Children in Transition 1

True or homosexual transsexualism, which is usually known as HSTS, is the product of ‘transgender homosexuality’. In this, the individual experiences anomalies in testosterone delivery while still developing in his or her mother’s womb. In girls, too much will cause masculinisation but in boys, too little will cause feminisation. The effects may be observed in children.

The effects of this depend on the severity of the anomaly and the point in foetal development at which it occurred. For example, in boys, the genitalia develop before the brain structures related to sexuality and gender do. So a boy can be born with normal genitalia and, potentially, a sexuality that is so feminised as to be completely female.

The effects of this may be seen soon after birth, when children will begin to display opposite-sex behaviour and play patterns. These are often called ‘Gender Non Conforming’ or GNC but this is misleading, since they are actually sex non-conforming. These may include toy preferences and role preferences in community play. This can begin to be observed as young as age two and parents should be vigilant. If persistent and consistent ‘GNC’, which I will now refer to as ‘sex non-conforming’ or SNC, is being observed in their child then there may well be an issue.

The effects of the testosterone delivery anomalies cannot be cured or repaired. While their intensity varies, they do not resolve themselves as the child approaches adolescence. In milder cases, the child may, under pressure from parents, peers and professionals,  may outwardly present sex-conforming gender traits. This is not desirable, as it will lead to problems later in life.

In the past, unfortunately, this was usually touted as a great triumph for the parents or professionals who had been trying to achieve exactly this result, that is, to suppress SNC behaviours and replace them with conforming ones. But this has always been a mistake, formed in the erroneous belief that gender is learned. It is not. It is specifically conditioned by sexuality and as we have seen, this is one of the parameters that can be conditioned by in-utero testosterone delivery.

Children are agreeable

Children try very hard to please the adults around them and, as a result may go along with the expressed desires of those adults, especially when they are couched in particularly hostile or menacing terms, such as ‘if you go on like this you’ll never fit in’. Even worse is parental shunning, which is simple child abuse.

This means that whatever the child is going to be, that child is going to be, even if he or she is forced to cover it up. Often, sadly, ill-informed professionals will suggest that life might be easier if the child were to become one of the ‘regular gay folks’ whom these individuals imagine are living perfectly happy, well adjusted lives. The trouble is, they’re not.

If a boy has inverted sexuality, then he has female sexuality. That means he desires to be penetrated but much more than that; it means he wants a strong masculine man to do it — just like any other normal girl. Similarly, a girl with sexual inversion wants a beautiful, feminine young woman to love. Yet in the Anglosphere in particular, conventional ‘gay’ wisdom insists that ‘regular gay folks’ should form bonds with other ‘regular gay folks’. In other words, that highly feminised males with female sexuality should partner others just like them, and vice versa for girls. This is partly the result of a complete failure to understand transgender homosexuality as well as, unfortunately, the activities of misguided ‘gay’ political activists.

But any relationship between two male transgender homosexuals is, by definition, lesbian, when what they want to be is the female partner in a heterosexual, or at least, heterogender, relationship. This is inverted in females.

I was recently contacted by a charming individual, a very masculinised female transgender homosexual, who complained bitterly that, while her parents had accepted her lesbianism, they constantly tried to make her have relationships with other ‘butch lesbians’ and could not understand why she wanted to date highly feminine, conventionally attractive straight girls. This had blighted her life. She sent me pictures of two of her former partners — exactly the kind of girls that a straight man would date: feminine, pretty, stylish, sexy.

The problem, of course was that my correspondent’s parents were typical ‘liberals’ while she herself, like nearly all transgender homosexuals, is conservative. These individuals do not wish to challenge social, sexual or gender norms. They are not seeking to promote the latest politically correct gender fad. They just want to fit into society, in a completely conventional manner, in the gender they feel themselves to be. There’s nothing ‘transgressive’ or ‘politically correct’ about it. They just want to be themselves and they will change everything about themselves so that they can be accepted as such. They have no interest in ‘changing the world’; they just want a social space in it, on their own terms.

