This kind of thing happens in the US because people try to pretend that transexualism doesn't exist, or they use it as a joke or taunt. Before my fiance discussed her feelings with me and I actually did a little research, my only experience with transexualism were the stereotype of transexual prostitutes, the "Two-Spirit" people of Native American tribes, transexual men in Anime, and Eddie Izzard. It's rather horrifying how well society crushes the idea of "new" differences between people. My ignorance convinced me for the longest time that my fiance was a gay man, but only because I could clearly see that she was not a straight male. I didn't have the tools to look to to help her figure herself out earlier, and it may be working out, but who can tell what good could come of having more of those lost years?
There's no sense in wallowing in events that can't be changed, but I feel like I learn more reasons that the American education system and bigoted American ideals are crap that are ruining the world everyday .