On the Science of Changing Sex

Exploring The Science of Transsexuality

Posted in Editorial by Kay Brown on July 16, 2018

Through Knowledge, Justice…

27867072_1811649452220144_4426664495691531655_nIf you would be popular, tell people what they want to hear.

If you would help them, tell people the truth.

This blog is on the science, history, and politics of transsexuality and transgender sexuality, including aspects of sexual orientation.  The blog also explores autobiographical themes where appropriate.  There are many myths and misunderstandings about transsexuality and transgender people.  Our scientific understanding of the transsexual phenomena has increased and dramatically improved over the past seventy-five years, yet much of what is available in popular literature is misinformation and disinformation.  Much of what the public, from all aspects of the ideological spectrum, including transsexuals and transgender people themselves, believe about the etiology and epidemiology of transsexuality is based on wishful thinking on one hand and deliberate distortions on the other.  Worse, many cherry-pick among the scientific papers, choosing those that, in isolation, appear to support a given thesis.  Many people have read misinformation and disinformation regarding the science, history, and politics, denying, decrying, and even weaponizing the science, often in emotionally inflammatory language (including vicious attacks on the characters of scientists and educators), that makes its rounds in the echo chamber of the web and social media.  Indeed, there are fora that will instantly ban any who discuss this science and politics in any truthful way.  This blog is an attempt to correct this situation.

Learning an unpleasant truth is better than believing a comforting lie – Don’t let the “tribe” tell you what to think – Trust only evidence, not vehemence –Data, not denial

All information found in this blog is supported by peer reviewed science and referenced (cited) in essay posts covering a given topic found on this site.  Unlike some recent “reports” generated by conspiracy theorists and political hacks, none of this material, nor the citations are AI hallucinations.  These essays were hand written with no algorithms.  Many topics are interwoven with other topics, as they are interlocking issues.  Please explore the entire site for a full explanation of each topic.

There are over three hundred and fifty essays on this site.  I recommend that one read the first several entries in the FAQ as an introduction and jumping off point via the links provided.  One can find a bibliography for this blog if you wish to quickly find papers of interest.  You may wish to review the Glossary if a word is unfamiliar.

Remember as you read this site;  Transsexuals are good people, worthy of our respect, and even of our admiration.  Nothing in this material is meant to imply otherwise.  If you are a transsexual:  You have value as a human being.  You have the right to be respected, valued, and even celebrated as the gender to which you identify and aspire regardless of etiology.

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Looking back

Posted in Autobiographical by Kay Brown on January 3, 2026
Candice reading at home

This past year has been traumatic. For me. For the transsexual population.

I watched as my husband was in and out of the hospital and finally died at home under hospice care this past June.

We all watched as the governments of the US, the UK, and Canada attacked the transsexual community over and over again, attempting to make our lives miserable. Cruelty is the point.

But interestingly, as I have worked through the grief of losing Jeff while simultaneously reeling back from the seemingly unending loss of our rights and medical care access, I’ve also been looking back over my life, putting it all into perspective. If you haven’t already, you may wish to read my short bio in my ‘about’ page: https://sillyolme.wordpress.com/about/ However, a quick recap. I began social and medical transition in my teens beginning in the mid-1970s. Yes, that’s 50 some years ago. So let me take you back to those years.

For my younger readers, it may be a very odd place to imagine; no smartphones, no internet, and nearly no information about gender dysphoria / transsexuality. Most homes had only one landline and if one had siblings, there was always competition for the phone. Oh… and your friends from school might live in another billing zone, even if only a few miles away, so parents limited your time on the phone to save money. Lengthy, long distance calls to friends away at college? Forget it! Thus, it was common to write letters to friends, in cursive. It took days for messages to go out and get a reply.

The only US state where it was legal to be gay was Illinois… Yes, there was Stonewall a few years earlier… but in reality, that had almost no effect on day to day life in the Silicon Valley suburb where I grew up. Gay/Straight Alliance at school? Forget it! The American Psychiatric Association had only delisted homosexuality as a mental illness at the end of 1973, too late to keep me from having been sent to conversion therapy that summer by my mother for being “one of those people”. It wasn’t the first time I had been sent to such therapy. I had been sent to another therapist at age ten for being a “sissy boy”.

I started formally “coming out” at age 15, the spring of 1973, to a few select friends, both boys and girls. One girl cut me off completely because of it. She wouldn’t be the last. But by and large, most of my friends were accepting and NOT surprised. Dennis certainly wasn’t when I came out to him that spring dressed head to toe in a cute outfit I had borrowed from Cassie. I had hoped that he would accept me as his girlfriend… that was not to be. A few months later, I met Kevin… the boy I was to have a serious crush on the rest of my high school years. I hid it from him, knowing he would never accept me either.

It was my hope and efforts to find a loving boyfriend and eventually a true husband that the rest of this essay will cover. After all, I had to kiss a lot of frogs before I found my prince in Jeff, to become the love of my life, my legal husband for 26 years, 28 years my lover. But then, I REALLY like kissing men.

By the fall of 1974, the beginning of my senior year, I had “come out” to even more of my friends, classmates, and trusted adults. The previous summer, I had had a full time job as a nanny taking care of two boys, aged four and ten. Amusingly, the advertisement I had responded to the previous spring had been looking for a girl…. they got me instead. They had figured out during our interviews that I was not “straight”, of course. During the course of that summer I was gifted by the family, a small feminine wardrobe and later a letter of recommendation using my new name and gender. I carefully hid some of the clothes in my bedroom, but the bulk of it I stored at a couple of female friends’ houses.

You can read more about my experience taking care of children here: https://sillyolme.wordpress.com/2024/06/09/baby-dolls-and-barbie-dolls/

My friend Lynn’s mother was very understanding and supportive. Their house was just a couple blocks from school. So, while I had to present as a “boy” at school, afterschool I would stop by Lynn’s house to change and put on my make-up. From there, I would go out shopping or just hang out at the mall. Kids from school would of course see me there. Some surprised, most not. One of my friends told me that a boy from her crowd said, after having seen me there, that I had “great legs”.

You can well imagine how upset my homophobic/transphobic family was about all this. In November, I had a 20 minute crying jag/conversation with my mother begging her to help me transition so that I could go to college as a girl. She was NOT supportive and her first question, said in a hateful tone, “have you had sex with boys yet”? In the end, she made it clear that the family would NOT support me if I transitioned. They would only support my ambition of going to college if I promised to never present as a girl. This I refused…. so in the end, I wasn’t able to accept the admission I had received from a California State college. I cried so hard when that happened.

In early January, after a very ugly confrontation with my mother, in which she dumped me on my father, he suggested that I should seek counseling from an expert. Of course, he was in essence, demanding that I be sent to conversion therapy, yet again. But this time, I was ready. Though my assiduous research at the public library, I had found the contact information for the Stanford Gender Dysphoria Program and their psychiatrist, Dr. Norman Fisk, the man who had coined the term. The previous fall, I had called them but had been told that since I was legally a minor, I had to have my parents permission to be in the program. My parents thought that the program was about conversion therapy, so my father agreed to make the arrangements. It did not go as they expected, as I have written about before, elsewhere.