Transgender homosexuals are the same as heterosexual people except their sexuality does not match their birth sex. That’s the only difference. In other words, male transgender homosexuals are no more attracted to other such, of the same sex, than any other girl would be, so why would they date them? Same applies to females. Butch lesbians want Suzy Creamcheese, not Bob the Builder.

‘Gay’ lifestyle

Any transgender homosexual who ends up joining the ‘gay’ lifestyle will not be happy, because their sexual targets are not available to them there. There are no genuinely masculine males in that culture; they are all either transgender themselves, narcissistic homosexuals or pederasts. Something similar appears true of females, although there is less evidence of pederasty. There is no hope of finding an appropriate partner for a transgender homosexual in these circles. None.

Gender and sexuality are inextricably linked. It is true that ‘gay’ activists and ‘queer theorists’ deny this, but they are living a lie that they hope others will join them in. If you have male sexuality, then your gender must be masculine, since you wish to attract partners happy to be penetrated by you. If you have female sexuality, then your gender must be feminine, because you seek masculine male partners.  Feminine ‘gay’ males have female sexuality and butch lesbians have male sexuality. Rocket science, this is not.

If the sexuality-gender  link is broken, then the individual will suffer Gender Dysphoria (GD). This is simply transition desire taken to the next level of intensity. It is axiomatic that all transgender homosexuals, who remain sex-conforming, will suffer from GD. The intensity of their discomfort will depend on the precise nature of the discrepancies in testosterone delivery they received in utero — and possibly, the amount of substance abuse they indulge in to suppress it.

This is why ‘gay men’ are so angry

Have you ever wondered why ‘gay men’ are so famously ‘waspish’? Why is Owen Jones so angry all the time? What about Peter Tatchell? Why is it that the ‘happy gays’ are always the most flamboyant, effeminate ones? Because the former are desperately suppressing their natural gender and the latter are, at least partially, accepting it.

For those people whose Sexual Inversion is most powerful, then full transition to the opposite gender is necessary to avoid a life of misery and self-loathing. For boys it is worse, as, within the LGB cult,  they will be preyed on ruthlessly by pederasts whose attraction is to their youthful masculinity — and who will quickly dump them for a younger partner. This horrible, abusive cult is entirely of Western making. It exists nowhere else. No parent in their right mind should desire this for a son, when that son could transition, become a beautiful daughter and find a decent man to love her.

This result is possible; transgender homosexuals and HSTS are a very small number of people, but the numbers of potential partners are increasing rapidly. Over the last ten years, the number of publicly visible MtF HSTS in the West has increased dramatically, but so has the number of straight men prepared to be their partners. In time and with good will, this should stabilise. If men are able to refuse the status of ‘gay’, forced upon them for their heterogender desire for transwomen, then they are far more likely to openly indulge it; the same applies to women partnered with masculine lesbians. These are heterogender, conventional relationships. Nothing ‘gay’ about them.

That this drives a coach and horses through the whole Western concept of ‘gay’ and ‘queer’ identities should concern nobody; these very identities were invented less than 70 years ago, for political expediency and their time has run out.

Parents of children like this need to be pro-active.

We have read much from advocates of status quo, many of whom are little better than transphobes, exalting the wonderful life that can be found inside the gay male lifestyle. It has become a Shibboleth, a sacred cow. One must never criticise the New Gay Man.

Yet the figures do not add up. Almost no ‘gay men’ are in longstanding relationships. Those that last more than one year are exceptional and most last only weeks. Occasionally, it is true, two male transgender homosexuals will form a bond but in this case, it is probable either that one will become more noticeably masculine and the other feminine, or that they very quickly stop having sex. Suicidality is high and life satisfaction low. As they age, many transgender male homosexuals will themselves become pederastic predators, seeking to love the beautiful boys they once were, especially if they were themselves pedicated by an older man around puberty.

