I've chopped up and responded to several comments in this thread that I have found interesting or inaccurate. I hope no one is slighted if their remarks were overlooked or key points missed or if I expressed contradictory opinions. I removed some of what I had written for brevity, which is not my strong suite. Bringing sexuality into the discussion of gender tends to be a hot topic and sometimes pushes forum guidelines but is something I do find interesting but my perspective on the whole thing probably in the minority?
Quote from: pamelatransuk on July 31, 2018, 06:32:34 AM
It appears to me that a significant proportion of young transitioners are heterosexual meaning attracted to the opposite sex of their gender (or to the same sex as assigned at birth) with some bisexual whereas an equally significant proportion of older transitioners are lesbian/homosexual meaning attracted to the same sex as their gender (or to the opposite sex as assigned at birth) with some bisexual and also a significant proportion asexual.
I should stay out of this because this is exactly the type of topic that gets me in trouble but I have some definite opinions about all this that fall outside of the approved dogma so I will try to be as polite and PC as possible. As a friend of Kay Brown's and through study of her analytical essays of Blanchard's work, your observations and descriptions of young transitioners lines up pretty well with Blanchard's HSTS descriptor. Just sayin' - not making any kind of a value judgment.
QuoteI do not know at what approximate age point the former category changes to the latter category...
From a FAQ on transkids matching the early onset/early transition/ HSTS type:
"There are some differences in life arcs of Female-to-Male (FtM) and Male-To-Female (MTF) transkids. The median age of transition for MTF of this type is 20 years old, with a range of early puberty to mid 20's. More than 95% transition full time before the age of 25 and it is unheard of to find one who transitions full time after age 30."Quote...or because before 2000 surgeons would often only perform surgeries on potential straight transpeople.
I had surgery in 1977. My surgeon's only requirement as far as my sexuality was concerned was that I not be legally married. However, the gatekeepers making the referrals for surgery may have had different ideas? Stressed to me as primary criteria over sexuality was that I be stable, had a job and could support myself and of course be passable with the ability to blend into the woodwork and have a normal life as a woman.
Quote from: KathyLauren on July 31, 2018, 06:45:10 AM
For a heterosexual trans person, the misfit would become more apparent earlier, giving them a greater motivation to transition sooner.
My gender atypicality (for a young boy) branded me as gay but I wasn't gay, I was a girl so I never saw my attractions as being any sort of misfit nor was I raised with any stigma attached to homosexuality, at least not after my biological parents divorced and my father left when I was six anyway. Unusual, I know, for a kid born at the beginning of 1955 but who I was attracted to was not a factor motivating me to transition as a teenager.
Quote from: MaryT on July 31, 2018, 07:20:20 AM
I agree with all of you but I suspect that the percentage of older heterosexual trans people would be recognised as much higher except that they have been absorbed by the community of homosexual cis people. Safe opportunities for transition were much rarer in the past and if HRT began after puberty, many had no real chance of passing as women.
Wait. I'm confused? When you say "older heterosexual trans people", do you mean heterosexual in relation to one's birth sex such as an MTF trans woman being attracted to or in a relationship with another woman or do I have what you're saying backwards? Is this the type of scenario where you conjecture these partnerships have been absorbed into presumably cis lesbian culture?
As an older, primarily androphilically oriented person of teenage trans experience, neither my marriage to my husband or any of the relationships I've been in with men have been absorbed by the community of homosexual cis people. It's late and I may just be confused? Sorry.
QuoteBefore SRS permitted sexual sensitivity, even AMAB people who were attracted to other AMAB people were rarely approved for SRS, as they were regarded as deluded catamites who just presented as women to attract men. Asexual people were more likely to be approved, perhaps because they were perceived as having less to lose.
Was this like in the 1930's or '50's or something? I go back pretty far with all this trans stuff and am not sure some of this type of information and how horrible things used to be isn't part myth and part transgender urban legend? I could be wrong. I really have no idea at all what other trans people were going through in the early 1970's when I was medically dealing with all this stuff which I'll admit was in a vacuum while my parents held my hand most of the way but at least I don't remember things being this terrible? Maybe part of that too was because I was treated like a medical curiosity because I was so young for the time and so clearly a rare textbook "primary" and or a Benjamin Type VI?