After that, I brought my small wardrobe back home and hung it proudly in my closet, throwing or giving away most of my “boy” wardrobe, daring my mother with a glare to do something about it. My mother accused me of having stolen the money to buy the clothes, as clearly I could not have afforded them. I continued to present as a boy at school to keep the peace, but I made it clear I was headed towards full social and medical transition the moment I turned 18 and graduated the same week.

When that day came, I was informed that I was no longer welcome in my mother’s house and my father refused to allow me to move in with him. (My parents were divorced.) It took me a few weeks to gather supplies and to find a place… but I moved out that summer. I got my driver license and other ID changed to my new name and gender with no problems, due in part to documentation from Stanford that said I was “predominately female” and the fact that I could pass as female even before starting HRT. Life was about to become “uncertain”. But this essay is about looking for a boyfriend/husband… focusing primarily upon the four boys/young men that I had known in high school prior to full time transition, as I believe their examples answer questions about some of the men that date transsexuals and about me in particular.

In a previous essay, I wrote about my sexual debut the following fall: https://sillyolme.wordpress.com/2024/06/15/i-wantonly-committed-a-felony/

At the beginning of the fall term of 1975 at Los Altos High, a group of students, members of the Los Altos Science Fiction & Fantasy Association (LASFA) were having a club meeting to discuss an 8mm fanfilm project to create a silent short homage to Star Trek. Although there were almost as many girls in the club, not enough girls had signed up to play roles in the scripted film. The club was the largest and most successful club on campus. I had been a member. While other clubs were subsidized by the school, LASFA was not, as it had always made money on it’s club projects, most especially the annual fanzine, a collection of short Sci-Fi stories written by members. The ’74//75 edition included one of my stories, published under my new name. (Yes, I’ve been an avid writer all of my life. Check out my two Sci-Fi novels. https://www.amazon.com/dp/B08MD91VN6?binding=paperback&ref=dbs_dp_rwt_sb_pc_tpbk )

Side note: The club’s faculty supervisor, Mrs. Church, was one of the teachers who supported me and helped with issues regarding my transition and getting my school records changed. I also suspect that she was the one who approached Coach Bottom to find a way to get me out of boy’s PE: https://sillyolme.wordpress.com/2017/06/04/its-just-not-fair/

Since not enough girls had signed up, it was suggested that they could have boys play some of the female roles. One of the members piped up, “We could put a wig on YYYY to play Yeoman Rand…” at which Dan, an old friend of mine spluttered, having mistaken the “YYYY” name to refer to me since it was similar sounding to “XXXX” that was an androgynous nickname I had been called in Jr. and High School. Jordan Brown, then a sophomore, looked at Dan and drolly remarked, “I rather get the impression that XXXX wouldn’t need a wig.” Dan then acknowledged to the club that yes, I was transsexual and was now living as a girl in another county. Jordan asked for my postal address from Dan, who got it from my friend Barby, who he was dating.

(Story of my unfortunate beginnings with Barby: https://sillyolme.wordpress.com/2024/04/22/excerpt-from-my-memoire-a-life-in-transition/)

Jordan had, obviously, been a freshman when I was a senior. He was not in my inner circle of friends, but was often in the group of kids that gathered in the same spot each day during lunch. And of course, he would have seen me during LASFA club meetings. Thus, he would have seen and heard me every school day for the whole year. It’s also possible that he had seen me at the mall or out with friends elsewhere, when I was dolled up pretty in my new wardrobe. Jordan was, like most of the kids in our crowd and in LASFA, exceedingly bright. As he had been accelerated, skipping a grade in elementary school, he was also very young for a freshman, 13 years old.

Jordan wrote a letter to me in which he openly admitted that he had had a crush on me since the previous year. Think about that for a moment. Here was a straight 13 year old boy with a serious crush on a 17 year old transgirl in transition, and willing to admit it to her. What followed was a sweet correspondence between us. There was no other way since at 14, he couldn’t drive and I didn’t own a car, or even have a phone at first. For Christmas, he sent a box of assorted chocolates. (I’m a chocoholic.) Let me make this VERY CLEAR because there are transphobes and even envious transsexuals, Jordan and I were NEVER “intimate”. My interest was always in men roughly my age and older. But, over the next couple years, we did see each other, hang out, go out on “dates” like bowling, etc. We would sometimes introduce ourselves, “My name is Candice Brown” then he would say, “My name is Jordan Brown”. Then we would look at each other as if it was the first time, then turn back to our new acquaintance and say in perfect unison, “No relation.”

Fast forward to 1997. Jordan and his new wife visited me to catch up, not having seen each other for a while. During our visit, he made it clear to me that he had shared with his wife that I was transsexual and that I had been his first girlfriend. Think about THAT for a moment. Here was a straight man, proudly proclaiming to his wife that he had had a crush on me, a transsexual, as a teenager. She joked, referring to me, “Of course, you were as attractive then as you are now.” After having surprised me with her very warmly accepting attitude, it was my turn to surprise her by asking, “When are you due?” It was too early to be showing, her tummy still flat. Her mouth dropped, “How did you know? We haven’t even told anyone yet!”. “I can tell. It’s obvious to me; you are glowing!”

Rewind back to ’69-’71 at Cupertino Jr. High. My circle of friends is expanding to include boys for the first time in my life. I had always thought that “boys were stupid” until then. Among my new circle were two brothers, Greg and Jeff (not my future husband, of course…. Jeff was a VERY common name in my age cohort). Jeff was shy around girls, Greg was not. But Greg could also be a jerk. In one particular incident he started saying some cutting, unkind words, about my friend Carrie, a friend of mine since 3rd grade, loud enough for Carrie to overhear. To shut him up, I stamped on his foot to get his attention and glared at him. “What?” he replied, as though he was innocent of any wrong doing.

When their parents divorced in ’71, the 50/50 split of child custody was to split Jeff and Greg. Jeff with their father, Greg with their mother. Thus, Greg transferred from Homestead to Los Altos High to live in his mother’s new house. So, when I did the same in ’72/’73 school year, Greg was already there. Over the next few years, Jeff would often visit his mother and Greg… and me both on the Los Altos campus and drop by our family home… often bringing Kevin, his best friend, with him (did I mention that I had a crush on Kevin?).

When I first got to Los Altos High, Greg was dating Cassie. But, true to form, he was being a jerk. Cassie asked me to help understand him. That’s how we became friends. Take a moment to think about this. Can you imaging a girl asking a straight boy for dating advice? Seriously? There’s a reason I came out to her earlier than to others. Greg later dated several other girls in my circle, including Beep.