Parents need to be aware that much of what they are being told comes from a political viewpoint which insists that conventional Western homosexuality, that is, sex-conforming, is the only form. But that is a flat lie. All over the world, sex-conforming homosexuality is so exceptional as to be practically non-existent. SNC forms are far more prevalent and have been, throughout history. Indeed, the forms seen mainly in the Anglophone West did not exist prior to the 1960s. This is a recent, politically correct model, that is all.

Unfortunately, it survives by luring new recruits in and to the advocates for this lifestyle, like, famously, Jim Fourratt, every HSTS who transitions is meat lost to their grinder.


Parents need to be aware of several things. If you have a child who is exhibiting SNC behaviours, then there is a chance that he or she is transgender homosexual. If these behaviours are presistent, consistent and insistent, in other words, are more than a passing fad, then the likelihood of this is hugely increased.

A transgender homosexual will always be homosexual. The question is only about how he or she appears. You cannot ‘cure’ this form of homosexuality. It is not acquired but instead is innate.

A transgender homosexual will transition if his or her transition desire is stronger than his or her fear of the consequences of transition. Further, they will only transition if they believe they can ‘pass’, that is, be able to live, unremarked, in their desired gender.

In addition, they tend to be extremely agreeable people who can often be easily led. This means that parents must be extremely careful in what they say. It is true that some transgender homosexuals can live in sex-conforming roles, but this is at the cost of a life of Gender Dysphoria. This can lead to self harm and suicide. It certainly will lead to diminished self-worth and almost certainly, to resentment.

Especially for males, transgender homosexuals have a a limited time. If they do not transition by around the age of twenty, they may not be able to at all, since the masculinisation being effected on their bodies by testosterone may make it impossible for them to ‘pass’. Sadly, it appears to be the end of certain commenters, including some claiming to be professionals, to ensure exactly this: that transgender homosexuals are prevented from transitioning until it is too late.

Gendercrit — a vicious alliance

A vicious alliance of feminists and homosexual activists has come together as the ‘gender critical’ or ‘gendercrit’ movement. These are politically motivated individuals. The feminists believe in the tired, long debunked crock that ‘gender is just a social construct’ which, of course, the existence of an innate sense of gender destroys completely. So they are determined to suppress any such evidence and they don’t care how much damage they do. At the same time, the New Gay Man homosexual activists are desperate to acquire fresh meat and the one thing no HSTS will ever do, is be a part of the New Gay Man lifestyle.

These people will use any lie and untruth they can find to oppose transition and will savage parents who assist their children in finding their real selves. Do not trust them.

On the other hand, parents should not be railroaded by political activists on the ‘pro-trans’ side. If your child is not homosexual, the chances of a successful transition diminish massively. Some non-homosexual individuals may transition successfully, especially if they do so in their teens, but most — and this applies especially to females — will struggle.

The reason is that the same anomalies in testosterone delivery that cause the sexual inversion and lead to transgender homosexuality, also affect other areas. Affected males are feminised across a range of parameters and females are masculinised. In other words, they naturally look like the opposite sex. Non-homosexual transition desire is not founded in sexual inversion at all and so the affected individuals do not share these qualities. They are unremarkable men, or unremarkable women and are sex-conforming on all parameters. Transition for these individuals, except for a fortunate few, is a challenge.

Homosexuals and non-homosexuals are different.

For transgender homosexuals, however, transition is the natural and most reasonable thing to do. Parents must not push the ‘gay lifestyle’ on their children, even if they are called ‘homophobic’ for not doing so. After all, how is homophobia worse than transphobia?

For the parents of non-homosexual children the situation is much more complicated.

In the end, the child alone must decide what is best for him or her. It is a parent’s job to listen, to protect and to assist. It is not a parent’s job to decide, but to support.

Sexual Inversion and HSTS: a causative link


Many people have asked for more details about the background to HSTS, homosexual transition desire and the cause of these phenomena. These are legitimate questions. The answer, with a massive amount of supporting evidence and research, appears to be a phenomenon that was discovered over a hundred years ago, called ‘Sexual Inversion’.