Quote from: pamelatransuk on July 31, 2018, 08:19:24 AM
...I know from previous posts that you just like me "knew" at an early age but we both deferred transition (or even seeking professional advice) till shall I say "middle age". So perhaps "early onset" and "late onset" should be increased to 3 categories:
1. Early onset and taking positive action early...
Let me interrupt right here with a general thought or two and then a specific comment on your number 1.
I think all these terms we use like early onset/late onset, Blanchard's HSTS/->-bleeped-<- paradigm, primary/secondary, true/pseudo/classic, Vitale's G scale and even the old Benjamin scale are all basically just trying to say the same thing: some of us are not the same as the others. Clearly we have different types coming from different directions converging only because we're looking for the same outcome. This has been written about for decades. Acknowledging this doesn't assign superiority or inferiority to one "type" or the other but it would be foolish to think that each camp doesn't also harbor a bit of bias for their own tribe or even possibly a bit of animosity toward the other.
For example, most of the regulars here are familiar with the life and stories of our darling, Julia1996. The labels early, primary, HSTS, trans kid, G1, Type VI, etc., are clearly applicable and it is impossible to perceive her as anything but the enchanting young woman she is and even as a boy has always been but how many of you can actually relate to her experience or point to her life and say the trans aspects of it are just like yours or your story is the same? Very few I would imagine. Maaaybe 10% to 20%, maybe and probably less?
On the other hand, large numbers of you here fit the other and more widely seen pattern. Sure, there's some overlap and outliers but there is indeed a difference between those that could not help but deal openly with their transness as children and adolescents as a fundamental condition for living the rest of their lives and those that were able to hide it until later or those that didn't figure things out or were able to suppress it until they got older.
Not on this well moderated forum of course but have you ever seen so called early and late transitioners really get into it with one another? Those conversations deteriorate in a big hurry because we are so different and there's more to it than just age. As a classic early/primary HSTS trans kid myself, I met and made good email friends with a woman from here close to my own age that is the classic late transitioner. We've had some really great discussions about everything and share similar political views and interests but getting into early vs. late conversations one day saw a lot of shade thrown in each direction and we both had to step away to keep from pissing the other off or ruining our friendship.
My point is that whatever you call it, these differences are really real. One is not better or less than the other... just different and that's okay.
To elaborate on your number one category, I think "taking a positive action" is a bit of a misnomer, at least from my own experience. To quote a line from a post below discussing Anne Vitale's Group One type:
" Furthermore, the expression of female identity of those individuals appears impossible or very difficult for them to conceal."Having this happen is not to be construed as an undertaking of a positive action or directed conscious thought, it is just something that happens organically and innately. We can't be or don't know how to be anything other than who we are and this happens long before any we have any hand in it or can take a positive action other than to just be. I have no idea what it is or why and I never really questioned it but even from my very earliest clear childhood memories, I've always known myself to be a girl and unconsciously behaved appropriately because that was just my nature and what else was I supposed to do? Certainly I was aware of what was expected of me as a boy but none of that just seemed right for me and I never expressed myself as such. Now if we're going to throw society and external factors into the plot, getting my ears pierced, shaving my legs and telling my parents at 15 that I could not live as a boy was a positive action but this was already after a lifetime of being outwardly and obviously cross-gendered.
Quote from: pamelatransuk on July 31, 2018, 08:26:34 AM
I know GCS was previously "primitive" not permitting sexual activity. Do you agree that the surgery changed to providing such around 1985 please? This is what I recall.
Oh my heavens no! Unless the couple dozen people I've had sex with, healthy marital relations with my husband and the thousands of orgasms I've had and continue to have were all just my imagination, this is not correct. I had sex reassignment surgery 41 years ago in 1977.
Quote from: MaryT on July 31, 2018, 02:02:21 PM
... Dr Georges Burou of Casablanca published his technique, which included the possibility of post-operative orgasms, in 1974 and it must have taken a while for his and other techniques that allowed orgasm to be become commonplace.
Burou's (1910-1987) first formal public presentation of his technique using penile skin to line the vagina took place at the Stanford University Medical School in 1973 but by then and since the late 1950's, he had performed around 3,000 trans surgeries at his Casablanca clinic. His technique was adopted by Dr. Edgerton at John's Hopkins in the 1960's and when contacted by Dr. Stanley Biber in 1968 for advice on how to do this surgery, Edgerton sent him diagrams of Burou's technique. Burou was not actually the first to try penile inversion instead of skin grafted from other places. Biber is said to have done 6,000 trans surgeries. I was/am one of his satisfied patients.
