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What is Gender Dysphoria?

EDIT 12/24/2018

If you want to reblog the original version of the post without the edit, you can find it here. >> link <<

I wrote this post 10 months ago, and it’s gained around 3,500 notes in that time. It’s both helped a lot of folks, and gained a bit of controversy in the notes and tags, mostly due to some of my poor wording. The goal of this post was to help people put into words what dysphoria was, since many people toss around the word dysphoria without actually describing what it is in any sort of clear way. I’ve dealt with dysphoria for the past 13 years, working in all that time to put it into words, and talking to others with similar experiences, so I felt that this post would help others, specifically young teens, to do so.

People have questioned if i’m transmed/truscum. I’m not truscum. I’m transmed, but only in the sense I think there are trans people who benefit from medical help and need a very specific kind of activism that will be inherently different than the kind of trans people who do not experience medical dysphoria. I’m binary trans dude who experiences medically-defined dysphoria, so I wrote this post for binary trans people with medically-defined dysphoria, and I can’t claim to speak for non binary folks or people with social dysphoria. That form of identity and dysphoria just needs a different kind of activism and I’m not qualified to speak for it. Some folks have added some information onto this post about it, and i’m not going to link a specific one, because, again, I’m not qualified to figure out which one has the better information as I’m binary trans. However you can find it in the notes. You can also find some fair criticisms of my post in the notes if you’d like to read that.

My use of the word ‘tucute’ was a mistake that I regret. I was trying to describe people with social dysphoria that disagree with the gender roles unfairly forced onto them and didn’t have a better term for it, and ended up using that. I think that nonbinary and gender-nonconforming identities are valid and important. But, again, I’m not that. I wrote this post for binary dysphoria, to help folks figure out if what they are experiencing is the currently defined medical dysphoria that would most likely be helped by hormones and surgery, or if it’s of a nonbinary alignment.

I don’t believe in the True Trans discourse. I don’t care for it. People are people. I trust that nonbinary people know themselves, and I have deep respect for that. I cannot sit here and claim to know NB people better them themselves. That would make me a juvenile asshole. I think it’s wonderful that they have found an identity that brings them a sense of wholeness and peace, and I will fight for their acceptance.

However, I have seen more than one case of NB teens impulsively getting hormones and/or surgery and ending up regretting it due to very confusing definitions of dysphoria floating around online. And that’s understandable when most definitions for dysphoria are “when you feel your gender doesn’t line up with your birth gender.” That’s far, far too vague.

Social and medical dysphoria are very different. Both are valid. But getting them mixed up has very real, harmful consequences on young folks that I have seen played out multiple times, and I am tired of it. My hope for this post was to reach young folks to help them understand their dysphoria further so they can better understand their options and paths in life. And it succeeded to a decent degree. I log on periodically to read the notes and tags, and I’m happy to see the people it’s helped, and I take the criticisms of the post seriously.

(And yes I know some NB folks can also experience medical dysphoria at the same time, I’m talking about specifically NB folks who don’t but due to the confusing nature of trans politics at the moment, a lot of people get confused about the various paths of what being trans means.)

Anyway, Happy Holidays.

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Something you’ll see asked a lot is what exactly gender dysphoria is (and isn’t), and, for good reason – it’s something not a lot of people explain well. Please understand this is in no way a 100% comprehensive guide, and I am not a psychologist, but from my research and personal experience, this is the more common forms of manifestation, as well as the things commonly mistaken to be dysphoria but aren’t actually.

Before I can ever begin, I need to define two seemingly self-explanatory words that is often the ideological splitting point of confusion for people: Sex and Gender.

Sex: Two members of one species that are needed together to reproduce. One is dominated by Estrogen (Female) and the other Testosterone (Male.) Both sexes have both these hormones, but one more than the other. Hormones tell the body to put priority in certain features and growth in the body in order to prepare that body for reproduction. This is called sexual dimorphism. Sexual dimorphism isn’t artificial, there are very real biological difference between the male and female sexes of a species. This can be measured scientifically.

Gender: Originally interchangeable with “sex”, gender in relatively recent human history has come to largely refer to the social and cultural expectations put on each sex, known as Gender Roles. Gender Roles is the artificial, cultural tropes that have adhered itself to either sex, such as blue is for boys, girls like to wear dresses, etc. We know these are artificial tropes because those two examples used to be swapped (boys wore dresses in some time periods, blue was a feminine color). Because of the ever-changing definitions of the male and female gender roles, they cannot be measured scientifically – they are entirely artificial.

So, there are two groups of people: One that believe sex and gender are the same thing and gender should never be used to refer to these sorts of tropes, and the other believes that sex and gender should be separate as sex is biology and gender refers entirely to gender role tropes. And this reluctance to collectively decide on a definition has brought about a lot of confusion about gender dysphoria.

People who are politically trans (”tucutes”) believe gender dysphoria is entirely about gender roles, even to a point they are denouncing the medical research as unproductive and harmful. Which would make sense if Gender Dysphoria was a political issue – but it’s not, and shouldn’t be, because Gender Dysphoria has had decades of research and support from the psychiatric community.

What Gender Dysphoria Isn’t.

Liking clothing usually attributed to the opposite sex

Enjoying hobbies that are dominated by the opposite sex

Disliking sexism directed at your birth sex

Feeling as though people will take you more seriously as the opposite sex

Wanting to be allowed to do something that is seen only for the opposite sex, but will have you mocked if you try to do it as your birth sex (makeup, not shaving your legs, etc)

Feeling disconnected from your birth sex because none of the examples of your birth sex in your family, school, or work act like you, and you feel as though they are alien-like

Feeling like the opposite sex is better because all the examples of your same sex in your life are toxic, abusive, or unpleasant people

Feeling guilty for being or identifying as your birth sex because your peers told you your birth sex or you identifying as your birth sex is objectively harmful or undesirable

Hating the way you look.