Sexual Inversion is the theory that anomalies in sexuality and gender are the result of biological rather than psychological factors. It is well established. There is plenty of evidence to suggest that it is what causes Transgender Homosexuality, which can be either feminine-male or masculine female. This means that it is also the underlying cause of homosexual transition desire, which becomes homosexual Gender Dysphoria in severe cases, and, ultimately, True or Homosexual Transsexualism (HSTS). The striking clustering of physical attributes and behavioural conditions typical of HSTS have always suggested an innate, biological cause and Sexual Inversion is the obvious one. It was identified over a hundred years ago by Karl Ulrichs and expanded on by Havelock Ellis.

Numerous papers have supported this idea and, most recently, Professor Simon Baron-Cohen has extensively studied the phenomenon of hormone delivery issues in utero. While Baron-Cohen’s interest is in other effects of this phenomenon, much of his work, again, supports the Sexual Inversion Theory.

Sexual Inversion is most likely a result of anomalies in testosterone delivery in the womb. This can have numerous effects. The Theory posits that one, where less than optimal amounts is delivered to boy foetuses, results in feminisation across a range of parameters including sexuality, ie boys are same-sex attracted and so cross-gender identified, from childhood and girls the opposite. Sexual Inversion therefore should properly be thought of as an ‘intersex’ condition rather than a ‘trans’ one. It is biological rather than psychological.

Transgender Homosexuals and Sexual Inversion

Transgender Homosexuals are those individuals sufficiently affected by Sexual Inversion for it to have affected their sexuality in obvious ways. This is not always the case; in mild forms, sexuality may not be affected enough to be obvious or even visible.

Some are really on the cusp; they inhabit a somewhat indeterminate gender zone, which in the West is often misidentified as ‘non-binary’. It’s not, it’s just a point on the aetiology between fully feminine and somewhat masculine gender presentation, resulting from incomplete Sexual Inversion and social intolerance of transition. It’s quite common to meet such individuals sometimes as girls and sometimes as boys; one gets used to it and the surprise is often that they can do it so well. But for some, the effect is so strong that they have real difficulty living in the gender normally correspondent to their sex. These are the HSTS, the True transsexuals.

To dig deeper, we need to understand the two basic types of transitioner as defined by Dr Ray Blanchard: Homosexual and Nonhomosexual. Although Blanchard has, to my knowledge, never stated this, it seems clear that his Homosexual category is identical to previous descriptions of those with Sexual Inversion: they are transgender homosexuals. It is, at least, impossible to draw a distinction between the two descriptions. Blanchard also commented on the striking homogeneity of what he called ‘feminine homosexual males’, which again, corresponds exactly to the Sexual Inversion theory.

Blanchard seems to have de facto accepted the logic of Sexual Inversion as the explanation for HSTS, without ever explicitly saying so, certainly in his papers, although perhaps he alluded to it more in lectures. His investigation into nonhomosexual types therefore became something like ‘It’s easy to explain the homosexual type, since they obviously have Sexual Inversion; but how can we explain non-homosexual transition desire, since they clearly do not?’

In Blanchard, ‘homosexuals’ are ‘exclusively attracted to same-sex from childhood’. Nonhomosexual is everyone else. There is no ‘bisexual’ classification. All transitioners — indeed, all of us — are either homosexual or nonhomosexual by this measure. It is an on-off switch. However, this conflicts with what we know of Sexual Inversion.

Bisexuals and Freud

The Western sense of the word ‘bisexual’ was popularised by Freud, who was a convinced nurturist. He remains influential in the US, where he was most popular and where, possibly as a result of the US’ history, the idea of genetic predetermination is regarded with hostility. He believed that everyone was bisexual at birth and it was only conditioning that caused them to be either heterosexual or homosexual. Further, he believed that exclusive homosexualism was caused by childhood traumatisation, possibly sexual in nature. Exclusive heterosexuality, on the other hand, was formed by a normalising process of socialisation. He had no explanation for the clustering of physical characteristics and behavioural traits found in transgender homosexuals at all; that alone should be enough to torpedo him.

