harry Benjamin Rules, and were infamously limiting in regards to how Gender Dysphoria could be diagnosed. Patients were placed within a six tier scale based upon their level of misery and sexual dysfunction. If you did not land at Tier 5 or higher, classified as a "True Transsexual", you were usually rejected for treatment.
The problem was, Tier 5 and 6 required that you had to be exclusively attracted to your own birth sex. Transition *had* to be making you straight, not gay, and bisexuals were not allowed. You also had to be experiencing severe distress with your body and genitals, and already be living as your true gender without treatment. Many trans people got around these limitations through community coaching and performative presentations, but for many people (myself included) it was believed that if you did not fit all the criteria, then you were not trans enough to transition. The problem was, Tier 5 and 6 required that you had to be exclusively attracted to your own birth sex. Transition *had* to be making you straight, not gay, and bisexuals were not allowed. You also had to be experiencing severe distress with your body and genitals, and already be living as your true gender without treatment. Many trans people got around these limitations through community coaching and performative presentations, but for many people (myself included) it was believed that if you did not fit all the criteria, then you were not trans enough to transition.
@ -28,7 +28,7 @@ In 2011 the HBIGDA reorganized itself to respond to mounting pressures in trans
This is why trans presence across the world has suddenly exploded in the last decade. With easier access comes larger numbers, with larger numbers comes more visibility, with more visibility comes more awareness, and with more awareness comes more people accessing treatment. [A study conducted in 2014](https://williamsinstitute.law.ucla.edu/wp-content/uploads/TransAgeReport.pdf) showed 0.6% of adults and 0.7% of youth in the United States identified as transgender, [a study conducted in 2016](https://www.cdc.gov/mmwr/volumes/68/wr/mm6803a3.htm) showed 1.8% of high school age students identified as transgender, and [a survey conducted by GLAAD in 2017](https://www.glaad.org/files/aa/2017_GLAAD_Accelerating_Acceptance.pdf) showed a whopping 12% of respondents 18 to 34 did not identify as cisgender. This is why trans presence across the world has suddenly exploded in the last decade. With easier access comes larger numbers, with larger numbers comes more visibility, with more visibility comes more awareness, and with more awareness comes more people accessing treatment. [A study conducted in 2014](https://williamsinstitute.law.ucla.edu/wp-content/uploads/TransAgeReport.pdf) showed 0.6% of adults and 0.7% of youth in the United States identified as transgender, [a study conducted in 2016](https://www.cdc.gov/mmwr/volumes/68/wr/mm6803a3.htm) showed 1.8% of high school age students identified as transgender, and [a survey conducted by GLAAD in 2017](https://www.glaad.org/files/aa/2017_GLAAD_Accelerating_Acceptance.pdf) showed a whopping 12% of respondents 18 to 34 did not identify as cisgender.
Transgender people are coming out of the woodwork, we are everywhere. Transgender people are coming out of the woodwork; we are everywhere.
## So What Is Gender Dysphoria? ## So What Is Gender Dysphoria?
@ -42,7 +42,7 @@ Transgender people are coming out of the woodwork, we are everywhere.
</div> </div>
}!} }!}
There is a common misconception among both cisgender and transgender people that Gender Dysphoria refers exclusively to a physical discomfort with ones own body. However, this belief that body discomfort is central to Gender Dysphoria is in fact a misconception, and is not even a majority component of a Gender Dysphoria diagnosis. Gender Dysphoria crosses a large number of all aspects of life, including how you interact with others, how others interact with you, how you dress, how you behave, how you fit into society, how you perceive the world around you, and yes, how you relate to your own body. Consequently, proponents of WPATH SoC 7 and DSM-5 have taken to a habit of saying that you do not have to have dysphoria to be transgender. This statement is often repeated like a mantra, as it informs people who do not feel significant body discomfort that they may also be transgender. There is a common misconception among both cisgender and transgender people that Gender Dysphoria refers exclusively to a physical discomfort with ones own body. However, this belief that body discomfort is central to Gender Dysphoria is in fact a misconception, and is not even a majority component of a Gender Dysphoria diagnosis. Gender Dysphoria crosses a large number of all aspects of life, including how you interact with others, how others interact with you, how you dress, how you behave, how you fit into society, how you perceive the world around you, and yes, how you relate to your own body. Consequently, proponents of the WPATH SoC 7 and the DSM-5 have taken to a habit of saying that you do not have to have dysphoria to be transgender. This statement is often repeated like a mantra, as it informs people who do not feel significant body discomfort that they may also be transgender.
In principle, Gender Dysphoria is a feeling of wrongness intrinsic to the self. There is no logical backing to this wrongness, there is nothing which explains it, you can not describe why you feel this way, it is just there. Things in your existence are incorrect, and even knowing which things *are* incorrect can be hard to properly identify. In principle, Gender Dysphoria is a feeling of wrongness intrinsic to the self. There is no logical backing to this wrongness, there is nothing which explains it, you can not describe why you feel this way, it is just there. Things in your existence are incorrect, and even knowing which things *are* incorrect can be hard to properly identify.
@ -58,16 +58,16 @@ Evey Winters described it extremely aptly [in her Dysphoria post](https://eveywi
The way I used to describe it is like wearing an adult's glove when you are a child. You can put your hand into the glove, and your fingers feed into the digits of the glove, but your dexterity with the glove is severely hindered. You might be able to pick something up, but you can not manipulate it like an adult could. Things just aren't quite right. The way I used to describe it is like wearing an adult's glove when you are a child. You can put your hand into the glove, and your fingers feed into the digits of the glove, but your dexterity with the glove is severely hindered. You might be able to pick something up, but you can not manipulate it like an adult could. Things just aren't quite right.
Gender Dysphoria is at it's core simply emotional reactions to the brain knowing that something does not fit. This incongruence is so deep inside the brain's subsystems that there is no obvious message of what the problem is. The only way we have to identify it is via the emotions that it triggers. Our consciousness receives either positive (euphoria) or negative (dysphoria) feedback according to how well our current environment aligns with our internal sense of self. Part of transition is learning to recognize those signals. Gender Dysphoria is, at its core, simply emotional reactions to the brain knowing that something does not fit. This incongruence is so deep inside the brain's subsystems that there is no obvious message of what the problem is. The only way we have to identify it is via the emotions that it triggers. Our consciousness receives either positive (euphoria) or negative (dysphoria) feedback according to how well our current environment aligns with our internal sense of self. Part of transition is learning to recognize those signals.
Cisgender people receive them as well, but since the signals usually align with their environment, they take them for granted. There have been a few notable occasions, however, when a cisgender person has been [put into a situation](https://www.teenvogue.com/story/maisie-williams-arya-stark-game-of-thrones-affected-her-body-image) where they experience gender dysphoria. Attempts to raise cisgender children [as the opposite sex](https://www.nytimes.com/2004/05/12/us/david-reimer-38-subject-of-the-john-joan-case.html) (Content warning suicide) have always met with failure when the child inevitably declares themselves differently. Cisgender people receive them as well, but since the signals usually align with their environment, they take them for granted. There have been a few notable occasions, however, when a cisgender person has been [put into a situation](https://www.teenvogue.com/story/maisie-williams-arya-stark-game-of-thrones-affected-her-body-image) where they experience gender dysphoria. Attempts to raise cisgender children [as the opposite sex](https://www.nytimes.com/2004/05/12/us/david-reimer-38-subject-of-the-john-joan-case.html) (Content warning: suicide) have always met with failure when the child inevitably declares themselves differently.
These impulses of euphoria and dysphoria, arousal and aversion, they all manifest in many different ways, some obvious, some much more subtle. Dysphoria changes over time, as well, taking on new shapes as one moves from pre-awareness into understanding and through transition. The goal of this essay is to break down these manifestations into their distinct categories and describe them so that others may learn to recognize them. This is a very lengthy post, so I have separated it into multiple pages. These impulses of euphoria and dysphoria, arousal and aversion, they all manifest in many different ways, some obvious, some much more subtle. Dysphoria changes over time as well, taking on new shapes as one moves from pre-awareness into understanding and through transition. The goal of this essay is to break down these manifestations into their distinct categories and describe them so that others may learn to recognize them. This is a very lengthy essay, so I have separated it into multiple pages.
However, first I must stress something very important. So important that I am putting it into big bold letters. However, first I must stress something very important, so important that I am putting it into big bold letters:
**EVERY SINGLE TRANS PERSON EXPERIENCES A DIFFERENT SET OF DYSPHORIA SOURCES AND INTENSITIES** **EVERY SINGLE TRANS PERSON EXPERIENCES A DIFFERENT SET OF DYSPHORIA SOURCES AND INTENSITIES**
There is no one single trans experience, there is no standard set of feelings and discomforts, there *is no one true trans narrative*. Every trans person experiences dysphoria in their own way to their own degree, and what bothers one person may not bother another. There is no one single trans experience, there is no standard set of feelings and discomforts, there *is no one true trans narrative*. Every trans person experiences dysphoria in their own way to their own degree, and what bothers one person may not bother another.
Ok, that disclaimer out of the way, lets get to the meat and potatoes. Ok, that disclaimer out of the way, let's get to the meat and potatoes.