Fast forward to February 1976. I’m staying at my father’s apartment for a few days, just off the Stanford Campus, as he was gone on a biz trip. He allowed me to use his apartment so that I could attend a gathering at the Stanford Gender Dysphoria Clinic, the very first time I had ever met any other “transsexuals”. It was a VERY confusing moment. I guess my father still thought that perhaps they would try to “cure” me. I put out the word to my crowd that I was in town and would be welcoming visitors. I even hosted a gathering one evening. The next day, Greg dropped by.

He was very solicitous and charming… and yes, we did become “intimate”, more fool I. I should have known better because later, he said things that were cutting and unkind. Nice to know that he treated me just like all the other girls he dated.

Again, think about this for a moment. Here was a straight boy/young man who had known me for years, who found me sexually attractive and even put me in the same sexist category of people to be used and abused as natal female girls.

Because I was a VERY naïve ‘straight’ teenaged transgirl about to lose yet another housing situation, I foolishly accepted an invitation to room with one of the post-op transwomen I met at that first Stanford Seminar. I’ve written about that mistake and the consequences before: https://sillyolme.wordpress.com/2010/02/20/do-as-i-say-not-as-i-do/

During the time I roomed at Karen’s, I met and dated a couple young men I met at school and at a club. Karen was very jealous. I mistook her behavior for envy of my success at dating men. Little did I realize the truth. I held a party at her apartment, inviting friends, but old and new, in the hopes that she would find a man she liked and liked her back (foolish hope given that she looked like a football jock in a frock). But at that party, one young man, a guest of one of the girls in my crowd, I had known for years, Don, and I hit it off.

Don was my brother’s best friend. He was tall, dark, and handsome as the old saying goes. He was a frequent guest at my mother’s house, often for dinner. He had often traipsed through my bedroom, as it was the quickest way to the backyard, my bedroom having a sliding glass door. He and my brother had rebuilt a motorcycle in our garage. I had helped him and my brother, along with a number of his other buddies, make an 8mm silent “Western”, as the camera operator. I had teased and laughed at them as they took pot shots at a dove in the backyard with our family .22 rifle, and missed over and over. They mocked me back, snickering, intimating that the femmie fag couldn’t handle a gun. I hit it with my first shot. Through it all, Don never taunted me, never made fun of me, never made any homophobic or transphobic remarks or insults, was always kind and friendly, unlike my brother and his other friends.

Don had recently broken up with his long time girlfriend Linda. I never learned why. We ended up talking through the whole night, retiring to his car so as not to disturb Karen. By the end of the night, we were making out. (I did mention that I love kissing men, right?) After that night, he would take me out on dates. First, he helped me recover my bicycle from where Curly, my old roommie, had moved to in the Santa Cruz mountains, on “wommyn’s land”. Don had to stay with the car as men weren’t allowed, but I was. Another time we took a long romantic walk at a park, holding hands. He introduced me to his parents. His mother seemed to like me a lot. He was everything I had ever hoped for in a boyfriend. And yes, we were occasionally “intimate”.

But then the world came crashing down on us both.

Someone had told my brother about Don and I. He told my mother. She told Don’s father that that cute girl his son was dating was “really a boy”. Both of my parents showed up one night at Karen’s apartment to read me the ‘riot act’. I had to sit and listen to their homophobic ranting for several hours. My mother also took the opportunity to get in a few transphobic digs into me, sliding that knife between the ribs and twisting it, making gratuitous and false remarks about my appearance and taste. (Read more about my mother’s nasty transphobia here: https://sillyolme.wordpress.com/2024/03/12/family-memories/)

I was used to this type of abuse. Don wasn’t. It destroyed him.

His homophobic father forbade him from seeing or even talking to me on the phone. I cried while on the phone to his mother as she told me this. As a teenager, he still lived with his parents of course. My mother forbade him from coming to her house. My brother cut off their friendship. I would occasionally see Don with his other friends at old haunts and through other mutual friends, but he was always cold and distant. We never got a chance to talk about any of it. I still blame my mother for what happened.

Time heals. A few months later, I’m now 19 years old and another old high school friend, Bob, pays a call at my apartment that I shared with Stella, who was likely the only other teenager in the Stanford program.

Bob was other classmate / friend who had been a member of LASFA. At school, he had occasionally caught me alone and engaged me in long intellectual conversations. A few times he even cajoled me into playing chess against him. This was always a drubbing for me as I was not a chess player while he was. He habitually carried a travel chess set. Since he always won, I asked him once why he wanted to play against me. He answered that I improved his end game because as the pieces dwindled, my raw intellect made up for my utter lack of chess knowledge. I was hard to beat at the end he said.

In school, Bob had had long lanky hair to his waist. He wore geeky thick black frame glasses and even on warm days he wore a dark woolen naval pea coat. But on this fine early summer day, he arrived with his sandy brown hair professionally styled into a classic ’70s lion’s mane to his shoulders. His geeky glasses replaced with sleek gold frames. And no pea coat to hide his athletically toned muscles. He had transformed from a nerd to a ’70s teen heart throb!

During the course of our conversation as we sat on my studio apartment’s couch/beds, Bob made a terrible pun with me being transsexual as part of the punch line. In retaliation I started a tickle fight. Turned out that he was very ticklish. To defend himself he wrestled me to the floor, pinning both of my wrists above my head. Then he realized that he was on top of me, face to face, with my arms pinned. There was a long moment as we looked into each other’s eyes, then he kissed me. I returned the kiss with growing passion. (Did I mention that I REALLY REALLY like kissing men?)

We saw a lot of each other that magical summer. And yes, we were “intimate”. But all good things must end. He went off to college on the east coast, to Rensselaer Polytechnic Institute that fall to study engineering. I wrote letters to him often, scenting them with my perfume to remind him of being with me. I couldn’t afford to do it often, or for very long, but I called him long distance a couple times. One time, I got one of his roommates who seemed to want to hang onto the call while Bob was in the shower. This roommate related that everyone was envious of him since he had a girlfriend at home and none of the others did. He told me that Bob had said I was very pretty…. and was even smarter than he was! This roommate also told me that Bob would occasionally open the drawer on his desk where he kept my letters just to get a waft of my perfume.

During Xmas break, Bob returned home and it was just like it was the previous summer save for a couple items.

First, the LASFA crowd had a reunion at our favorite pizza joint. I had arrived first. When Bob arrived after nearly everyone else, Jan and I (another close friend from our days at school and beyond) made room for him between us. Bob kissed me very passionately on the lips, out in the open, for all of our friends to see.

Bob’s family invited me to a family dinner. As I had gotten a job as a secretary at a Silicon Valley firm but was still going to classes at a local community college part-time, his folks asked me all about my educational and career plans. I didn’t have any at that point, really. Both of Bob’s parents were Silicon Valley engineers. In fact, his mother was rather senior at her firm and she was then the president of the local chapter of the Society of Women Engineers. She pressed hard to convince me that I should study to become an engineer too. For Xmas, Bob had commissioned his father, whose hobby was making silver wire jewelry, to make me a delicate, feminine, silver choker for me. (I still have it, almost 50 years later.)