Freud was partially correct, nonetheless; there is definitely evidence that traumatic experiences can affect sexuality. A clear example would be Pederastic homosexuality, in which boys subject to this often themselves become pederasts. However, Sexual Inversion is an innate form of homosexuality that was identified before Freud came to prominence. That he did not take it more seriously tells us much about Freud’s approach to science: it was useful only when it agreed with his theories.

Freud’s position was important, not least because it was so influential on subsequent thinking. It fitted with the ‘blank slate’ ideology that had been popularised by Franz Boas and later, Margaret Meade. Their ideas can be seen as the foundation of US academic thinking, at least until the late 1960s and the appearance of the Neo-Marxist cultural movement popularly called ‘Postmodernism’ and championed, in this field, by Michel Foucault.

In Blanchard, HSTS are never bisexual; one is either homosexual or nonhomosexual. But this presents us with a conundrum, if the root cause is Sexual Inversion. This, being a biological phenomenon, must exhibit variation. The effect of variation would mean that it is stronger in some cases than in others. That might mean that, at the least affected end of the aetiology, some people are somewhat ambivalent in their sexuality and appearance: bisexual. This sounds as if it should provoke bisexualism, which somewhat contrasts with the Blanchard position. We need to explain this.

For Freud, all people were born bisexual and environment decided sexuality; in the Sexual Inversion model, most people have normative sexuality, while a subset have an innate inversion of sexuality (and therefore gender) that can be full or partial. These are fundamentally different. An environmental factor, social intolerance, does have a role here, in causing the least affected to remain covert about any non-conforming feelings they might have; but again, this is quite different from suggesting that sexuality itself is formed by environment. Sexual Inversion Theory proves that in fact, sexuality and gender are innate and hard-wired together.

Note that we are here taking ‘male inverted sexuality’ to mean ‘female sexuality’ which is to be penetrated and requires feminine gender, to advertise this to the world. (We are not talking about acquired sexualities like Pederastic homosexuality here.)This likely accounts for the well known failure, in the infamous Money/Reimer case, to condition a natal male, whose penis had been burned off during a ‘routine’ circumcision as a baby, into ‘becoming’ a girl. Absent at least some degree of innate Sexual Inversion, it could not possibly have worked. Once again, the link between sexuality and gender is supported by the evidence.

Feminisation and female sexuality

Across the board, all male Transgender Homosexuals, that is, feminine males, those who have been affected by innate Sexual Inversion, are feminised. They are not the only kind of male homosexual, as I’ve pointed out; there are acquired forms too. However, they are all feminised to some degree, notably in sexuality (ie they want to be penetrated and seek men to do it). But we also know that bisexualism (Western sense) is a common part of female sexuality. Together, these would theoretically open the door to the idea that some MtF HSTS might also exhibit it, since they have inverted, ie female, sexuality.

This would not conflict with Blanchard on Autogynephilia, since his Typology states that ‘all nonhomosexual male gender dysphoria (ie, transition desire) is caused by Autogynephilia’. He places no such definitions on Homosexuals, because their homosexuality and thereby their Sexual Inversion, itself is definitive. However, the on/off nature of his triage can be misleading here and I think we are justified in asserting that apparently bisexual attractions and feelings, in young people with Sexual Inversion, should not be regarded as meaning the individual is not HSTS.

However, note: the above means that a Male-to-Feminine (MtF) HSTS, that is, a fully Sexually Inverted male who had transitioned, who did exhibit this attraction to women would be showing, at least partially, lesbian attraction as a part of her female sexuality. I have encountered cases like this, amongst transsexual sex workers who share apartment, bed and life as partners. But this might be more of a lifestyle accommodation than a real desire. Many poorer people from southeast Asia habitually sleep in common beds and it would be easy to misread this. (Again, it is next to impossible to be sure of the truth of what one is being told about a person’s sexuality, when that person is trying to sell some sex, especially when there is a language barrier.) However, it would contrast with what we see in AGP, where pseudo-bisexualism provokes the desire for sex with men.

