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They would be quite unable to change their gender perception, even if they wanted to. They know that they are of a particular gender. They also know that it is quite impossible to change. However, in rare cases, a mismatch happens. The individual will experience gender dysphoria. They will often describe having a permanent feeling of being a woman trapped in a man's body, or vice versa. This is sometimes described as having a male brain in a female body, or vice-versa. They can become profoundly depressed. Their suicide rate is enormous when compared to the general population. It appears that therapy, counseling, and/or prayer have a zero success rate at resolving their internal conflict. It is a story of two kinds of conflicts:
The term "transgendered" is often used to refer to individuals who experience gender dysphoria. "Transsexual" often refers to transgendered individuals who attempt to resolve their problem by undergoing hormone therapy and/or sexual reassignment surgery (SRS). These medications and procedures change their appearance so that they much more closely resemble the gender that they sense themselves as being. Success rates of this path are very high, as long as proper treatment protocols are followed. Jennifer Reitz of www.transsexual.org comments that transsexuality:
Unfortunately, much of the public is not well informed about gender identity and gender dysphoria. Many people tend to fear and reject those that they do not understand.
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