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@ -1,7 +1,7 @@
--- ---
date: "2020-01-26T20:41:55.827Z" date: "2020-01-26T20:41:55.827Z"
title: "Impostor Syndrome, but make it Trans" title: "Impostor Syndrome, but make it Trans"
description: "I don't regret the things I have done, I regret the things I didn't do when I had the chance." description: "Am I really trans?"
preBody: '_disclaimer' preBody: '_disclaimer'
siblings: siblings:
prev: /gdb/managed-dysphoria prev: /gdb/managed-dysphoria
@ -29,7 +29,7 @@ tweets:
> [Impostor syndrome](https://en.wikipedia.org/wiki/Impostor_syndrome) (also known as impostor phenomenon, impostorism, fraud syndrome or the impostor experience) is a psychological pattern in which an individual doubts their accomplishments and has a persistent internalized fear of being exposed as a "fraud". > [Impostor syndrome](https://en.wikipedia.org/wiki/Impostor_syndrome) (also known as impostor phenomenon, impostorism, fraud syndrome or the impostor experience) is a psychological pattern in which an individual doubts their accomplishments and has a persistent internalized fear of being exposed as a "fraud".
Society in general is very good about making trans people doubt themselves. We receive tons and tons of subliminal messages through out our lives saying that being trans isn't normal and that anyone who is has to be exceptionally special. Cis media's obsession with the "born in the wrong body" narrative has led to a lot of false information being internalized by trans youth. Many, *many* trans kids grow up thinking they aren't actually trans because they don't *know* that they are a different gender, they just wish they were. Society in general is very good about making trans people doubt themselves. We receive tons and tons of subliminal messages through out our lives saying that being trans isn't normal and that anyone who is has to be exceptionally special. Cis media's obsession with the "born in the wrong body" narrative has led to a lot of false information being internalized by trans youth. Many, *many* trans kids grow up thinking they aren't actually trans because they don't *know* that they are a different gender, they just wish they were. Many non-binary children grow up knowing something is wrong, but not believing they're trans because they don't feel like a binary trans person.
On top of this, messages saying that trans people hate their bodies or hate their genitalia have polluted the awareness landscape, so that many people who either do not experience physical dysphoria (or simply think theirs isn't very strong) go around believing they aren't "trans enough". On top of this, messages saying that trans people hate their bodies or hate their genitalia have polluted the awareness landscape, so that many people who either do not experience physical dysphoria (or simply think theirs isn't very strong) go around believing they aren't "trans enough".
@ -39,7 +39,7 @@ On top of this, messages saying that trans people hate their bodies or hate thei
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On top of this, the constant messaging from transphobic media that trans people are not actually their true genders and are simply trying to trick people into believing otherwise gets internalized like a virus. This creates a lot of self doubt about the authenticity of one's gender, especially in the face of so many gender stereotypes. Seeing oneself fail to meet those stereotypes can make it very easy to convince yourself that you do not live up to your own gender (note, cis men and women get this too, far too often). On top of this, the constant messaging from transphobic media that trans people are not actually their true genders and are simply trying to trick people into believing otherwise gets internalized like a virus. This creates a lot of self doubt about the authenticity of one's gender, especially in the face of so many gender stereotypes. Seeing oneself fail to meet those stereotypes can make it very easy to convince yourself that you do not live up to your own gender (note: cis men and women get this too, far too often).
Furthermore, due to a history of transphobic abuse, many trans people suffer from damaged self-esteems, and often already have difficulty with self doubts. Gender Dysphoria also causes depression, which further contributes to and reinforces those doubts. This all leads into a massive cluster of self invalidation that can lead someone to struggle over and over again to accept their own gender identity. Furthermore, due to a history of transphobic abuse, many trans people suffer from damaged self-esteems, and often already have difficulty with self doubts. Gender Dysphoria also causes depression, which further contributes to and reinforces those doubts. This all leads into a massive cluster of self invalidation that can lead someone to struggle over and over again to accept their own gender identity.
@ -60,33 +60,33 @@ The world is *full* of influences put in place to fill us with doubt and keep us
This pattern was strongly reinforced during the late 1980s when the Autogynephelia (AGP) theory of Ray Blanchard gained a lot of traction as trans awareness was just starting to escalate. AGP is a pseudo-scientific explanation intended to "explain" the source of trans women's identities using [paraphilias](https://en.wikipedia.org/wiki/Paraphilia). Blanchard separated trans women according to if they were attracted to men or to women, while simultaneously invalidating their womanhood. His work completely ignored transgender men, and he dismisses non-binary identities outright. This pattern was strongly reinforced during the late 1980s when the Autogynephelia (AGP) theory of Ray Blanchard gained a lot of traction as trans awareness was just starting to escalate. AGP is a pseudo-scientific explanation intended to "explain" the source of trans women's identities using [paraphilias](https://en.wikipedia.org/wiki/Paraphilia). Blanchard separated trans women according to if they were attracted to men or to women, while simultaneously invalidating their womanhood. His work completely ignored transgender men, and he dismisses non-binary identities outright.
AGP attests that straight trans women are actually just gay men who seek a feminine appearance to draw desire from straight men, and that trans lesbians are actually straight men who have become so obsessed with their desire for women that they wish to become a woman in order to gain sexual gratification from themselves. Autogynephelia attests that straight trans women are actually just gay men who seek a feminine appearance to draw desire from straight men, and that trans lesbians are actually straight men who have become so obsessed with their desire for women that they wish to become a woman in order to gain sexual gratification from themselves.
Blanchard's theory largely hinged on the way that presenting feminine often resulted in sexual arousal within newly transitioning women. You see, most of his study subjects were patients who were trying to seek hormone therapy for the first time, and as such were still very new to presenting female. Blanchard's theory largely hinged on the way that presenting feminine often resulted in sexual arousal within newly transitioning women. You see, most of his study subjects were patients who were trying to seek hormone therapy for the first time, and as such were still very new to presenting female.
Yes, it boggles the mind, but this was actually considered a valid theory of psychology for years. It even appeared in college textbooks. Blanchard's research studies did not meet scientific rigor, and his data was found to be extremely flawed (he manipulated his patients, and simply just threw out any data that didn't fit his hypothesis). A lot of his theories are based in misogynistic views of womanhood, and the man never actually involved any cisgender women in his study to function as a control group. You can read more about how flawed the theory is in Julia Serano's excellent essay, [The Case Against Autogynephilia](https://www.juliaserano.com/av/Serano-CaseAgainstAutogynephilia.pdf). Yes, it boggles the mind, but this was actually considered a valid theory of psychology for years. It even appeared in college textbooks. Blanchard's research studies did not meet scientific rigor, and his data was found to be extremely flawed (he manipulated his patients, and simply just threw out any data that didn't fit his hypothesis). A lot of his theories are based in misogynistic views of womanhood, and the man never actually involved any cisgender women in his study to function as a control group. You can read more about how flawed the theory is in Julia Serano's excellent essay [The Case Against Autogynephilia](https://www.juliaserano.com/av/Serano-CaseAgainstAutogynephilia.pdf).
AGP had been thoroughly dismissed by modern psychology by the late 2000s, but the damage has been done. In the public's eye, trans women were all perverted fetishists. Media portrayals of trans women mirrored this attitude, further spreading negative imagery into the public consciousness. AGP had been thoroughly dismissed by modern psychology by the late 2000s, but the damage has been done. In the public's eye, trans women were all perverted fetishists. Media portrayals of trans women mirrored this attitude, further spreading negative imagery into the public consciousness.
Trans women then internalize these messages, and come to the conclusion that they are not actually transgender, just fetishists. It happened to me, it's happened to nearly every millennial trans woman I know who figured themselves out as a teen. Transfeminine individuals then internalize these messages, and come to the conclusion that they are not actually transgender, just fetishists. It happened to me, it's happened to nearly every millennial trans woman I know who figured themselves out as a teen.
You are not a fetishist, the feeling you get from thinking of yourself as a woman is gender euphoria. You are not a fetishist, the feeling you get from thinking of yourself as a woman is gender euphoria.
### Patriarchal Oppression ### Patriarchal Oppression
A common source of invalidation for AFABs is the conflation of gender with the systemic oppression of women, particularly among non-medically transitioning non-binary people. The message of "oh you just don't want to be a woman because of how women are treated" is far too often heard, and it can deeply infest your subconscious to the point of self doubt. But this doesn't make much sense, because if you're AFAB and not a woman, that makes you transgender. And on average, society treats transgender folks worse than women. So transitioning to escape systemic oppression is a dumb concept (and I personally have never met a trans person who has done this). A common source of invalidation for AFABs is the conflation of gender with the systemic oppression of women, particularly among non-medically-transitioning non-binary people. The message of "oh you just don't want to be a woman because of how women are treated" is far too often heard, and it can deeply infest your subconscious to the point of self doubt. But this doesn't make much sense, because if you're AFAB and not a woman, that makes you transgender. And on average, society treats transgender folks worse than women. So transitioning to escape systemic oppression is a dumb concept (and I personally have never met a trans person who has done this).
