Undoubtedly some will maintain that their cross-gender identity existed always and did not become stronger through transitioning.
Others will find that their cross-gender identity was strengthened or at least more forcibly acknowledged through transitioning.
For some, it's difficult to look in the mirror, see a gnarly man and say, "I am a woman".
So, obviously, (in the case of MTF's) one needs some sense of female identity to start down the road to transition.
Along this road, one may discover a new-found joy and depth in a female identity.
Thus, the chicken and the egg paradigm.
Any thoughts?