If this is so, however, then we can explain HSTS, full homosexuality, partial feminisation (effeminacy) and bisexualism all in terms of Sexual Inversion, for both sexes. Given that we have studies that show that anomalies in testosterone delivery do indeed occur, and the length of time the ideas behind it have been expressed, it is baffling that Sexual Inversion is not fully accepted.

Sexual Inversion and Young People

From the point of view of a person who thinks he or she might be HSTS, understanding the nature of Sexual Inversion, that it is innate and cannot be reversed and that the simplest and kindest solution is to follow it to its natural conclusion, transition, is the lesson to take from this. While many such individuals will be comfortable with hormonal and social transition, for some, full surgical transition is necessary.

Happily, sexuality crystallises with age and by roughly one to two years after puberty, it will be clear whether the characteristics of Sexual Inversion are present in sufficient strength to warrant transition. In most cases, everyone will have been aware what was going on for years, anyway. If the diagnosis is affirmative, therapies preparatory to transition should be implemented, including ‘puberty blockers’ and lifestyle options. These will put the brakes on masculinisation (if male) and help the individual to get used to living fully in the target gender. Full endocrine therapy for MtF can be started around sixteen, although the more drastic and long-lasting effects of testosterone in FtM suggest that this should not begin until legal majority.

Sexually inverted young people and those who care for them, today are bombarded by conflicting advice. An unholy alliance of religious conservatives, feminists and conforming ‘gays’ has come together in the ‘Gender Critical Movement’ which is determined to shut down all transition. This is clearly abusive and is happening for obviously political reasons, with no thought for the individuals concerned. On the other hand, enthusiasts are guilty of encouraging transition at far too early an age and without anything like sufficient rigour. The individual and his or her family and professional helpers must find a way through this minefield.

Identifying HSTS

Perhaps the most important issue, for HSTS, is in identifying who is and who is not HSTS. We discuss the differences between HSTS and autogynephilic transvestites elsewhere, but here we are seeking to help people who think they might be HSTS, or who think their child might be, in identifying and understanding what is actually going on.

Continue reading “Identifying HSTS”

What is HSTS?

HSTS stands for ‘homosexual transsexual’. This describes a set of people with very specific characteristics.

The most significant of these is unique attraction to the same sex, from childhood. This applies equally to those born male and those born female. This characteristic is marked and always present.

This does not mean that HSTS are ‘gay men’. They’re not. But their transsexualism is directly linked to their sexuality, which causes them to be romantically and sexually attracted to members the same sex — typically, HSTS transwomen will like classic, masculine, strong men, often older, and HSTS transmen will like conventionally beautiful women.

There are a number of secondary characteristics that emphasise the way that HSTS are physically and behaviourally shifted towards the norms for the opposite, rather than their own, sex. Although there is quite a lot of variation in these, broadly speaking they will be present to at least some degree. These include having same-sex crushes, cross-dressing as children identification with female (if male) role models and so on. These behaviours are known as ‘gender non-conforming’ or GNC.

Some characteristics are different for those born male and those born female. These are propensities and are not absolute, nor are they present in all cases. They will be present in most, however.

For males, they include: a tendency towards slightness of build and lightness overall for height, when compared to related males; fine bones and features; a tendency towards facial neoteny, otherwise known as ‘baby-face’; tendencies towards strongly feminine behaviours and comportment; a dislike for rough-and-tumble contact sports, although they may enjoy other sports — volleyball rather than basketball, for example. They may be small as well as slight, although this is not always so. As children and teenagers they may enjoy dancing, art, music, and more typically feminine recreations.

For females, characteristics include: heaviness of build and increased natural muscularity; a preference for contact sports and games; possible masculinity in their features; a propensity to enjoy more typically masculine sports and play.