Radical Feminism's messaging of abandoning female gender roles can also make parsing your own feelings harder. "Am I actually non-binary, or am I just a feminist?" "Am I actually a man, or am I just a very butch lesbian?". For this, I encourage you to talk to cis woman feminists, especially lesbians. They'll complain about systems of oppression and the patriarchy, but the problems are all external, and they *want to be women*. Even very butch lesbians want to be women, just in a different way from mainstream femininity. Radical Feminism's messaging of abandoning female gender roles can also make parsing your own feelings harder. "Am I actually non-binary, or am I just a feminist?" "Am I actually a man, or am I just a very butch lesbian?". For this, I encourage you to talk to cis woman feminists, especially lesbians. They'll complain about systems of oppression and the patriarchy, but the problems are all external, and they *want to be women*. Even very butch lesbians want to be women, just in a different way from mainstream femininity.
Then you have the problem of people believing that to be non-binary is to be androgynous, and to be androgynous is to be less feminine. Feminine enbies are valid! It is OK if you do not want to remove your breasts. It is OK if you enjoy your curves. It is OK if you do not mind being called "she" and "her". That does not make you any less transgender. Then you have the problem of people believing that to be non-binary is to be androgynous, and to be androgynous is to be less feminine. Feminine enbies are valid! It is okay if you do not want to remove your breasts. It is okay if you enjoy your curves. It is okay if you do not mind being called "she" and "her". That does not make you any less transgender.
If you feel like you are not a binary woman, than you are not a binary woman. Cis women do not experience that detachment. If you feel like you are not a binary woman, than you are not a binary woman. Cis women do not experience that detachment.
### Toxic Masculinity ### Toxic Masculinity
Male assigned kids grow up positively drenched in messaging of what it is to "be a man". There are so few examples of positive masculinity in popular media, and AMAB Masculine Enbies are also commonly erased in trans representation that being a gender queer male can feel very lonely. AMAB Enbies are often either grouped in with gay cis men or treated like trans women. Male-assigned kids grow up positively drenched in messaging of what it is to "be a man". There are so few examples of positive masculinity in popular media, and AMAB Masculine Enbies are also so commonly erased in trans representation that being a genderqueer male can feel very lonely. AMAB Enbies are often either grouped in with gay cis men or treated like trans women.
You can just be gender-queer! Your identity is valid! You can just be genderqueer! Your identity is valid!
### Transmedicalism ### Transmedicalism
@ -94,13 +94,13 @@ This one hits *everybody*. Transmedicalism (aka Truetrans) is a transgender ideo
To put it succinctly, many transmedicalists hate that the newer generation "has it so easy," despite the fact that many of their ranks are part of that generation. This ideology started among disgruntled trans elders, but has since spread to other binary individuals, particularly among young trans men. To put it succinctly, many transmedicalists hate that the newer generation "has it so easy," despite the fact that many of their ranks are part of that generation. This ideology started among disgruntled trans elders, but has since spread to other binary individuals, particularly among young trans men.
If a trans person's first exposure to transness is a transmedicalist, this can severely set back their own self-acceptance and push them even further into the closet. Transmed's are well known to actually tell people "No, you are not trans." If a trans person's first exposure to transness is a transmedicalist, this can severely set back their own self-acceptance and push them even further into the closet. Transmeds are well known to actually tell people "No, you are not trans."
**Do not believe these lies.** They are bully tactics explicitly designed to gaslight and dismiss people's pain for self gratification. **Do not believe these lies.** They are bully tactics explicitly designed to gaslight and dismiss people's pain for self gratification.
### Trans Exclusionary Reactionary Feminism / Gender Critical Movement / Gender Essentialism ### Trans-Exclusionary Reactionary Feminism / Gender Critical Movement / Gender Essentialism
[Gender Essentialism](https://en.wikipedia.org/wiki/Gender_essentialism) is the belief that there are an innate attributes to a person's existence that are derived based on what sex organs the person is born with. TERF and GC ideology was born out of the lesbian separatist movement of second wave feminism and fully denies the existence of transgender biology or non-binary identities. The movement has been largely overtaken by right-wing reactionaries, racists and homophobes, and is now being bolstered by evangelical christian organizations. [Gender Essentialism](https://en.wikipedia.org/wiki/Gender_essentialism) is the belief that there are an innate attributes to a person's existence that are derived based on what sex organs the person is born with. TERF and GC ideology was born out of the lesbian separatist movement of second wave feminism and fully denies the existence of transgender biology and non-binary identities. The movement has been largely overtaken by right-wing reactionaries, racists, and homophobes, and is now being bolstered by evangelical Christian organizations.
These people will stop at nothing to invalidate your existence. Do not give them the time of day. These people will stop at nothing to invalidate your existence. Do not give them the time of day.

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@ -17,15 +17,15 @@ tweets:
# Managed Dysphoria # Managed Dysphoria
Growing up in the closet, even when you don't know you're in the closet, becomes an existence built on top of coping mechanisms intended to alleviate dysphoria. The following are ways in which a closeted trans person may find to alleviate the dysphoria they experience in their day to day lives. Growing up in the closet, even when you don't know you're in the closet, becomes an existence built on top of coping mechanisms intended to alleviate dysphoria. The following are ways a closeted trans person may find to alleviate the dysphoria they experience in their day to day lives:
- When a video game gives you the option of choosing your gender, you tend to choose differently than your assigned gender. This may be accompanied with excuses to defend that choice. "It defaulted to male and I didn't care." "I don't want to stare at a guy's butt for hours." - When a video game gives you the option of choosing your gender, you tend to choose differently than your assigned gender. This may be accompanied with excuses to defend that choice. "It defaulted to male and I didn't care." "I don't want to stare at a guy's butt for hours."
- A preference for literature and film with characters of your true gender, or with characters who break gender norms (Mulan, Little Women) - A preference for literature and film with characters of your true gender, or with characters who break gender norms (Mulan, Little Women).
- Pornographic outlets which satisfy strong desires or feel more relatable, such as a draw towards gay/lesbian porn, bridal kink, or transformation sequences. - Pornographic outlets which satisfy strong desires or feel more relatable, such as a draw towards gay/lesbian porn, bridal kink, or transformation sequences.
- Crossdressing or performing drag - Crossdressing or performing drag.
- Finding excuses to cut hair short, or to grow it out. - Finding excuses to cut hair short, or to grow it out.
@ -35,9 +35,9 @@ Growing up in the closet, even when you don't know you're in the closet, becomes
- Avoiding social gatherings whenever possible, seeking isolation. - Avoiding social gatherings whenever possible, seeking isolation.
- Becoming intimately educated about some gender associated topic, such as men's or women's clothing design - Becoming intimately educated about some gender-associated topic, such as men's or women's clothing design.
- Obsessively working out (AFABs) - Obsessively working out (AFABs).
- Helping cis partners to shop in order to live vicariously through their presentation. - Helping cis partners to shop in order to live vicariously through their presentation.
@ -46,9 +46,9 @@ Growing up in the closet, even when you don't know you're in the closet, becomes
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Because so much abuse is handed down on to gender non-conforming children, many trans people grow up learning to hide their natural personalities out of sheer necessity. Many trans people speak about having a phase of life where they attempted to "buy-in" on their assigned gender, performing masculinity or femininity to extremes in order to try to "fix" themselves. This leads to repression tendencies which may even superficially appear toxic, but are simply the results of trying to hide every scrap of their true selves. Because so much abuse is handed down onto gender non-conforming children, many trans people grow up learning to hide their natural personalities out of sheer necessity. Many trans people speak about having a phase of life where they attempted to "buy-in" on their assigned gender, performing masculinity or femininity to extremes in order to try to "fix" themselves. This leads to repression tendencies which may even superficially appear toxic, but are simply the results of trying to hide every scrap of their true selves.
- Growing and meticulously grooming facial hair (the so called "denial beard") - Growing and meticulously grooming facial hair (the so-called "denial beard").
- Taking up makeup artistry in order to perfect a high femme look. - Taking up makeup artistry in order to perfect a high femme look.
@ -56,29 +56,29 @@ Because so much abuse is handed down on to gender non-conforming children, many
- Avoiding any conversation about fashion for any gender. Dissociating whenever fashion conversations or activities occur. - Avoiding any conversation about fashion for any gender. Dissociating whenever fashion conversations or activities occur.
- Obsessively working out (AMABs) - Obsessively working out (AMABs).
- Assuming a strongly stereotyped gender role in a relationship (eg, the dutifully modest housewife) - Assuming a strongly stereotyped gender role in a relationship (e.g. the dutifully modest housewife).
- Marrying and having kids in anticipation that it will "fix" what's wrong with you. - Marrying and having kids in anticipation that it will "fix" what's wrong with you.
- Buying in to ultra-conservative attitudes towards gender and sexuality - Buying in to ultra-conservative attitudes towards gender and sexuality.
- Homophobia and Transphobia expressed in self defense to ward off suspicion. - Expressing Homophobia and Transphobia in self defense to ward off suspicion.
- Aggressively passive engagement in anything connected to ones true gender. - Aggressively passive engagement in anything connected to one's true gender.
Finally, another very common coping mechanism is to find means of escapement or mental engagement in order to forget your own feelings. Finally, another very common coping mechanism is to find means of escape or mental engagement in order to forget your own feelings.
