- reproductive organs that are incongruent with the
male identity
- menstruation-bleeding and hormone imbalance
- impaired phallus functionality
- gynecomastia
- hypogonadism
Genital appearance at birth, gonads and chromosomes
are not completely reliable determinants of an
individual's sex. In the majority of the population,
these markers are congruent with innate sexual
identification, however in transsexualism, as with a
number of other conditions such as CAH and AIS, these
commonly used predictors of a individual's sex are
ineffective.
If untreated, males with this condition often
experience depression, along with extreme personal
discomfort (dysphoria). Most resort to typical male
pattern strategies to manage their trauma. Many have a
history of suicide attempts, or substance abuse.