Note that just because you or your child exhibit some of the above, that absolutely does not mean that this must be a case of HSTS. Plenty of boys like sewing, as legions of tailors and leather-workers will attest and art schools are full of women sculptors. This holds across the array of secondary characteristics.

To reiterate, ALL HSTS are strongly homosexual in their sexual and romantic orientation and without that, there is no indication of HSTS, irrespective of any of the other characteristics. However, not all homosexuals will transition to full HSTS.

The determination as to whether a person is or is not HSTS can only be made by the individual over a long period of time.

Whether or not a person should transition depends on a range of factors, most notably which gender they feel most discomfort in. This discomfort is called Gender Dysphoria. (See below.) Where it is most intense and, in HSTS this is usually associated with strong secondary characteristics, the individual may struggle to cope with living in the sex-conforming gender. If these feelings of discomfort or distress outweigh any feelings of rejection or exclusion by the culture around them, the individual will probably do better by transitioning.

‘Transition’ can be be social-only or surgical.

In social transition, the person lives as a member of the opposite sex, takes cross-gender hormone replacement and may seek cosmetic surgeries but not Genital Reconstruction (GRS) or transition surgery. In surgical transition, this last is specified, as well as the others. Again, this is on a scale of intensity and it’s affected by culture. More HSTS are likely to surgically transition in a society where this is made available and is affordable, than in others. Both social and surgical transitions are valid and this is not a hierarchy. Both socially and surgically transitioned HSTS are HSTS.

(We do not use the older definition of ‘transsexual’ that was applied only to those who had surgically transitioned. We apply it to both socially and surgically transitioned HSTS.)

For MtF transition surgery today is an extremely successful procedure both cosmetically and functionally and most candidates, once recovered, need no further intervention. Still, it is a major decision that must be taken with care.

Many HSTS live full and happy lives; transition is not a failure, but a natural end-point that is appropriate for some individuals, though not others. As such, those who are successful in it should be lauded. Neither transition nor non-transition are ‘better outcomes’ in any general sense, because the better outcome is the right one for a particular individual and everyone is different. Only the individual can make that decision. From the point of view of individual, family, and professionals, the objective should be that he or she lives a full and happy life and can achieve their romantic and other desires, irrespective of the gender they present in.

Nature or Nurture?

There is evidence that HSTS is not a mental, but a physical condition, possibly the result of abnormal hormone delivery in the womb. While this is not yet confirmed, the clustering of physical and behavioural characteristics in HSTS individuals tends to support the idea. Brain scans using MRI imaging techniques have shown that in some areas of the brain, HSTS are different from heterosexual males. While correlation is not causation, this is another straw in the wind pointing to an innate cause for HSTS. In addition, there is no solid evidence to suggest that homosexuality itself can be ‘conditioned’ into a child and so it must be innate.

HSTS can, though, suffer some co-morbid mental disorders such as anxiety and depression as a result of the difficulties their condition presents and it is important not to ignore these as part of a balanced treatment pathway.

The decision to transition, either socially or surgically, may be influenced by social pressure, professional counsellors and so on, but the extent to which this is effective is unknown. However, those around a GNC child who shows signs of being HSTS should take great care to ensure that the child’s desires and well-being, and not their own or the broader society’s, are the focus of any intervention.

In many ways, although we call this homosexual transsexualism (HSTS), the inverse is more appropriate: transsexual homosexuality. This makes its relationship to gender-conforming homosexuality much more clear: they are both points on a scale of development with HSTS being at the extreme end. For individuals in this group, transition can be an appropriate, even vital, life-choice.

Gender Dysphoria in HSTS

One of the terms you will hear often is ‘gender dysphoria’ (GD). This refers to an intense feeling of discomfort at publicly presenting in the gender that normally would conform to your birth sex. If you are not trans and are male, imagine for a moment how you would feel if you were to go into work tomorrow wearing a mini-skirt, heels, stockings, a wig and make-up. It is likely that this would make you feel quite uncomfortable (unless you are actually trans). Gender Dysphoria or GD is presented as something like that, but worse.