There was just one fly in the ointment for me. Bob was dating other girls. He made it clear that he and I were not exclusive. I could live with that, if I had to, and I did. For the next five years or so, he and I dated on and off while he dated other women, including just about every one of the young women in our mutual circle, Jan, Liz, Barby, Robyne, etc. Because of the non-exclusive nature of our relationship, my friend Pat, who I had met when Joy and she become lovers, called him my “boy toy”. Joy was far less friendly to him, largely for the same reason as Karen had been to my earlier boyfriends. He was the only man I was “intimate” with both pre- and post-op. In the end, he married Jan. They have two kids, girls.

Bob, Jan and I remain friends. Bob even attended Jeff’s and my wedding.

Looking back, the question that these four boys/young men answered is why would straight men, not gay, not bisexual, not “chasers”, have been attracted to me having known me in school where I had been required to present as a boy? It’s really two questions, why any straight men would with any transsexual woman and why me? I believe that Dr. Richard Green answered that in his 1974 book on transsexuals,

“The men who fall in love with and perhaps marry women who are themselves former males, by and large, have known their partners only as women.  Their prior sexual experiences have been only with females.  They consider themselves heterosexual and their relationships heterosexual.  To varying degrees they are consciously and unconsciously aware of the biologic status of their partners, but it would be simplistic and would furthermore blur generally accepted definitions to call these men homosexual.  Rather they are men who respond to the considerable femininity of male-to-female transsexuals, ignoring the dissonant cues of masculinity.”

“Respond to the considerable femininity,” even though I had nominally been presenting as a boy in school…

The point is that sexual orientation does NOT focus exclusively upon genitalia. One’s sexual ideal also includes people’s whole bodies,, their form, their personalities, their mannerisms, their “energy” (for lack of a better word for it). Gay men are attracted to masculinity, in both face, body, and manner. Just look at their distaste for “femmes”, their nasty jokes about “and then he opened his mouth and a purse fell out.” Straight men are attracted to femininity… and not just the presence of a vagina. While looks are important, so are personality and manner… I had all of that even before HRT and SRS. What had made me a target for homophobic bullies also made me attractive to these straight young men.

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Six Months A Widow

Posted in Autobiographical by Kay Brown on December 16, 2025

It’s been six months since my husband Jeff Elliott died. I’m still waking up with tears running down my face. My bed feels strangely cold and empty. I’m no longer racked with sobs as I was when we made the fateful decision to take him out of the hospital, to bring him home to hospice care, when he begged me take him home instead of leaving him every night… both of us knowing he was dying… and those first awful weeks after he died when friends and neighbors checked up on me daily. Six months now… and the house feels too quiet and even alien to me without him. Food tastes flat and flavorless. I have to force myself to eat most days and I’ve lost weight. I feel tired and can’t seem to get anything done around the house or the garden.

Jeff was in and out of the hospital the last year of his life, as his body and mind slowly failed him. In the hospital, I sat by his bedside every day, from early to dark, holding his hand as we spoke of things that interested him. He looked so frail, with needles and tubes and bags of medications pumped into veins. At home, I took care of all of his needs, rarely leaving the house. He often asked me to lay beside him on the bed to keep him company. He was embarrassed as he needed help with nearly everything, including personal hygiene to feeding him. He was a very proud and private man and felt sad that I had to do so much for him. But I chided him that I was his wife and I loved him. He would say in return, as he had for decades, “My beautiful wife”. He was mostly bed ridden that final year.

From his side of our bed, he could see a photo of me hanging on the wall taken when I was much younger. He told me it was important to him and it was how he always thought of me when I wasn’t there with him.

The last time he was in the hospital, he asked me why I had brought him there. Why hadn’t I just let him die at home? He was in the intensive care unit, where they were struggling to keep him alive. He begged me to take him home instead. Jeff was having trouble with his short term memory but not his long term. He was often confused and didn’t know why he was there, especially at night. He would beg me not to go home in the evenings so he wouldn’t be alone there. The doctors, including his primary care doc, and I talked together. Social workers came in to access the situation and to talk to me. I had been hoping that I could take Jeff home after we stabilized him, but I was told that was no longer possible. I bawled and sobbed just outside his room so he wouldn’t see me doing it. (I’m crying now as I type this…. as I remember it all and… “process” it yet again.)

My close friend Patricia was with me for support, as the final decision was made to take Jeff home, as he had begged me, so that he could die at home. (If you have read my bio, you may recall that Patricia had been a friend since college days and had been one of my friends who had dragged me to an HIV testing clinic back in the day.) There was a key conference in which the doctor and two social workers were talking to him about his impeding death. Jeff was told that it would be very soon and when asked if that surprised him, he said that it did. He had trouble processing new information and often forgot what was told to him just hours before. They talked to him about our house and where he wanted to be, surrounded by his books (we have 11,000 volumes) and which were his favorites. Most of the books are out in a library in the detached carriage house he converted and restored, but his favorite books were in a room next to our bedroom. One of the social workers remarked to the others that his long term memory and understanding were good and Jeff, understanding that he was having cognitive trouble, made it clear that I could make any decisions for him. She put her hand on his shoulder and said, “You have a wonderful wife.” His face lit up in happiest and youthful boyish smile of pride and love and replied nodding, “Yes, I know!” I was holding his hand, but had turned my face so that he couldn’t see me crying.

Patricia and a friend of Jeff’s, David, helped me clear out the room and the hospice people delivered a hospital bed. The room became a hospital room… save for bookshelves on three walls. The hospice folks sent nurses and others to help me care for Jeff the final two weeks of his life. He and I watched old movies together, holding hands. I fed him yoghurt with fresh strawberries, one morning, which he really enjoyed, taking one spoonful from me at a time like a baby, as he couldn’t feed himself. A few hours later, he closed his eyes and I asked him if I should stop the video. He said, “No, I’m still listening.” He fell asleep. It was the last time he ever spoke to me. Elizabeth arrived that night. The next morning we bathed him with a washcloth to make him more comfortable, though he was in a coma. A nurse came by and stayed for a few hours until Jeff died.

Elizabeth stayed a couple days until my friend Magdalena arrived a couple days after Jeff died to stay with me a couple weeks. (You may recall that she was my Matron of Honor).

I was asked a few weeks ago by an acquaintance of Jeff’s if I would be dating again. It felt not only too soon to ask, but silly. While I had been actively dating men since I was a teenager… it had taken two decades before I met Jeff and we fell in love. We were together for three decades. He was clearly the love of my life and no one could ever replace him, nor would I want anyone to. One of the things that I did soon after Jeff died was to buy a study silver necklace and thread Jeff’s wedding ring onto it as a pendent. I’ve been wearing it day and night since.

I love you Jeffrey… and always will.