Wanting to be able to play with toys that are associated with the opposite sex, but doing so gets you called a tomboy/sissy/etc.

As you may have noticed, many of these examples of what gender dysphoria isn’t have to do with political and cultural baggage revolving around gender roles for either biological sex, and the very real psychological discomfort they can cause. But all these things are about how you relate to the outside world.

When in reality, gender dysphoria is entirely about how you relate to yourself.

What Gender Dysphoria Is.

Gender Dysphoria, like any other medically defined condition, will vary in how the person experiencing the condition will display the symptoms. Some people are naturally more sensitive to some symptoms, and less others. Some people are not able to cope well at all and are a total wreck about them, and some manage to ignore and numb the symptoms to a point they don’t realize anything is wrong because they are so used to drowning the symptoms out.

You see this a lot with chronic pain – some are very obviously in agony, while others have become so used to ignoring the pain that it only displays in ways that aren’t directly obvious: stress, anger, depression, etc.

The best analogy of how dysphoria often feels like is the trope of the trans person looking in the mirror, except in reverse. This trope often depicts the trans person standing in front of a mirror, the reflection showing who they REALLY are, while the viewer can see the trans person for what they really are in front of the mirror – their birth sex. But to a trans person, this feels like the opposite. Subconsciously, we’ll feel like the sex we know we are, but when the world outside of us brings to attention that we’re not what we expect ourselves to be, it can result in varying levels of distress.

Gender dysphoria will not be experienced by everyone the same, but with all medical conditions, there are still certain things that will remain consistent, even if its expression can vary in intensity. Because of this, I will offer three levels of intensity for each dysphoria symptom to try and cover all degrees of intensity. And remember, these are just examples and should not be considered a play-by-play book for situations that you need to exactly adhere with.

Subconsciously feeling your body is “off.”

Low Intensity: You know, logically, this body is yours, but it doesn’t really feel yours. You’re not sure how other people are so confident in Knowing their body is theirs. You just don’t feel this innately.

Medium Intensity: You don’t recognize yourself in the mirror. You logically know this person is you, but it doesn’t *feel* like you. Unless you have an active reminder of your body, such as pain or a reflection, you forget you’re in it. You forget certain parts of your body exist. Maybe you have attributed it to sex by now, maybe you haven’t.

High Intensity: You look in the mirror, and it makes you angry. You know something is wrong, and when you finally realize what it is (your breasts, for example) you develop an intense hatred of them, a fear of them. You hate everyone can see them, see that they exist on you. They feel foreign, like an alien. They don’t register as yours. Worse yet, you know people are assuming things about your body from the fact they exist at all.

Feelings of distress at noticeable contrasts

Low Intensity: You notice the arm of someone of the opposite sex, and how different its features are from yours. It makes you uncomfortable, but you can’t really pin why. Or maybe you can. You try to ignore it.

Medium Intensity: You’re talking to someone, and you’re really put off by the difference between your voice and theirs. You find yourself wanting to sound like them. You may begin to avoid situations online where you need to use your voice, because you don’t feel like you sound correct.

High Intensity: You’ve become so sensitive to the contrasting differences between you and the opposite sex that you begin to entirely avoid the opposite sex all together. Surrounding yourself with the same sex feels counter intuitive, but it allows you to ignore the things off with your body much more successfully.

Noticing different expectations of gender roles, and having them amplified by already feeling your disconnected from your birth sex.

Low Intensity: When in school, your class is split up into male and female groups for the gym or for a class project. You feel alienated by this, even if you can’t pin why.

Medium Intensity: The clothing your sex is expected to wear at your age leaves you feeling exposed – it accents the features you try best to ignore. And worse yet, it draws the attention of others to those features.

High Intensity: The idea of anything adhered to your birth sex revolts you – you cannot stand being associated with it due to what it *says* about you… what others assume. Which sucks… because you like some of it. But it’s not worth the assumptions of others.

Feeling sexually awkward or inadequate due to subconscious expectations of your sexual workings

Low Intensity: You like the opposite sex, maybe bisexual or straight. But when you watch porn or fantasize about it… you find yourself placing yourself in the point of view of the opposite sex… Or you only like same sex porn of the opposite sex, yet still find yourself placing yourself in one of their point of view despite not being that sex. it just feels more natural.

Medium Intensity: You can’t masturbate the way your birth sex is “meant” to masturbate – something about it just doesn’t feel natural. You find another way to get off, maybe you mime the action of the opposite sex’s genitalia, or get off by thrusting/humping a pillow like the opposite sex would during sex.

High Intensity: You know you’re not asexual, but you functionally might as well be. The fact your genitals don’t work remotely the way you feel they should work has defeated any libidio you would have otherwise had. Your sex life is awkward – you find yourself focusing on pleasuring your partner, and politely declining when they offer to get you off. Using toys has prosthetics doesn’t really help either, sometimes it’s nice but more often than not it just results in you noticing your lack of the proper genitalia even more starkly.

In Conclusion

If you’re wondering if what you feel is clinical dysphoria and not just feeling hurt by the harmful tropes inflicted by gender roles, ask yourself this question:

You’re the last person on earth. There’s a button that, when pressed, will turn you into the opposite sex perfectly. You won’t get to choose how you end up looking, that’s decided by your genetics, and you won’t be skinnier or heavier either. There is no one around to judge you or treat you differently for either decision you make. There is no reverting the change.

Would you press it?

Why or why not?