QuoteI just think that sexual orientation permitting, a trans woman in the role of "wife" to a gay cis man might find more fulfillment than a trans woman in the role of husband to a cis woman.
I would agree with your statement overall but seriously, how many cis gay men want to have a wife, especially if she has a vagina? In terms of "fulfillment", how about trans woman wife married to a cis straight dude in a heterosexual relationship as the gold standard?
Quote from: Kirsteneklund7 on July 31, 2018, 11:19:33 PM
... Fortunately in the present day a late onset or secondary transsexual can access treatment. In the 1980's for instance only early onset or primary transsexuals could access treatment to transition ( in many cases).
I am sorry but your timeline on this is inaccurate by at least a decade. In 1974, Dr. Norman Fisk out of the gender clinic at Stanford university coined the term "gender dysphoria" to account for those individuals presenting for treatment that fell outside of the narrowly defined guidelines of classic transsexualism but could nevertheless be helped by hormones, surgery, etc., This mindset spread fairly rapidly to other surgeons and clinics across the country or the U.S. at least, hence the rise of transgender people. I had surgery in 1977 when I was 22 and during my hospital stay, met other trans people for the first time. One was in her 30's and the other two were in their 50's.
QuoteAs a psychotherapist I have found female identified males (G1) to be clinically similar to male-identified females (G2). That is, individuals in both groups have little or no compunction against openly presenting themselves as the other sex. Further, they make little or no effort to engage in what they feel for them would be wrong gendered social practices (i.e., the gender role assigned at birth as the basis of authority). Although I have seen some notable exceptions, especially in male-identified females, these individuals--at the time of presentation for treatment--are rarely married or have children, are rarely involved in the corporate or academic culture and are typically involved in the service industry at a blue- or pink-collar level. With little investment in trying to live as their assigned birth sex and with a lot of practice in living as closely as possible to their desired sex, these individuals report relatively low levels of anxiety about their dilemma. For those who decide transition is in their best interest, they accomplish the change with relatively little difficulty, particularly compared to G3, female-identified males.
I am familiar with Vitale's work and have read this before but as a G1/primary/HSTS/trans kid (whatever) myself, it is shockingly accurate to read again except the "low levels of anxiety about their dilemma" part. I found being a teenage girl then young woman without the proper female bits to be most distressing. The rest of it though from not engaging in wrong gendered social practices, non-involvement in corporate or academic culture, pink-collar industry (I did office/clerical/secretarial work from 19 until I was in my 40's) and transitioning with little difficulty is spot on. It's kind of spooky, actually.
Quote from: Janes Groove on July 31, 2018, 11:43:58 PM
I'm 60 and I can tell you that back when I was growing up being Gay was a lot bigger deal than it is today.
Back then you would get beat up if you were even suspected of being a ->-bleeped-<-got. The thinking then was that the bully was doing you a favor by toughening you up and helping you to not grow up and be a ->-bleeped-<-got which was pretty much the worst thing that could ever happen to a person. It was kind of the bully's good deed for the day. This was all commonly accepted logic and done in the full view and support of parents, teachers and preachers.
I'm 63½ and I approve of this message!

Getting bullied and beat up was considered a character building exercise and pretty much describes the first 10 of my school years. Being seen as a girly sissy ->-bleeped-<- queer homo boy painted you with the brightest and biggest target, a lesson I quickly learned in kindergarten, not that I could or wanted to do anything about it.
QuoteIt was terrorism and was a pretty effective way to drive a person deep into the closet.
If you had a closet to hide in... I didn't or couldn't. Curiously, it was an attack by a group of homophobic boys in 1970 when I was 15 that put me in the hospital and took a month out of school to recover from that acted as the catalyst for reopening up the dialog with my parents about living as a girl even though they had already figured that out well before I said anything about it. They knew I wasn't just gay. Being a boy never made any sense to me or them.
If you want history and have a week to read, try
A Gender Variance Who's WhoIf you have another week to read and are interested in analysis of scientific research, visit
On the Science of Changing Sex but be forewarned, Kay Brown is a staunch proponent of Blanchard's two taxonomy theory, is heavily biased and widely reviled for her support of Blanchard but there is a wealth of information available there that's definitely worth absorbing if one has an open mind.