- Intensely investing large amounts of time into hobbies - Intensely investing large amounts of time into hobbies.
- Long hours spent at work - Long hours spent at work.
- Chain binging movies, tv shows or books. - Chain binging movies, TV shows or books.
- Spending all idle time in video games or on social media - Spending all idle time playing video games or on social media.
- Obsessively cleaning ones living space - Obsessively cleaning one's living space.
- Sleeping. Lots and lots of sleeping. - Sleeping. Lots and lots of sleeping.

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@ -66,7 +66,7 @@ The core reproductive features which develop during pregnancy
{!{ </div> <h4>Secondary Sexual Characteristics</h4> {!{ </div> <h4>Secondary Sexual Characteristics</h4>
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All sexually dimorphic features which develop during and after puberty as a result of hormone exposure. In general, these features are all nearly identical for both male and female pre-pubescent children. All sexually dimorphic features which develop during and after puberty as a result of hormone exposure. In general, these features are all nearly identical for both male and female prepubescent children.
- Fat Distribution - Fat Distribution
- Waist, Hips, Butt Shape - Waist, Hips, Butt Shape
@ -130,13 +130,15 @@ Sometimes it may just simply be a feeling of being incorrect, which you may not
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The dysphoria one feels about their body can and will change over time, for better and worse. For example, many trans women enter into transition feeling no disconnect with their genitals, but later find that as larger sources of dysphoria melt away, that they become less comfortable with their original configuration. Alternatively, some may assume that they will absolutely need facial feminisation surgery, but then 2 years in to transition, realize they're actually ok with how they look. The dysphoria one feels about their body can and will change over time, for better and worse. For example, many trans women enter into transition feeling no disconnect with their genitals, but later find that as larger sources of dysphoria melt away, that they become less comfortable with their original configuration. Alternatively, some may assume that they will absolutely need facial feminization surgery, but then 2 years in to transition, realize they're actually okay with how they look.
It's ok for you to realize you need more or less than when you started. It's okay for you to realize you need more or less than when you started.
It's ok if you don't hate anything about your body, and just wish you looked more feminine or masculine. It's okay if you don't hate anything about your body, and just wish you looked more feminine or masculine.
It's ok if you don't need medical transition *at all*. Body feelings are not the be-all-end-all of transition. It's okay if you only hate some aspects of your body, and don't wish to change all of its sexual characteristics.
It's okay if you don't need medical transition *at all*. Body feelings are not the be-all-end-all of transition.
**Total body physical dysphoria is not a requirement to be transgender. AFABs do not have to hate their chest, AMABs do not have to hate their penis. Every trans person's experience is different. All are valid.** **Total body physical dysphoria is not a requirement to be transgender. AFABs do not have to hate their chest, AMABs do not have to hate their penis. Every trans person's experience is different. All are valid.**

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@ -28,11 +28,11 @@ Long hair on men has been seen as [an act of rocker rebellion](https://www.youtu
Like it or not, presentation is gendered, and it is extremely common for trans people to want to present themselves in the fashion of their true gender, and a desire to be free of the shackles of gendered presentation is common among all trans people, regardless of where they sit on the gender spectrum. For AMAB individuals they may manifest as a wish to incorporate more feminine elements, for AFABs it may manifest as a want for more masculine appearance. This may come as a full push towards the opposite of their assigned gender, or a desire to seek a middle-ground in pursuit of androgyny. It may even simply be a wish to *not* present as your assigned gender. Like it or not, presentation is gendered, and it is extremely common for trans people to want to present themselves in the fashion of their true gender, and a desire to be free of the shackles of gendered presentation is common among all trans people, regardless of where they sit on the gender spectrum. For AMAB individuals they may manifest as a wish to incorporate more feminine elements, for AFABs it may manifest as a want for more masculine appearance. This may come as a full push towards the opposite of their assigned gender, or a desire to seek a middle-ground in pursuit of androgyny. It may even simply be a wish to *not* present as your assigned gender.
**Not all transfemmes are feminine, not all transmascs are masculine, not all enbies seek androgyny. Butch AMAB trans people are valid, femme AFAB trans people are valid. Presentation is not gender, gender is not presentation.** **Not all transfemmes present feminine, not all transmascs present masculine, not all enbies seek androgyny. Butch AMAB trans people are valid, femme AFAB trans people are valid. Presentation is not gender, gender is not presentation.**
Presentational dysphoria typically appears early on in the form of a fascination with the styling of another gender, and a wish to be able to present as people of that gender do. That desire may be fulfilled somewhat by seeking out styling that is unisex, but typically that wish is self-gatekept by statements of "I'm not confident enough to attempt that." AMABs often run into issue here where this desire often gets trapped behind heteronormative expectations, causing an interest in feminine presentation to be misinterpreted as sexual desire. Presentational Dysphoria typically appears early on in the form of a fascination with the styling of another gender, and a wish to be able to present as people of that gender do. That desire may be fulfilled somewhat by seeking out styling that is unisex, but typically that wish is self-gatekept by statements of "I'm not confident enough to attempt that." AMABs often run into issue here where this desire often gets trapped behind heteronormative expectations, causing an interest in feminine presentation to be misinterpreted as sexual desire.
Post-transition presentational dysphoria is usually simply a case of high discomfort when attempt to present as one's assigned gender. It may not even be about how one looks, but just the way the clothing makes you feel. For the first year and a half of my own transition I could not bear to wear unisex t-shirts because they just made me feel more masculine. Even now I have to cut the collars out of them, because the close neck makes me feel dysphoric. Post-transition Presentational Dysphoria is usually simply a case of high discomfort when attempt to present as one's assigned gender. It may not even be about how one looks, but just the way the clothing makes you feel. For the first year and a half of my own transition I could not bear to wear unisex t-shirts because they just made me feel more masculine. Even now I have to cut the collars out of them, because the close neck makes me feel dysphoric.
### Presentation's Affect on Physical Dysphoria. ### Presentation's Affect on Physical Dysphoria.
@ -43,11 +43,11 @@ Post-transition presentational dysphoria is usually simply a case of high discom
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Clothing can also play a major role in the level of physical dysphoria a person experiences. Mens clothing always cut very boxy, straight up and down on the vertical and very square in the horizontal. Women's clothing is cut for more curves, accentuating waistlines and hip shape. Men's pants feature a lower crotch to make room for external genitals, and no fitting for curves, where womens bottoms are the opposite. Women's clothing is often form fitting, where Male clothing is rarely form fitting at all. Men's clothing is often made of sturdier and thicker materials, meant to be worn as a single layer. Women's clothing is often made of thinner and stretchier materials, expected to be layered together. Clothing can also play a major role in the level of physical dysphoria a person experiences. Men's clothing is always cut very boxy, straight up and down on the vertical and very square in the horizontal. Women's clothing is cut for more curves, accentuating waistlines and hip shape. Men's pants feature a lower crotch to make room for external genitals, and no fitting for curves, where women's bottoms are the opposite. Women's clothing is often form fitting, where men's clothing is rarely form fitting at all. Men's clothing is often made of sturdier and thicker materials, meant to be worn as a single layer. Women's clothing is often made of thinner and stretchier materials, expected to be layered together.
Because these structures are meant to fit the masculine or feminine forms, they tend to amplify the sensation of wrongness. A classic affect is the way that the difference between mens and womens jeans can have a radical affect on a trans person's comfort level. Unfortunately this works both ways, as even affirming clothing can reveal how your shape is a mismatch. Because these structures are meant to fit the masculine or feminine forms, they tend to amplify the sensation of wrongness. A classic effect is the way that the difference between men's and women's jeans can have a radical affect on a trans person's comfort level. Unfortunately this works both ways, as even affirming clothing can reveal how your shape is a mismatch.
I, myself am very feminine in my preferred presentation, and I had a longing to wear dresses from when I was just five years old. I abhorred wearing suits, hating the way they fit on my body, since they always tugged in ways that felt very incorrect for what my body needed. I refused to wear any denim for most of my life because men's jeans always felt so incorrect (women's jeans and leggings, however, feel amazing). Then as I entered into transition and began to present more female, my dysphoria struck again in the ways my body did not conform to what womens clothing was expecting (too much in the crotch, too wide and bulky in the shoulders, too large in the waist, not large enough in the chest). It wasn't until the second year that I had experienced enough change in my shape to where womens clothing was properly affirming of my shape. I, myself am very feminine in my preferred presentation, and I had a longing to wear dresses from when I was just five years old. I abhorred wearing suits, hating the way they fit on my body, since they always tugged in ways that felt very incorrect for what my body needed. I refused to wear any denim for most of my life because men's jeans always felt so incorrect (women's jeans and leggings, however, feel amazing). Then as I entered into transition and began to present more female, my dysphoria struck again in the ways my body did not conform to what women's clothing was expecting (too much in the crotch, too wide and bulky in the shoulders, too large in the waist, not large enough in the chest). It wasn't until the second year that I had experienced enough change in my shape to where women's clothing was properly affirming of my shape.
