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Notes -
I've been arguing for something similar elsewhere in the thread so it's only fair that I push back gently on this too.
First, pedantic point, you mean "biological sex". The people who get suicidal are uncomfortable with their bodies. That aside:
A large fraction of MtFs have autogynephilia. Even before the recent (20 yrs) runup, it was most likely more than half; now, it's probably more like 90%. This is even when you include only the people who get some form of medical transition; if you include all the "dude shaves his legs and wears a skirt" crowd it's probably even higher (though at that point you probably just start getting general weirdos who aren't in the same clade as people who seek medical transition).
Do the AGP MtFs who seek medical transition and official name changes fit your description? Maybe! Depending on exactly how you cash out terms like "dysphoria" (or your "very uncomfortable"), possibly the vast majority of them! But also.... AGP has a sexual element. Almost nobody medically transitions because it gets them off to do so, that's completely crazy (and sometimes they get surgeries to remove their genitals or reconstruct them as pseudo-female-genitals, come on; and sometimes they find that cross-sex hormones prevent them from getting off and still continue to transition). But at the same time... if you've got AGP, then you do have an arousal response to the idea of being female, and for many AGPs, this is especially triggered by cross-dressing. So there's a sense in which a lot of MtFs... do, in fact, have a cross-dressing fetish, if you look at it that way. It's not why they're transitioning, in the sense that they wouldn't be doing it if it was just a fetish, but it's there. I've heard it becomes less... stimulating... once they've been doing it for a long time, though. It's complicated.
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