A diagnosis of Gender Dysphoria is required for cross-sex treatment under the WPATH (explain) guidelines. Two psychological assessments confirming this and stating that the indicated treatment is surgery, are required under the same rules, for GRS. While calling yourself ‘transgender’ has become a fashion option in recent years (one reason why we don’t use the term) the diagnosis of GD remains the basis of clinical treatment.

We believe that a proper and complete understanding of the exact nature of the HSTS condition is essential to ensure that the person receives the correct advice, treatment and guidance before, during and after any transition. While transgender is by and large a meaningless term, transsexual is by no means fully descriptive of all those who experience GD.

This fashion for ‘transgender’, which is socio-political and not psychological or sexual, harms HSTS directly. HSTS are genuinely transsexual and while not all, by any means, need surgery, nearly all require HRT and possibly other therapies including cosmetic surgery. The idea that a person can be any ‘gender’ they claim just by saying so, and without any observable or measurable symptoms, undermines and erases the real issues that HSTS face, which are not a matter of fad or fashion.

Even worse, the relentless conflation of two totally different phenomena, HSTS and non-homosexual trans, causes yet more difficulty, with, once again, HSTS suffering.

Non-homosexual or autogynephilic MtF trans people can have various types of body dysmorphia. This is a result of Anatomical Autogynephilia, where the subject not only desires the body parts of a woman but also is repulsed by his own sexual organs. This can be so intense that he desires to have them reshaped into a cosmetic vagina. Many will never use this for sex with a man, because they are heterosexual and attracted only to women. Some will; these are called pseudo-bisexuals. However, the point is the extreme feelings of revulsion for particular body parts, which give rise to the feelings of discomfort or dysphoria. Markedly, this rarely has anything to do with other people’s feelings towards them and tends to focus on their own feelings about their own bodies.

HSTS appear to experience dysphoria differently. For them it is far less fixated on body parts and much more on social role. They want to live complete lives, as women, without fear of discovery. Hiding male genitalia in women’s clothing can be quite the feat, especially if the person is well-endowed. Most would like, for example, to wear a bikini to the beach, without fear of anything ‘popping out’. Many are terrified of what might happen if they were involved in an accident and first responders accidentally found their genitalia were male. (There have been cases where accident victims have actually died because of this, when the responders refused to give necessary help). Many HSTS, especially in the West, live in ‘deep stealth’ where nobody at all knows their history or background. They may have built solid, good lives and relationships not just with partners but with friends and colleagues, which would be completely destroyed if they were discovered to be transsexual. All of these possibilities tend to push the individual towards electing for GRS and we might call them ‘social imperatives’.

In addition, HSTS often state that they wish to have sex without the encumbrance of an organ that just gets in the way and which they will never use. They will usually express this in terms of partnerships and so this too has a social or interpersonal element. Their desire for GRS is not just about appearance: an HSTS transwoman will invariably use her vagina for sex with male partners!

It appears, then, that GD for a non-homosexual trans person is introspective and has to do with the subject’s relationship to his own body, while for an HSTS it is extrospective and has to do with her relationships to the people around her and her position in society, as well as sex. This is an area which is much in need of more research.

Professionals and HSTS

The difference between these two forms, unfortunately, is often ignored by even those professionals who do recognise the central importance of GD. This may lead to inappropriate treatment strategies for HSTS, if they are presumed to have a form of GD that they do not.

Unfortunately, non-homosexual trans have been successful in dominating the debate and it is a fact that many, if not most, professionals who assist HSTS as part of their jobs, do not understand the nature of HSTS. This ignorance is also found in well-meaning support organisations like GIRES in the UK, which does not even, apparently, realise that there are two different forms of MtF trans, despite the high-sounding title it has given itself.

In brief, this situation is scandalous and should never have occurred. It is our purpose to provide a resource which will provide accurate and evidence-based information to HSTS, their parents, carers, professionals and volunteers.