What does this look like? Well, it looks a lot like other common body image issues. A tendency to avoid anything form fitting, leaning towards softer fabrics and baggier clothes. A classic gender dysphoria trope is the kid who wears nothing but sweatpants and hoodies. Clothes will be oversized in order to keep them from hugging the body. AFABs may prefer to wear compressing sports bras in order to minimize their chests, and avoid anything with a tight waistline. What does this look like? Well, it looks a lot like other common body image issues. A tendency to avoid anything form fitting, leaning towards softer fabrics and baggier clothes. A classic gender dysphoria trope is the kid who wears nothing but sweatpants and hoodies. Clothes will be oversized in order to keep them from hugging the body. AFABs may prefer to wear compressing sports bras in order to minimize their chests, and avoid anything with a tight waistline.
@ -62,6 +62,6 @@ Internally it most often manifests as intense jealousy of the people you wish yo
Presentation can be important for avoiding misgendering, especially early in transition. A lot of trans people feel a need to perform their gender in order to be accepted for who they are, leaning in to feminine or masculine presentation more than they actually would like in order to make up for their body and ensure that people gender them correctly. Those pursuing medical transition may find this need becomes less important as their bodies change and they become able to be gendered correctly without all of the performance. Presentation can be important for avoiding misgendering, especially early in transition. A lot of trans people feel a need to perform their gender in order to be accepted for who they are, leaning in to feminine or masculine presentation more than they actually would like in order to make up for their body and ensure that people gender them correctly. Those pursuing medical transition may find this need becomes less important as their bodies change and they become able to be gendered correctly without all of the performance.
Performative Presentation was practically required prior to the reformation of WPATH in 2011; anyone who showed up to a doctors appointment without extreme feminine or masculine presentation risked be labeled a fake and losing their treatment under the Harry Benjamin Scale. Trans women actually would lost their estrogen simply for wearing jeans and a blouse instead of a dress, or for not putting on enough makeup. This is one of the reasons why transmedicalist ideology is so dangerous, it would see us returning to this system, labeling anyone who doesn't meet stereotypical views of femininity and masculinity as not actually transgender. Performative Presentation was practically required prior to the reformation of WPATH in 2011; anyone who showed up to a doctors appointment without extreme feminine or masculine presentation risked be labeled a fake and losing their treatment under the Harry Benjamin Scale. Trans women actually would lost their estrogen simply for wearing jeans and a blouse instead of a dress, or for not putting on enough makeup. This is one of the reasons why [transmedicalist](https://en.wikipedia.org/wiki/Transmedicalism) ideology is so dangerous: it would see us returning to this system, labeling anyone who doesn't meet stereotypical views of femininity and masculinity as not actually transgender.
Presentation is especially important among pre-pubescent children, as they lack any significant secondary sexual characteristics. Clothing and hair are the only ways we have to show the gender of a child, so much so that if a baby simply wears a pink shirt, strangers assume it is a girl. Even unisex clothing for kids is strongly gendered by way of colors and graphics. For trans children it can be extremely distressing to be either forced to cut their hair, or required to grow it out. Denying dresses to a trans girl, or forcing them onto a trans boy, can be debilitating to their morale. Presentation is especially important among prepubescent children, as they lack any significant secondary sexual characteristics. Clothing and hair are the only ways we have to show the gender of a child, so much so that if a baby simply wears a pink shirt, strangers assume it is a girl. Even unisex clothing for kids is strongly gendered by way of colors and graphics. For trans children it can be extremely distressing to be either forced to cut their hair, or required to grow it out. Denying dresses to a trans girl or transfeminine non-binary child, or forcing them onto a trans boy or transmasculine non-binary child, can be debilitating to their morale.

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@ -17,7 +17,7 @@ tweets:
# Sexual Dysphoria # Sexual Dysphoria
Closely related to Societal Dysphoria is dysphoria centered around sexuality, sexual relationships, and the act of having sex. [Heteronormative](https://en.wikipedia.org/wiki/Heteronormativity) gender roles come loaded with the expectation that [AMABs will top and AFABs will bottom](https://en.wikipedia.org/wiki/Top,_bottom_and_versatile). These dynamics get reinforced by our popular media, by toxic masculinity, and especially by our pornography, even in *transgender* pornography (the bulk of trans/cis pornography involves the trans woman topping, when in reality a majority of trans women are submissive). Deviations from these roles often result in shame, both from partners and from peers. Closely related to Societal Dysphoria is dysphoria centered around sexuality, sexual relationships, and the act of having sex. [Heteronormative](https://en.wikipedia.org/wiki/Heteronormativity) gender roles come loaded with the expectation that [AMABs will top and AFABs will bottom](https://en.wikipedia.org/wiki/Top,_bottom_and_versatile). These dynamics get reinforced by our popular media, by toxic masculinity, and especially by our pornography, even in *transgender* pornography (the bulk of trans/cis pornography involves the trans woman topping). Deviations from these roles often result in shame, both from partners and from peers.
Of course, this is not an absolute, by any means, and many heterosexual cis couples do find ways out of these molds, finding a new dynamic in their relationship, or engaging in kinks to satisfy desires. Some couples find they aren't sexually compatible at all and seek other partners. However, there are many many external pressures discouraging this kind of self-awareness and discovery, and breaking away from those demands can be extremely difficult, even traumatic. This is particularly true when there is a background of conservatism or religious virtuism. Of course, this is not an absolute, by any means, and many heterosexual cis couples do find ways out of these molds, finding a new dynamic in their relationship, or engaging in kinks to satisfy desires. Some couples find they aren't sexually compatible at all and seek other partners. However, there are many many external pressures discouraging this kind of self-awareness and discovery, and breaking away from those demands can be extremely difficult, even traumatic. This is particularly true when there is a background of conservatism or religious virtuism.
@ -29,7 +29,7 @@ What does all this mean? Trans people who enter into perceptually heterosexual r
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This can lead to one feeling less enthusiastic or even disinterested in sex, as half of what makes up sex drive is the mental context of the situation. Many trans people never even experience sex until adulthood, functionally operating as asexual due to how severely their dysphoria has shutdown all sex drive. They may still perform for the sake of their partners, but not get as much enjoyment as they could, and even end up disconnecting from reality around them in order to accomplish the task. This can lead to one feeling less enthusiastic or even disinterested in sex, as half of what makes up sex drive is the mental context of the situation. Many trans people never even experience sex until adulthood, functionally operating as sex-averse due to how severely their dysphoria has shutdown all sex drive. They may still perform for the sake of their partners, but not get as much enjoyment as they could, and even end up disconnecting from reality around them in order to accomplish the task.
This dysphoria may be so significant that they find themselves taking a sexual identity that they don't actually connect with. It is not unheard of for a trans person to realize after coming out that they never actually felt a connection to the sexual orientation that they had identified with previously, but were rather using it as a way to feel less dysphoric in their sex lives. This dysphoria may be so significant that they find themselves taking a sexual identity that they don't actually connect with. It is not unheard of for a trans person to realize after coming out that they never actually felt a connection to the sexual orientation that they had identified with previously, but were rather using it as a way to feel less dysphoric in their sex lives.
@ -37,17 +37,17 @@ Some trans women, for example, identified as gay men pre-transition out of a des
# The Coercive Male Gaze # The Coercive Male Gaze
æææ<div class="cw"><p><strong>Authors Note</strong>: This specific type of sexual dysphoria is difficult to explain in generalist terms, so I am going to take a departure here and write about this from my own personal experience. The following is presented from my perspective as a binary trans woman. As such, this may not be completely relatable to all trans people. My apologies.</p></div>æææ æææ<div class="cw"><p><strong>Author's Note</strong>: This specific type of sexual dysphoria is difficult to explain in generalist terms, so I am going to take a departure here and write about this from my own personal experience. The following is presented from my perspective as a binary trans woman. As such, this may not be completely relatable to all trans people. My apologies.</p></div>æææ
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There is a saying that is very well known in sapphic circles: "Do I want to be her, or be with her?" There is a saying that is very well known in sapphic circles: "Do I want to be her, or be with her?"
It can be hard to tell the difference between sexual attraction and envy, especially when you're a closeted trans teenager. Our entire society is built upon heterosexuality, it is simply the cultural default, to the point that even pre-pubescent children are barraged with messages about male to female attraction. Consequently, interest in aspects of the lives of the "opposite" sex is almost always immediately perceived as being sexual attraction. It can be hard to tell the difference between sexual attraction and envy, especially when you're a closeted trans teenager. Our entire society is built upon heterosexuality; it is simply the cultural default, to the point that even prepubescent children are barraged with messages about male to female attraction. Consequently, interest in aspects of the lives of the "opposite" sex is almost always immediately perceived as being sexual attraction.
What is the result of this? Usually... shame. Trans children often internalize their view of their peers based on their true gender, and one does not objectify their equals. Thus the child is motivated to hide those interests out of a desire to not be seen engaging in that kind of sexual objectification. This is even further compounded if the child has been raised in a setting with very strict moral codes, such as in a conservative religious upbringing. What is the result of this? Usually... shame. Trans children often internalize their view of their peers based on their true gender, and one does not objectify their equals. Thus the child is motivated to hide those interests out of a desire to not be seen engaging in that kind of sexual objectification. This is even further compounded if the child has been raised in a setting with very strict moral codes, such as in a conservative religious upbringing.