Further Reading:

Family Memories

In Loving Memory of Jeffrey Kent Elliott (1953-2025)

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No, Gender Affirming Surgery Does NOT Cause Suicide

Posted in Editorial, Transsexual Field Studies by Kay Brown on November 23, 2025

The US Government has been taken over by anti-science anti-public health wackos. They have been posting the long debunked lie that vaccines and Tylenol cause autism (genetics risk is known to be the primary cause). Now, in accordance with the ultra-right’s hatred of all things transsexual, Health & Human Services is posting on social media photo memes of anti-trans lies about our health care. Interestingly, these lies are the some of the same oldie and moldy lies that the anti-trans hate groups have peddled for decades. These same people love to claim that all of the leading medical societies have been “institutionally captured” by the trans agenda. But, in reality, it is our government that has been so captured through the political take-over by these very same hate mongers.

I’ve been collecting the propaganda lies that these hate groups have been pushing for years. But a new one seems to be gaining favor in these groups, to wit, the lie that gender affirming care, far from reducing mental health issues and suicide, actually increase it! I had previously spotted a paper being used to support this lie and showed that it did no such thing. But, now other papers are being falsely used in the very same manner.

Consider the results of the Bauer (2015) study where that showed that,

“Social support, reduced transphobia, and having any personal identification documents changed to an appropriate sex designation were associated with large relative and absolute reductions in suicide risk, as was completing a medical transition through hormones and/or surgeries (when needed).”

Far from causing an increase, gender affirming care decreased suicide risk.

Addendum 11/24/2025: A study (Allen 2026) just released online (ahead of the official publication in early 2026) days ago showed that providing HRT to transsexual teens reduces suicidality. Further demonstrating that gender affirming care does NOT cause harm.

Further Reading:

No, Gender Affirming Care Does NOT Cause Mental Health Issues

Further External Reading:

References:

Bauer, G.R., Scheim, A.I., Pyne, J. et al. Intervenable factors associated with suicide risk in transgender persons: a respondent driven sampling study in Ontario, Canada. BMC Public Health 15, 525 (2015). https://doi.org/10.1186/s12889-015-1867-2

Luke R. Allen, Cody G. Dodd, Christine N. Moser, Michelle M. Knoll,
Changes in Suicidality among Transgender Adolescents Following Hormone Therapy: An Extended Study,
The Journal of Pediatrics, Volume 289, 2026,
https://doi.org/10.1016/j.jpeds.2025.114883.

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More Evidence That The “Non-Binary” Fad Is Fading – And The “Trans Community” Is In Denial

Posted in Editorial, Transsexual Theory by Kay Brown on October 15, 2025

I don’t like using right wing data sources for obvious reasons, but data is data. For years, I have been expressing skepticism about the huge numbers of young people claiming (falsely in my analysis) that they are “trans” or “non-binary”. I’ve also seen data that strongly suggested that this fad was fading. Please read my previous posts on this issue. Oh… and to be clear, I am NOT the only transsexual who had decried this fad and the silly inflated numbers it generates. However, now the super right wing transphobes have figured out that this was indeed a fad and that it is fading. Although, they are also spinning it as evidence that those who are making these false claims of being “non-binary” are “mentally ill”… because… of course they are.

No sooner had the data on the fading claims by college students been published, the trans community pundits jumped on it in denial, making claims that the data was analyzed improperly because they reported “raw” data, instead of weighting in some magical fashion that they claim when performed shows that instead of the fad fading, it is increasing. Ummmm…. No.

From the hard right website of Unherd,

The Foundation for Individual Rights and Expression (FIRE), which conducts a large annual survey of US undergraduates, polled over 60,000 students in 2025. My analysis of the raw data shows that in that year, just 3.6% of respondents identified as a gender other than male or female. By comparison, the figure was 5.2% in 2024 and 6.8% in both 2022 and 2023. In other words, the share of trans-identified students has effectively halved in just two years.

This trend is especially marked in elite institutions. Andover Phillips Academy in suburban Boston surveys over three-quarters of its students annually. In 2023, 9.2% identified as neither male nor female. This year, that number has crashed to just 3%. A similar story emerges at Brown University: 5% of students identified as non-binary in 2022 and 2023, but by 2025 that share had dropped to 2.6%.

These numbers tally very well with the silly numbers from past papers in peer reviewed science papers I’ve written about previously. This clearly shows what I’ve previously been saying, that the fad of claiming to be “non-binary” is fading. However, Erin Reed, who normally reports very accurately news about transsexual and transgender issues has written that the data is “false”. I’ve noted in the past that Ms. Reed has quoted ridiculously high numbers of “trans” people and why she (and so many others) are wrong. In this regard, she is merely voicing the wish that there were enough trans people to actually make a difference politically, when there are not.

It’s long past time that the transsexual and transgender communities stop inflating our numbers and also stop believing the large numbers of non-trans people who falsely claim to be us.

Further Reading:

Is The “Non-Binary” Fad Ready to Fade?

Further External Reading:

Why are Fewer Young People Identifying as Trans

Erin In The Morning (In Denial)

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Transsexuals Are NOT Being Accepted By Family

Posted in Transsexual Field Studies by Kay Brown on October 8, 2025

A new Pew survey tells it all. Only one in three transsexuals is accepted by their parents, while extended family is even worse. The data shows that gays and lesbians are more likely to find parental acceptance, putting the lie to the oft voiced meme that parents would rather have a transkid than a gay child.

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The Invisible Transsexual

Posted in Editorial by Kay Brown on October 6, 2025

I originally wrote this essay in 2009 for the Transkids.us website under the pseudonym “Cloudy”. Almost a year later, Andrea James sussed me out and then doxxed me in a rather ugly and inaccurate manner. I am reposted this so that reaches a wider readership.

The Invisible Transsexual by Kay Brown ( aka: “Cloudy”)

             I slept through the controversy surrounding the publication of The Man Who Would Be Queen. I literally hadn’t had contact with the transgender community, not even by visiting a website, in eight years. Why should I? I was happily married, with a good job that I loved, and involved in local community activities. But early last year, in the late winter of 2008, by happenstance, I came across Alice Dreger’s history of the controversy. It intrigued me enough to motivate me to investigate the matter carefully. I read many websites denouncing the book and calling Prof. Bailey everything vile. Anything that makes that many people upset must be saying something important. Further, the names of the people leading the charge to discredit Prof. Bailey are some of the most respected names in the community. I had to read the book for myself; and who best to lend me a copy than Prof. Bailey himself!

             Prof. Bailey graciously gave me access to an online version of the book and I read it from front to back in nearly one sitting. Although I disagreed with several minor points, I felt I could have written the book myself. I agreed with each and every major point. Who wouldn’t, if they knew what I know.

             When I was in my mid-teens, I discovered that there were a range of people who were different in several similar ways. I knew several boys who came out as gay. I knew two boys who were openly transvestites. I didn’t think I was quite like either of those. I researched the issue at the library and discovered from magazine articles that my deepest desire, to live as a girl, marry a straight man, and adopt children was possible… that there was a name for those like me, that I was transsexual.

