TYPE 1: The prototypical feminine androphilic transsexual was called a “sissy” by her peers growing up. She avoided rough & tumble activities. Her primary social circle consisted of one or two girls. She actively participated in girls games and imaginary play. Her parents were embarrassed by her femininity, and may or may not have sought professional help in trying to discourage her behavior. As a young teen, she became interested in girls fashion and make-up, often exploring how she might look as a girl by dressing up and experimenting with make-up. This did not involve erotic cross-dressing. She had crushes on boys at school. Her peers thought she might be homosexual. She was hassled, perhaps even bullied, by homophobic boys, but otherwise was reasonably popular in her chosen circle. She was considered very neat and well dressed in boy’s clothes. She sought out opportunities to interact with small children and infants, taking on babysitting jobs. As she approached adulthood, looking at her own nature, her potential future, both romantic and economic, made a rational decision to transition to living as a girl so as to grow up to be a woman socially. Her family may or may not have disowned her in late adolescence. As she is naturally feminine, she found that she was socially and romantically more successful as a woman. She actively dated men while pre-op, but assiduously avoided direct contact with her penis, finding that emotionally uncomfortable. She lived several years as a woman, taking feminizing hormones, before having SRS to improve her sex life, replacing genitalia that she didn’t use with those that she did.
TYPE 2: The prototypical autogynephilic transsexual was accepted as a boy as a child, though she wasn’t the most masculine. She was often a “loner”, finding her hobbies and reading to be more rewarding, but still willing and ready to participate in rough & tumble play. She often envied girls and observed them more often than most masculine boys. As she entered puberty, she began erotic cross-dressing in private, often masturbating while dressed, usually with lingerie. She found this shameful and hid her cross-dressing as best she could. She entertained thoughts of living as a woman, often in very idealized situations. As a young adult, she dated women, often finding it necessary to imagine that she was female to “perform”. She typically hid this fact from her dates. She fell in love and found that the previously growing desire to live as a woman abated for a while. She married and had children. Her need to cross-dress… and use autogynephilic ideation grew, as the first blush of their romance matured into committed love. She agonized about it obsessively, trying alternatively to push it out of her thoughts and trying to appease it by cross-dressing. At one point, perhaps in her early 30s, or in her late 50s, a set-back or other significant personal change brought all of these feelings to the fore… and she made the fateful decision that she could no longer ignore her sexuality. After having tried to ignore the cognitive dissonance between her successful social identity as a man, husband, and father, and her obligatory autogynephilic image of being female, concluded that the female image is her “true” image. She then made steps to begin counseling with a gender therapist, obtained prescription for feminizing hormones, and then began the painful steps to living full time as a “transsexual”, since she had too many social connections who know of her previous status as a man. She had SRS within a short time of nominally living as a woman, as she was impatient, feeling like she had waited long enough in her previous life as a man. Her wife may or may not have demanded a divorce.