@ -59,7 +59,7 @@ Out of shame and fear, I did everything I could to hide this passion, because I
When you see the world through a duck shaped lens, everything looks vaguely like a duck. The only framework I had been given to understand my interest in women was through sexual desire, and thus every feminine interest I had became warped into a sexual desire. My wish to be a bride morphed into a bridal kink, my desire to have a child warped into an interest in pregnancy porn, and my own need to be a girl was redirected into a transformation fetish. When you see the world through a duck shaped lens, everything looks vaguely like a duck. The only framework I had been given to understand my interest in women was through sexual desire, and thus every feminine interest I had became warped into a sexual desire. My wish to be a bride morphed into a bridal kink, my desire to have a child warped into an interest in pregnancy porn, and my own need to be a girl was redirected into a transformation fetish.
But on top of all of this, I was *terrified* to be seen expressing legitimate sexual interest in other women. I had male friends who were notorious rubberneckers and slack jawed gawkers; one of my former employers had an awful habit of leering at attractive women when we were out to lunch, which made me very uncomfortable to be seen with him. But on top of all of this, I was *terrified* to be seen expressing legitimate sexual interest in other women. I had male friends who were notorious rubberneckers and slack-jawed gawkers; one of my former employers had an awful habit of leering at attractive women when we were out to lunch, which made me very uncomfortable to be seen with him.
I could not stand to be associated with that male gaze. Even around the most beautiful women, I would avoid even looking at them, because I did not want to be seen as the kind of person that stares at women. I did not want to be seen as a predator. I could not stand to be associated with that male gaze. Even around the most beautiful women, I would avoid even looking at them, because I did not want to be seen as the kind of person that stares at women. I did not want to be seen as a predator.
@ -67,4 +67,4 @@ This is the coercive male gaze: [compulsory heterosexuality](https://en.wikipedi
Once you remove this male framework once one is able to perceive themselves as female and accept these interests and observations are valid that shame and guilt completely evaporates. Even when the interest is sapphic in nature and genuinely includes sexual desire, it is no longer tainted with this layer of objectification. I am able to appreciate the femininity and the beauty of my female peers without judgments, I can compliment them without fearing being perceived as a creep, or having my intentions misinterpreted. Once you remove this male framework once one is able to perceive themselves as female and accept these interests and observations are valid that shame and guilt completely evaporates. Even when the interest is sapphic in nature and genuinely includes sexual desire, it is no longer tainted with this layer of objectification. I am able to appreciate the femininity and the beauty of my female peers without judgments, I can compliment them without fearing being perceived as a creep, or having my intentions misinterpreted.
It was a dysphoria I could not possibly have put into words until after it had finally been relieved. I was even more relieved as I began to integrate into queer womens spaces and came to realize that _women are exactly as thirsty as men are_, we're just (usually) much more respectful about it. It was a release of guilt that I didn't even know I was carrying. It was a dysphoria I could not possibly have put into words until after it had finally been relieved. I was even more relieved as I began to integrate into queer women's spaces and came to realize that _women are exactly as thirsty as men are_, we're just (usually) much more respectful about it. It was a release of guilt that I didn't even know I was carrying.

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All social gender dysphoria orbit around one central concept: What Gender do people believe me to be? Social Dysphoria is about how the outside world perceives you, how others address you, and how you are expected to address them. This applies differently prior to the trans person becoming self-aware of their own gender, versus how Social Dysphoria is experienced after a trans awakening (cracking one's shell). All social gender dysphoria orbits around one central concept: What Gender do people believe me to be? Social Dysphoria is about how the outside world perceives you, how others address you, and how you are expected to address them. This applies differently prior to the trans person becoming self-aware of their own gender, versus how Social Dysphoria is experienced after a trans awakening (cracking one's shell).
While still in the dark, the only awareness is that something seems off about the way you interact with your interactions with other people. People of your assigned gender seem to interact with each other in ways that do not feel natural to you. Their behaviors and mannerisms feel strange and surprising, where interactions with individuals of your true gender feel easier. You relate to people closer to your own truth. While still in the dark, the only awareness is that something seems off about the way you interact with your interactions with other people. People of your assigned gender seem to interact with each other in ways that do not feel natural to you. Their behaviors and mannerisms feel strange and surprising, where interactions with individuals of your true gender feel easier. You relate to people closer to your own truth.
@ -40,7 +40,7 @@ For example, an AMAB trans person may find themselves very uncomfortable in grou
This feeling of wrongness intensifies as the person becomes more and more aware of their own incongruence, and upon realizing who they really are it takes on a new shape. For binary trans people this often may be about the intense need to be seen as your true gender, be it male or female. Some non-binary people experience this more as euphoria at being seen as neither male or female and thus only being referred to in ungendered ways, or from being read as different genders by different people in the same setting. Some experience intense euphoria when people are incapable of reading their gender and become confused. This feeling of wrongness intensifies as the person becomes more and more aware of their own incongruence, and upon realizing who they really are it takes on a new shape. For binary trans people this often may be about the intense need to be seen as your true gender, be it male or female. Some non-binary people experience this more as euphoria at being seen as neither male or female and thus only being referred to in ungendered ways, or from being read as different genders by different people in the same setting. Some experience intense euphoria when people are incapable of reading their gender and become confused.
Social dysphoria is where pronouns and misgendering comes in to play; being addressed with a gendered pronoun such as she, he, him, or her which is not the pronoun that aligns with our gender is extremely discomforting. Granted, this is true for *all* people, including cisgender people, but where a cis person will be insulted by being misgendered, a trans person will feel hurt. It's like nails on a chalkboard, or steelwool across skin. Hearing the wrong pronoun is a reminder that the person you are talking to does not recognize you for the gender that you are. Social dysphoria is where pronouns and misgendering come into play; being addressed with a gendered pronoun such as she, he, him, or her which is not the pronoun that aligns with our gender is extremely discomforting. Granted, this is true for *all* people, including cisgender people, but where a cis person will be insulted by being misgendered, a trans person will feel hurt. It's like nails on a chalkboard, or steel wool across skin. Hearing the wrong pronoun is a reminder that the person you are talking to does not recognize you for the gender that you are.
Gender neutral pronouns can also be unsettling for binary trans people if used in a way that make it clear the person is avoiding the pronoun that matches them. This often is an indication that a person has been read as being transgender, and the person addressing them doesn't know what pronouns they use. Asking their pronouns can resolve this situation immediately, but the paradox is that even in that scenario, having their pronouns asked may itself induce dysphoria around having been recognized as being trans. It is sort of a catch-22. Gender neutral pronouns can also be unsettling for binary trans people if used in a way that make it clear the person is avoiding the pronoun that matches them. This often is an indication that a person has been read as being transgender, and the person addressing them doesn't know what pronouns they use. Asking their pronouns can resolve this situation immediately, but the paradox is that even in that scenario, having their pronouns asked may itself induce dysphoria around having been recognized as being trans. It is sort of a catch-22.
@ -57,13 +57,13 @@ It may also manifest as joy or embarrassment at being labeled as your true gende
'1219968711681040384' '1219968711681040384'
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The discomfort caused by social dysphoria can pressure a trans person to act and present in an exaggerated manner in order to try to convince the rest of the world that they really are who they say they are. Trans feminine people may concentrate on makeup and feminine clothes, and become quieter in order to seem more demure, speaking in a higher voice. Trans masculine people will lean on masculine clothing styles, stand taller, suppress displays of emotion, start speaking louder, and make their voices intentionally deeper. The discomfort caused by social dysphoria can pressure a trans person to act and present in an exaggerated manner in order to try to convince the rest of the world that they really are who they say they are. Transfeminine people may concentrate on makeup and feminine clothes, and become quieter in order to seem more demure, speaking in a higher voice. Transmasculine people will lean on masculine clothing styles, stand taller, suppress displays of emotion, start speaking louder, and make their voices intentionally deeper.
### Physical vs Social Dysphoria ### Physical vs Social Dysphoria
Some physical traits which may cause discomfort all the time for some trans people may only manifest as a social dysphoria for others. For example, some people may only be self conscious about their physical appearance when it causes them to be misgendered or clocked (read as being trans), and feel completely comfortable when interacting in environments where they are always seen and treated as their true gender. Some physical traits which may cause discomfort all the time for some trans people may only manifest as a social dysphoria for others. For example, some people may only be self conscious about their physical appearance when it causes them to be misgendered or clocked (read as being trans), and feel completely comfortable when interacting in environments where they are always seen and treated as their true gender.
I, myself, have no direct physical dysphoria around my voice, I actually really enjoy singing in my natal baritone, and when I am home with just my family I let me voice relax. When out in public, however, being able to speak in a feminine voice plays a critical role in my being seen as a woman by strangers, so I put a lot of effort into training it into a feminine sound. My feminine voice turns on the instant I answer the phone or leave the house, it isn't even a conscious thing. I, myself, have no direct physical dysphoria around my voice, I actually really enjoy singing in my natal baritone, and when I am home with just my family I let my voice relax. When out in public, however, being able to speak in a feminine voice plays a critical role in my being seen as a woman by strangers, so I put a lot of effort into training it into a feminine sound. My feminine voice turns on the instant I answer the phone or leave the house, it isn't even a conscious thing.