             Although I had been taken to therapists since I was ten years old, I was first seen by the Stanford Gender Identity Clinic, when I was 17 years old, taken by my parents, in the mid-70s, in the middle of my senior year in high school. I had been presenting as a girl part-time in high-school, or rather, after school hours, to go shopping with my female friends and flirt with boys. I transitioned full time right after graduation. Although to say that I “transitioned” is misleading. It was more like I stopped presenting as a boy, as I had no more need to do so.

             During my second semester in college, I met other transsexuals for the first time, at the clinic. What I found surprised and confused me. They did not seem to be unaffectedly feminine, without effort, but more like men who desired to be feminine and were working desperately to appear so. I was acutely embarrassed for them. Most were much older than me. Many of them had been, or still were, happily and sexually satisfactorily married to women for years. I couldn’t understand why they wanted to live as women.

             If I was surprised and confused by them, they were just as surprised and confused by me. I was asked how it was possible that I had been dating, and sexually active with, men, especially as I was pre-op. I had dated four straight boys who had been high school classmates, besides the young men that I met when I left home for college. None of the others at the Clinic had ever dated a man.

             After that, I found a crowd of kids my own age, not associated with the clinic, all of whom were like me. They looked, sounded, and acted like girls. Also like me, they were dating men.

             That’s not to say that I fit in perfectly with my new acquaintances. Most of them were very socially and financially disenfranchised; while I was the product of a privileged upper-middle-class family living in an affluent suburban neighborhood. I had some adjustments to make in my preconceptions and values. But like shipwrecked sailors, all in the same lifeboat, we were “sisters”. It was from these kids that I really learned what I needed to know to survive as a boy living as a young woman. We pal’ed around, went dancing with men at straight night clubs together for mutual support, helped each other with hair and make-up before big dates, and talked endlessly together about men and sex.
             We also talked about transsexuals. We talked about how the older ones seemed to be quite different than us. One comment that I heard was, “they are just TVs (transvestites) that need a bigger fix”. We also shared our shock when we learned that two kids who had transitioned in their early twenties were both “T-birds” (gynandromorphophilic) and not like us at all… so age at transition didn’t mean that they were automatically like us.

             “Transsexual”, one word for two very different types of people. I knew this with a vague awareness. This did not bother me. And, I thought that others knew and understood that there were the two different types. Didn’t we all talk and write about the differences between “early transitioning” and “late transitioning” types? I had even met Anne Lawrence and had a conversation about the two types.

             Over the years, I had a few friends and many acquaintances of both types. I had even had roommates of both types. And of course, I have had many gay and lesbian, roommates, friends, and acquaintances. I’m more than comfortable with the diversity found in the LGBT community. I’ve also been occasionally involved in supporting political action in support of the LGBT communities, including working with the transgender community, in my own low key way.

             Of course, I’ve also been unhappy with some of the things that various parts of the LGBT communities have done to the others, like when HRC screwed the transfolk with respect to inclusion in ENDA, but I had never thought of the two types of trannies being seriously at odds with each other, both needing the same legal protections and access to appropriate and affordable medical care.

             The only serious disagreement that I knew of was that in the ’90s, some transgender activists who seem to fit the clinical profile for autogynephilic transsexuality, and most especially one Texas lawyer, who had remained married to women after transition and SRS, had the odd notion that their marriages could be used as the wedge to force the legal system to recognize sex same marriages. While the homosexual transsexuals I knew shuddered at the thought that the more likely outcome of such a strategy would be that the states would no longer recognize our desired legal status as female, and void our marriages to our husbands, as happened in Texas in the Littleton case!

             After I read The Man Who Would Be Queen, I was ashamed of the transsexual activists that had targeted Prof. Bailey. I was also confused. Why were they so upset? Surely, everyone knew about the two types. OK, so Prof. Bailey hadn’t been very flattering in his characterization of either type, but that wasn’t cause enough to justify the venom expressed towards him. I needed to know more.

             I found the Transkids website and read carefully. I read many of the original papers by Blanchard among others. I also read many critiques of those same papers by what appeared to be reputable therapists and psychologists, all of whom were transfolk, almost certainly AGP themselves, judging from their histories. After reading them all, I knew, Blanchard had been right on the money.

             Blanchard’s papers helped me put into perspective many of the oddities that I had noted about AGP transsexuals over the years. It explained how extremely masculine men with adoring wives, whom they still loved and were attracted towards, with children who looked up to their fathers, with successful careers, respected positions in society, could throw all of that away, to voluntarily choose to become objects of derision, as they would never be accepted as women by any but the most generous and indulgent of their acquaintance. It explained one of my college roommates, a brilliant software engineer, could be so androgynously attractive as a young woman, but run like a scared rabbit from men and women alike, and utter virulent homophobic remarks as I got dressed to go out on dates with men. From the Transkids website, I had an awaking, much like the conscious raising work during the feminist movement of the ’70s. I suddenly saw that when the AGPs use the terms, “early transitioning” vs. “late transitioning”, they use that language very differently than I do. They use those terms in an effort to show that the two types are really the same, while I use the terms to say that we are fundamentally different. I learned that the AGP leadership had fought to deny our distinctiveness to further their own agenda, both politically and psychologically, to rationalize away their own distinctiveness, to pretend that they were like us, yet redefine us to be more like them. I learned that Prof. Bailey’s book challenged the AGPs very core sense of self and origin myth. This was a matter of challenging their religious faith.

Suddenly, I had a crisis of identity.

             Was I ever a member of an inclusive transgender community, or was I just being used by it? I know that I was specifically invited to participate in several events and projects because I presented well, thus could speak to non-transsexuals and make them comfortable. I suddenly realized that I had been their pet, their tame “early transitioning” tranny-girl. Christine Jorgensen cooed over me and patronizingly called me a “baby TS” when I met her at eighteen. Can I in good conscience ever support the AGP community again? Should I repudiate their actions? Should I speak up, as I have in the past when I see injustice?

             But, first, can I throw stones? Was I so certain about myself? One of the hallmarks of those who had so viciously attacked Prof. Bailey and his book is a self-assured arrogance that they can’t possibly be wrong. Did I have the right to cast stones? Was I right, and the rest of the transexual community wrong?

             Also, I had trouble with the label, “homosexual transsexual”. I’m comfortable identifying as what most everyone around me sees me as, a straight woman, married to a very straight man. Trying on the label “homosexual” was very disturbing for me. I don’t see myself as a man. Oh, I’m not stupid or delusional. I know perfectly well that I am biologically male, and only have feminine features and superficially female genitalia thanks to medical intervention. But, my self-concept is that I’m a woman. But, is that not how the AGPs rationalize their own genesis?

