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This group is usually sexually attracted to members of their natal sex in adulthood, commonly identifying as heterosexual or straight. Sometimes gender dysphoria will stop for a while in this group and they will identify as gay or homosexual for a period of time, followed by recurrence of gender dysphoria. Early-onset gender dysphoria is behaviorally visible in childhood. Gender dysphoria in those assigned male at birth (AMAB) tends to follow one of two broad trajectories: early-onset or late-onset.

ĭistress arising from an incongruence between a person's felt gender and assigned sex/gender (usually at birth) is the cardinal symptom of gender dysphoria. Without the classification of gender dysphoria as a medical disorder, gender affirming surgery may be viewed as a cosmetic treatment by private or public health insurance, rather than medically necessary treatment, and may not be covered. Some researchers and transgender people support declassification of the condition because they say the diagnosis pathologizes gender variance and reinforces the binary model of gender. Treatment may also include counseling or psychotherapy.

Treatment for gender dysphoria may include supporting the individual's gender expression or their desire for hormone therapy or surgery. The causes of gender dysphoria are unknown but a gender identity likely reflects genetic, biological, environmental, and cultural factors. According to the American Psychiatric Association, not all transgender people experience dysphoria the critical element of gender dysphoria is "clinically significant distress". Gender nonconformity is not the same thing as gender dysphoria and does not always lead to dysphoria or distress. People with gender dysphoria commonly identify as transgender. The condition was renamed to remove the stigma associated with the term disorder. The diagnostic label gender identity disorder ( GID) was used until 2013 with the release of the DSM-5. Gender dysphoria ( GD) is the distress a person feels due to a mismatch between their gender identity-their personal sense of their own gender-and their sex assigned at birth.