### "One of us!" ### "One of us!"
@ -73,6 +73,6 @@ A very curious and surprisingly phenomenon is that closeted trans people have a
'1137185510793678848' '1137185510793678848'
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Trans people subconsciously tend to gravitate towards each others friendships, both out of a need for peers who think and act the same as us without judgments, and due to a kinship of social ostracization. This is not exclusive to trans people, of course, the same happens for all types of queers, but the way it has a rippled effect is quite powerful. It's very similar to the way an entire friend group will get married and have kids all in response to one member of the group initiating. Trans people subconsciously tend to gravitate towards each other's friendships, both out of a need for peers who think and act the same as us without judgments, and due to a kinship of social ostracization. This is not exclusive to trans people, of course, and occurs with all types of queer people, but the way it has a rippling effect is quite powerful. It's very similar to the way an entire friend group will get married and have kids all in response to one member of the group initiating.
Trans people often continue to self-select their groups post-transition as well, as we simply understand each other better than cis people can. There is an energy that occurs when a group of trans people get together in a location, the room becomes charged with camaraderie and commiseration. We all have so much in common in our histories, so many shared experiences, that short of personality conflicts we instantly bond together. Trans people often continue to self-select their groups post-transition as well, as we simply understand each other better than cis people can. There is an energy that occurs when a group of trans people get together in a location, the room becomes charged with camaraderie and commiseration. We all have so much in common in our histories, so many shared experiences, that (short of personality conflicts) we instantly bond together.

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@ -27,11 +27,11 @@ tweets:
Gender roles exist, and as much as we may try to buck them and point out the sexism that exists, there will always be expectations placed on people for their gender. The strongest of these are in marital and parental roles; "Husband", "Wife", "Mother", "Father", these terms come with loads of baggage attached to them, and the wrong role, or even any role at all, can feel like a lead lined straight jacket. You are given a whole book full of behaviors and actions, likes and dislikes, that you are just expected to fulfill, and if you fail to meet those requirements then you are seen as a bad spouse or a bad parent. Gender roles exist, and as much as we may try to buck them and point out the sexism that exists, there will always be expectations placed on people for their gender. The strongest of these are in marital and parental roles; "Husband", "Wife", "Mother", "Father", these terms come with loads of baggage attached to them, and the wrong role, or even any role at all, can feel like a lead lined straight jacket. You are given a whole book full of behaviors and actions, likes and dislikes, that you are just expected to fulfill, and if you fail to meet those requirements then you are seen as a bad spouse or a bad parent.
An AFAB birthing parent may experience severe dysphoria around being labeled as a mother. The vast majority of resources for birth are *extremely* female gendered, so just the very process of conceiving, carrying and giving birth is exceptionally loaded with gender expectations. If you are pregnant then you are labeled a mom, regardless of how you actually feel about your role, and with that comes a whole load of assumptions. Assumptions about caregiving, breastfeeding, and child rearing. An AFAB parent who gives birth may experience severe dysphoria around being labeled as a mother. The vast majority of resources for birth are *extremely* female gendered, so just the very process of conceiving, carrying, and giving birth is exceptionally loaded with gender expectations. If you are pregnant then you are labeled a mom, regardless of how you actually feel about your role, and with that comes a whole load of assumptions. Assumptions about caregiving, breastfeeding, and child rearing.
[Cisgender-passing](https://en.wikipedia.org/wiki/Passing_(gender)) trans feminine individuals also run into this. If you are holding an infant or tending to a child then you are labeled a mom (unless the child is mixed race, then you're demoted to nanny, but that's a whole other topic). This can be validating, because it is a sign that you've been seen as a woman, but it can also be extremely *invalidating* when cis women start to talk about what they think are shared experiences with reproductive processes. [Cisgender-passing](https://en.wikipedia.org/wiki/Passing_(gender)) transfeminine individuals also run into this. If you are holding an infant or tending to a child then you are labeled a mom (unless the child is mixed race, then you're demoted to nanny, but that's a whole other topic). This can be validating, because it is a sign that you've been seen as a woman, but it can also be extremely *invalidating* when cis women start to talk about what they think are shared experiences with reproductive processes.
Some unexpected ways that Societal Dysphoria can appear are in the need to conform to the social standards of your true gender. For example, many trans women have stories about feeling the need to cover up their chest pre-transition out of an intrinsic sense of modesty. A discomfort at swimming topless is a common trait, even when there is no understanding of ones true self; something just knows. Some unexpected ways that Societal Dysphoria can appear are in the need to conform to the social standards of your true gender. For example, many trans women have stories about feeling the need to cover up their chest pre-transition out of an intrinsic sense of modesty. A discomfort at swimming topless is a common trait, even when there is no understanding of one's true self; something just knows.
### Shame ### Shame
@ -47,7 +47,7 @@ The shame becomes especially intense at the moment of revealing themselves to be
This too is a form of gender dysphoria, as these influences would not have been felt if the person had been cisgender. This too is a form of gender dysphoria, as these influences would not have been felt if the person had been cisgender.
The other way shame comes in to play is in the systemic transphobia present in our society. Trans adults of today grew up watching transphobic media in their childhood. The transsexual obsession of the late 80s and early 90s was horrifically traumatic for trans kids of the time, watching all the adults and peers around them laugh, jeer and be disgusted by people who they not only identified with, but strongly empathized and looked up to. This shame sits with us for our entire lives; it is a fundamental reason for why so many trans people do not come out until their late 30s or later, because only when they reach mid-life are they able to overcome that shame. The other way shame comes in to play is in the systemic transphobia present in our society. Trans adults of today grew up watching transphobic media in their childhood. The transsexual obsession of the late 80s and early 90s was horrifically traumatic for trans kids of the time, watching all the adults and peers around them laugh and jeer at and be disgusted by people who they not only identified with, but strongly empathized and looked up to. This shame sits with us for our entire lives; it is a fundamental reason for why so many trans people do not come out until their late 30s or later, because only when they reach mid-life are they able to overcome that shame.
Shame also tends to build up until it boils over into radical action. A very common aspect among trans people's histories are cycles where they will build up their presentation, fighting their feelings less and less, until suddenly they feel overcome with the shame and purge everything, vowing to never pursue those feelings again. This pattern repeats over and over again. Shame also tends to build up until it boils over into radical action. A very common aspect among trans people's histories are cycles where they will build up their presentation, fighting their feelings less and less, until suddenly they feel overcome with the shame and purge everything, vowing to never pursue those feelings again. This pattern repeats over and over again.
@ -66,10 +66,10 @@ Shame also tends to build up until it boils over into radical action. A very com
Societal Dysphoria *strongly* comes into play with courtship rituals. Being forced into being the boyfriend or girlfriend when you are not a boy or a girl is extremely disorienting and often feels very unfair. AMABs may find themselves wishing *they* were the one being pampered, and AFABs may become uncomfortable with the amount of attention they receive from their prospective partners (beyond the discomfort that women experience, as this includes genuine attention, not just unwanted attention). The expectations placed on them by their partners to fill these courtship roles may feel like a heavy burden to bear. By contrast, dating as your true gender becomes euphoric. Buy a trans girl flowers and see how much she swoons. Societal Dysphoria *strongly* comes into play with courtship rituals. Being forced into being the boyfriend or girlfriend when you are not a boy or a girl is extremely disorienting and often feels very unfair. AMABs may find themselves wishing *they* were the one being pampered, and AFABs may become uncomfortable with the amount of attention they receive from their prospective partners (beyond the discomfort that women experience, as this includes genuine attention, not just unwanted attention). The expectations placed on them by their partners to fill these courtship roles may feel like a heavy burden to bear. By contrast, dating as your true gender becomes euphoric. Buy a trans girl flowers and see how much she swoons.
A closeted trans person may feel so much pressure to conform to heterosexuality that they suppress their own instincts with regards to relationships and take on a performative role. Many a trans woman has attempted to play the role of a heterosexual husband to a wife, only to realize with transition that they are actually submissive themselves and would prefer to have a male partner. They may not even be attracted to women. A closeted trans person may feel so much pressure to conform to heterosexuality that they suppress their own instincts with regards to relationships and take on a performative role. Many a trans woman has attempted to play the role of a heterosexual husband to a wife, only to realize with transition that they would much prefer the role of the wife. They may not even be attracted to women.
Beyond discomfort, many trans people realize that the dynamics of relationships that they have experienced simply did not fit the shape of how they appeared. Many trans people come to realize after transition that they had never actually dated like a cis person of their assigned gender, instead always having romantic relationships that fit their true orientation. Male to male and female to female relationships have completely different patterns from heterosexual relationships; different courtship rituals, different perceptions, different communication styles. Men relate differently to men than they do to women, and women to women differently than they do to men, even when they don't know they are men or women. Beyond discomfort, many trans people realize that the dynamics of relationships that they have experienced simply did not fit the shape of how they appeared. Many trans people come to realize after transition that they had never actually dated like a cis person of their assigned gender, instead always having romantic relationships that fit their true orientation. Male to male and female to female relationships have completely different patterns from heterosexual relationships; different courtship rituals, different perceptions, different communication styles. Men relate differently to men than they do to women, and women to women differently than they do to men, even when they don't know they are men or women.