             I’ve always been self-questioning, even self-doubting at times, double-checking my perceptions with the opinions of others. I asked a non-transsexual friend what she thought. My friend thought that I should speak out, speak the truth. She described those who had attacked Prof. Bailey as “two-year-olds having tantrums”. She also said that the description of HSTS kids was a dead-on description of me. And the descriptions of AGPs definitely described several other transwomen she knew. I worked out my own aversion to the label “homosexual”, deciding that yeah- I could have been described as such before I transitioned.

             OK, so I can speak for at least one, me. I still can’t speak for all, not without knowing and having consulted with each of them. But I can speak for me, and also I may incidentally speak for some who are of like mind. And of course, I can speak the simple truth, which may speak for itself.

             Because of my past participation in support of political and social efforts to help the larger LGB and the T-community in particular, I am known in the transgender community. I’ve written a number of well received essays on various topics of interest to both MTF types, and even by the FtMs. My pen name and my writings show up on more than a few AGP websites, and before the dominance of the internet, in hardcopy trannie publications. My first thought was to rush out and write an essay on why Blanchard is right. Why the transcommunity should apologize to Bailey for popularizing that truth, for explaining who we are to a lay readership. My first thought was to use the social capital I have earned to lend weight to HSTS recognition.

But then cold hard fear struck.

             I realized the lengths that these particular transactivists have gone to harass Bailey and Lawrence indicate a pathological need to deny obvious facts and a willingness to hurt people in the process. This wasn’t a civilized scientific debate over facts and ideas. It was a religious war with no prisoners taken. If I were to use the name that I’ve used in the past, I would become the target of these autogynophilic transsexuals’ narcissist rage (Lawrence 2007). A small number of the very same people who had been attacking Bailey may come to know my real name and details of my everyday life. If they were to publish this connection, it would hurt my family. It could destroy my career, as I work in a very conservative field, if my colleagues were to learn of my medical history. I know with certainty, that the same people, who attacked Bailey and Lawrence and many others who agreed with them, would have no scruples about destroying my life.

             So, I am reduced to creating a new pen name. I’m also forced to redact potentially personally identifying information from my essays. I’m forced to be invisible.

But then, I’m not the only invisible transsexual.

             Compared to the AGP transsexual population, the HSTS population as a whole is nearly invisible, socially, politically, and therapeutically.

             One of the factors the causes the HSTS population to be effectively invisible is that when an HSTS is seen on the rare occasion by a therapist that specializes in “gender issues”, she is seen against the backdrop of an AGP transsexual population that is both more numerous and remains in therapy for a longer time. The most common reason for an HSTS to visit such a therapist is to procure a “letter” giving “permission” to have SRS or other procedures, if she is visiting a physician that requires such letters for homosexual transsexuals, many doctors familiar with HSTS kids don’t require such letters. Otherwise, most HSTS kids have no reason to see a therapist, not generally experiencing a conflict with her sense of self or her choices. Most transkids do not need an outsider to tell them it’s OK to be feminine; they have been feminine all of their lives. They don’t need a therapist to help them in deciding to transition or not. This decision has already been made. When an HSTS is seeking the letter, her goal is to move on with her life, not to spend time educating the therapist. Further, the therapist is exposed to autogynophilic fantasies of some AGPs who say that they are attracted to men, but are not actually sexually attracted to masculine bodies. Thus, we can forgive the poor therapist for not recognizing in a few short visits, when an HSTS who genuinely is attracted to men (masculine bodies) may actually be different.

             In transsexual support groups, homosexual transsexuals are in a minority position from the beginning. It is human nature to seek out those like themselves, so occasionally an HSTS finds a support group, but soon feels out-of-place and uncomfortable, unable to relate to AGPs and the issues that AGPs most want to discuss. Unless the support group is moderated by an experienced therapist, the naturally more masculine and dominant AGPs, accustomed to male privilege, will tend to monopolize the conversations. Further, since a portion of the AGP population is strongly attracted to other transsexuals, especially to those who are physically and behaviorally more feminine, the HSTS minority may be subject to unwanted sexual advances from the AGP majority. Naturally, finding no real support for, or mirroring of, her own concerns, and made uncomfortable by sexual objectification, the lone HSTS will quickly drift away, leaving the support group to the AGPs.

             Paradoxically, the Gay male community is partially responsible for gender therapists not recognizing that naturally gendered behavior and sexual orientation are closely linked. The fact that the modern Western Gay culture is largely femiphobic, except in very controlled, and thus safe forms such as camp or stage drag, encourages homosexual men to hide, as best they can, any naturally occurring feminine behavior or traits. They go to the gym to build up muscle. They wear attire that is culturally associated with very masculine straight men. They modify their appearance and behavior to conform to the “straight looking, straight acting” ideal of heterosexual men that homosexual men find attractive. They deny any femininity in themselves to make themselves sexually attractive to those that are attracted to other men. The irony is that the other gay men are doing the same thing. The fact that most gay men had been feminine as boys is thus obliterated. The false picture of ultra-masculine homosexuality hides the natural link to femininity.

             The Butch Gay male culture buries an essential truth that is essential to understanding the homosexual transsexual. She doesn’t hide her natural femininity and she finds men to be sexually attractive. The two are linked. After all, women, on average, are naturally inclined to be sexually attracted to men, for obvious evolutionary reasons. Further, they are naturally inclined to behave in a certain manner, that serves as external gendered clues to her sex, her reproductive status, and her readiness to mate. We call these behaviors, in aggregate, femininity. It should be no surprise that sexual attraction to men and naturally feminine behaviors are strongly correlated. What ever causes the one, is strongly linked to the other. Unlike her butch gay male compatriots, the homosexual transsexual’s sexual orientation and natural femininity are both easily observable.

             But, gender therapists, living in a culture where gay men are ultra-masculine acting, have created a model of sexual and gender behavior where it is not only conceivable, but probable that gendered behavior and sexual orientation are separable. And if those two are separable, then one can go the further illogical leap and posit that naturally gendered behavior plus sexual orientation can be separable from an imagined internal “gender identity”. Finally, the AGP transsexual verbally confirms this with nearly every visit, as separating “gender identity” from sexuality is necessary if their “hidden feminine essence” explanation of transsexuality is to be socially and medically credible.

             Thus, the homosexual transsexual becomes conceptually impossible as a separate essential category, as her existence contradicts the separability of gendered behavior and sexuality, avoids prolonged interaction, and is made invisible to the vast majority of gender therapists today.

             Another factor that causes HSTS invisibility is the simple fact that homosexual transsexuals, by and large, pass unremarkably as female after transition. This allows most transkids to assimilate into the communities in which they live. They do not feel the need, nor desire, to be “out”. Indeed, being “out” would nullify many of the benefits of living as women that they sought to secure. The one notable exception is the “she male” prostitute, who, in order to find a specific clientele, must become and remain visible in at least one venue. This creates an observation bias in the minds of both law enforcement and sexologists who may seek homosexual transsexuals. But, the majority of working class and especially middle class HSTS kids simply disappear into their respective communities, avoiding participation in activities that would “out” them. This includes participation in the so-called “transgender community”.