For example, I myself realized after coming out to my wife that all of my previous dating attempts had absolutely been sapphic in nature. My first order had always been to become good friends with them. Dates would never be labeled as dates because we would just sit and talk somewhere, hanging out together. Consequently, several of my relationships ended simply because I was too scared to make the first move out of destroying the friendship. I would spend half my waking day thinking about them and wanting to be around them, not out of sexual lust, but out of personal infatuation. My first girlfriend straight up told me on our first date that I was unlike any man she'd ever dated because I enjoyed talking instead of just trying to get physical. She broke up with me two months later because I wasn't as assertive as she wanted from a partner. For example, I myself realized after coming out to my wife that all of my previous dating attempts had absolutely been sapphic in nature. My first order had always been to become good friends with them. Dates would never be labeled as dates because we would just sit and talk somewhere, hanging out together. Consequently, several of my relationships ended simply because I was too scared to make the first move out of destroying the friendship. I would spend half my waking day thinking about them and wanting to be around them, not out of sexual lust, but out of personal infatuation. My first girlfriend straight up told me on our first date that I was unlike any man she'd ever dated because I enjoyed talking instead of just trying to get physical. She broke up with me two months later because I wasn't as assertive as she wanted from a partner.
This all gets even more complex for non-binary people, some of whom can at best describe their dating style as Queer. These dynamics get even more complex for non-binary people, some of whom can at best describe their dating style as Queer. Some struggle to identify what role they play in a relationship. Others take a specific role that is typically seen as a binary gendered role. Some non-binary people wish to be seen as a boyfriend/girlfriend, even if they are not a boy/girl. Some want to play a role seen by society as neutral or consisting of aspects from both binary roles.

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@ -32,7 +32,7 @@ These are changes to how you style yourself, be it your clothes, your hair, or t
## Medical Transition ## Medical Transition
For adults this is hormone replacement therapy and surgery. For adolescents this often means puberty blockers until the teen is old enough to be certain of which gonadal hormone they want to have. For pre-pubescents, this is nothing. Let me repeat that again, since transphobes keep getting it wrong. For adults this is hormone replacement therapy and surgery. For adolescents this often means puberty blockers until the teen is old enough to be certain of which gonadal hormone they want to have. For prepubescents, this is nothing. Let me repeat that again, since transphobes keep getting it wrong.
***PREPUBESCENT CHILDREN DO NOT MEDICALLY TRANSITION***. ***PREPUBESCENT CHILDREN DO NOT MEDICALLY TRANSITION***.
@ -44,7 +44,7 @@ Furthermore, no surgeon in the United States will perform a gender altering surg
**Trans Masculine Hormone Therapy** (female to male sexual characteristics) consists of the introduction of testosterone, usually via intramuscular injection or topical gel. The increase in total gonadal hormones typically causes a cessation of ovulation, which is the source of the majority of estrogen produced in the ovaries. **Trans Masculine Hormone Therapy** (female to male sexual characteristics) consists of the introduction of testosterone, usually via intramuscular injection or topical gel. The increase in total gonadal hormones typically causes a cessation of ovulation, which is the source of the majority of estrogen produced in the ovaries.
**Trans Feminine Hormone Therapy** (male to female sexual characteristics) consists of the introduction of estrogen, typically estradiol, via oral pills, patches, or regular injections (intramuscular or subcutaneous). The use of slow dispensing implants is also becoming more and more common. It is also common practice to prescribe an anti-androgen to block testosterone production or absorption. In the United States this is usually Spironolacotone, a blood pressure medication which has a testosterone blocking side-effect. Outside of the US the most common drug is Cyproterone Acetate, an androgen receptor blocker, which is not available in the US. Doctors may also prescribe Bicalutamide, which also blocks androgen receptors. However, some doctors may simply opt to use larger estradiol doses in order to cause the body to halt testosterone production. **Trans Feminine Hormone Therapy** (male to female sexual characteristics) consists of the introduction of estrogen, typically estradiol, via oral pills, patches, or regular injections (intramuscular or subcutaneous). The use of slow dispensing implants is also becoming more and more common. It is also common practice to prescribe an anti-androgen to block testosterone production or absorption. In the United States this is usually Spironolactone, a blood pressure medication which has a testosterone blocking side-effect. Outside of the US the most common drug is Cyproterone Acetate, an androgen receptor blocker, which is not available in the US. Doctors may also prescribe Bicalutamide, which also blocks androgen receptors. However, some doctors may simply opt to use larger estradiol doses in order to cause the body to halt testosterone production.
**In adolescents**, puberty blockers may involve the above androgen blockers, or if it is covered by insurance, the use of an antigonadtropin (drug which blocks the hormones that cause the production of estrogen and androgen) such as leuprolide acetate (a shot delivered every few months) or histrelin acetate (an annual implant). **In adolescents**, puberty blockers may involve the above androgen blockers, or if it is covered by insurance, the use of an antigonadtropin (drug which blocks the hormones that cause the production of estrogen and androgen) such as leuprolide acetate (a shot delivered every few months) or histrelin acetate (an annual implant).
@ -65,6 +65,8 @@ Transgender surgeries are typically divided into three separate categories:
A newly developing area of bottom surgery is in AMAB non-binary operations which attempt to perform vaginoplasty *without* the removal of the penis. This particular surgery is extremely experimental and has been performed less than a dozen times in the United States, but the outlook for the future is good. A newly developing area of bottom surgery is in AMAB non-binary operations which attempt to perform vaginoplasty *without* the removal of the penis. This particular surgery is extremely experimental and has been performed less than a dozen times in the United States, but the outlook for the future is good.
An additional option for non-binary bottom surgery is genital nullification surgery, which aims to completely remove the external genitalia, leaving only a urethral opening.
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- Trans Masculine: - Trans Masculine:
@ -87,7 +89,7 @@ A newly developing area of bottom surgery is in AMAB non-binary operations which
- Bilateral Mastectomy (breast tissue removal) with chest reconstruction. - Bilateral Mastectomy (breast tissue removal) with chest reconstruction.
**Facial Feminizing / Masculinizing Surgery** (modifications to the skull, cartilage and skin on the face). **Facial Feminization / Masculinization Surgery** (modifications to the skull, cartilage, and skin on the face).
The younger a person is, the less they will need these surgeries, especially if they medically transition prior to the age of 20. The younger a person is, the less they will need these surgeries, especially if they medically transition prior to the age of 20.
@ -116,6 +118,6 @@ A newly developing area of bottom surgery is in AMAB non-binary operations which
Other Trans Feminine Surgeries: Other Trans Feminine Surgeries:
- Brazilian Butt Lift. Fat from the belly is transplanted into the butt in order to increase hip to waist ratio. - Brazilian Butt Lift. Fat from the belly is transplanted into the butt in order to increase hip to waist ratio.
- Voice Feminisation Surgery. An incision is performed in the vocal chords in order to permanently raise the pitch. - Voice Feminization Surgery. An incision is performed in the vocal chords in order to permanently raise the pitch.
- Cinderella Surgery. Bones in the foot are shortened in order to reduce foot size. EXTREMELY RISKY - Cinderella Surgery. Bones in the foot are shortened in order to reduce foot size. EXTREMELY RISKY
- Shoulder Reduction. The collar bone is shortened to reduce the width of the shoulders. EXTREMELY RISKY - Shoulder Reduction. The collar bone is shortened to reduce the width of the shoulders. EXTREMELY RISKY

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@ -54,7 +54,7 @@ Gender also affects the expectations that the brain has for the environment it r
On the social side, gender involves presentation, how we communicate, what our expectations are from life, and the roles that we fulfill as we walk through life. These are all cultural factors, things which have developed within the population over time, but regardless of being essentially "made up", they are still connected to a gender identity. A person tends to connect to the social aspects of their internal gender, without even realizing they are doing it, and when they are denied access to those social aspects, this results in discomfort with their social position in life. On the social side, gender involves presentation, how we communicate, what our expectations are from life, and the roles that we fulfill as we walk through life. These are all cultural factors, things which have developed within the population over time, but regardless of being essentially "made up", they are still connected to a gender identity. A person tends to connect to the social aspects of their internal gender, without even realizing they are doing it, and when they are denied access to those social aspects, this results in discomfort with their social position in life.
John Money's experiments attempted to confirm his belief that gender is entirely a social construct, and that any child can be raised to believe themselves to be whatever they were taught to be. His experiment was a massive failure (see the Bio-Chemical Dysphoria section). Gender does not change, every human is the same gender at 40 that they were at 4. What changes is our own personal understanding of our gender as we mature as individuals. John Money's experiments attempted to confirm his belief that gender is entirely a social construct, and that any child can be raised to believe themselves to be whatever they were taught to be. His experiment was a massive failure (see the Biochemical Dysphoria section). Gender does not change, every human is the same gender at 40 that they were at 4. What changes is our own personal understanding of our gender as we mature as individuals.
These negative symptoms (depression, derealization, social discomfort) are the symptoms of Gender Dysphoria. These negative symptoms (depression, derealization, social discomfort) are the symptoms of Gender Dysphoria.