             Given the anonymity afforded by on-line interactions, one would believe that HSTS individuals would feel comfortable participating in forums, list servers, etc. and indeed, in the mid-90’s, such appeared to be true (personal experience). However, AGPs soon out numbered HSTS’s on any on-line venue, drowning out the HSTS voice. Further, when HSTS’s voiced opinions that called into question the “feminine essence” and “gender identity” narratives of AGPs, a small but vocal minority of the AGPs reacted with narcissistic rage (Lawrence 2007) and ‘flame wars’ erupted. This would drive HSTS participants off of a given forum. It might be theoretically possible to create a moderated forum where only HSTS voices would be allowed, but the very anonymity, coupled with autogynophilic pseudo-androphilia, would make it impossible to assure that AGPs would not soon overrun the forum.

             In contrast to HSTSs, most AGPs are unable to convincingly pass as female, the possibility of blending in, of being “in stealth mode” is largely illusory. The loss of family, friends, and often times, jobs, leads many AGPs to become and remain socially connected to other AGPs. The less one is able to pass, the more likely one is to remain publicly visible, regardless of personal preference. This leads many to choose to make a virtue out of a necessity, proclaiming that being “out” is socially and politically a wiser and more community spirited choice, drawing an analogy to, and even borrowing the language of, “out” gay men and lesbians. Sandy Stone, in The Empire Strikes Back; a Posttranssexual Manefesto, called this “reading oneself aloud”. These publicly visible and outspoken AGP transsexuals have chastised those who pass unremarkably, who are “deep stealth”, who are usually homosexual transsexuals, as being complicit in transphobic discrimination by not standing with their more visible peers, saying that they are failing in their ‘sisterhood’ by using “passing privilege” (Jessica Xavior). Thus, it would appear on the surface that AGPs are welcoming and inviting of transkids, but only if those transkids accept the AGP narrative of “gender identity” as their motivation for transition, and give up the very benefits that transition uniquely affords them.

             As AGPs are more numerous and more likely to be publicly visible, it is the AGP that the public sees and hears in the media. From the earliest accounts of transsexual transformations to today, the AGP narrative has dominated, including famous autobiographies by Lili Elbe, Christine Jorgensen, Roberta Cowel, Jan Morris, Canary Conn, and Jennifer Boylan . This makes the HSTS invisible, her voice replaced by that of the AGP.

             The earliest autobiography of a post-operative transsexual was Lili Elbe’s “Man into Woman”. She was one of two people who obtained SRS at the Institut fur Sexualwissencraft before the NAZI regime came to power. The other individual is believed to have been an HSTS, but little is known of her life. Lili obtained surgery in several stages, but sadly died of complications from the final operation. In her book, published posthumously in 1933, she describes in detail a lifelong cross-dressing habit wherein she posed for her then wife, the successful painter, fashion magazine illustrator, Gerda Wegener. Lili was Gerda’s favorite model. Gerda also illustrated erotic novels, indicating that she was very open minded. Lili enjoyed being courted by men when she was cross-dressed but never sought sexual relations with her admirers.

             Christine Jorgensen, in her personal account, went to great lengths to distance herself from any impression that she might have had sexual motives. Though she reported to have been approached by gay men, she rebuffed them with the same vigor as she did women. By all reports by those who knew her, she lived her life largely celibate. Dr. Christian Hamburger, in his 1952 paper on Christine, stressed that both Christine and he declined to create a vagina as neither had interest in facilitating sexual relations with men (Hamburger 1953).

             Roberta Cowel lived a life of intensely masculine competitiveness. As a boy he enjoyed competitive sports. As an adult, he became a fighter pilot, shot down over Europe in the war against the NAZI regime. In her book, she describes having fought a losing battle with a feminine body and persona that eventually “took over”. By presenting her decision as accommodating an innate biological process, she deflected criticism that her decision was based on autogynophilic desire. In essence, she lied about her motivations.

             Jan Morris led a life that many men would envy, including participating in the first successful expedition to reach the summit of Mount Everest, before transitioning in mid-life. In her book, Conundrum, her decision is couched in near mystical terms, as though this was one of her many adventures, a new territory to be explored. In one anecdote, she describes her enjoyment of how men now find her sexually attractive, even if she isn’t attracted in return.

             Canary Conn had been a teen-aged heart-throb to many young girls as a handsome young man. He married and fathered a child before divorcing to transition. After transition, her obviously masculine frame spelled the end of her career as an entertainer. Few who meet her in person doubt that she was born male (personal recollection).

             Jennifer Boylan lived as a successful married man, fathering children, before transitioning. Afterwards, she remained legally married to her wife, though she claimed that she is attracted to men without ever having acted on that claimed attraction.

             While each biography alone does not conceal the existence of and the differences between homosexual and autogynophilic transsexuals, the shear numbers and the simple fact that none specifically acknowledge their autogynophilic sexuality and motivation serves to make the homosexual transsexual invisible.

             There are stories of transkids, of course, but these were usually written by non-transsexuals, in magazine essays or newspaper stories, sometimes sympathetic, but more often sensationalistic. There is an underlying subtext that these kids are the same as those who transition later as adults, but their transsexuality was simply expressed earlier.
             The few autobiographies of homosexual transsexuals largely consist of those who had some public exposure, outed, by the press because they were already in the public eye, such as models or actresses (e.g. Caroline “Tula” Cossey).

             The one exception, is the story of “Jenny June”, who writes poignantly, in detail, if not cohesively, of her life in The Autobiography of an Androgyne (1919) and of others like herself in The Female Impersonators (1923). In these books, she repeatedly uses, as a metaphor, what Drager would later call the ‘feminine essence’ narrative, including being a “woman in a man’s body”. The use of the term “androgyne” was used to specifically call attention to the remarkably feminine nature and appearance of those like herself. She makes a point, most emphatically, that she and those like her, are not the same as those we would recognize today as gay men, which she refers to by the then current name, “urnings”. She points out the noticeably feminine behavior and habitus of those like her, contrasting that with “urnings”, whom she describes as being only slightly feminine to conventionally masculine in manner and appearance. Although female hormones and modern SRS were not available to her, she availed herself of what procedure has always been available, castration. Through these books, we learn that homosexual transsexual lives from the end of the 19th and beginning of the 20th Century’s are not dissimilar from the lives of transkids at the beginning of the 21st. However, her books were printed in very small numbers and is not generally known, even among sexologists. So, by and large, very few examples of transkid biographies are available. Without a separate voice, the distintion between AGP and homosexual transsexual is blurred, obliterated, leaving both the young transkid and health care providers with confusing, if not counter-productive examples.

             In the 1960’s and ’70s, many individuals seeking SRS were funneled through university based research clinics. It was no secret that the clinics preferred to accept those who were most likely to be successful and socially acceptable after surgery. This meant that homosexual transsexuals were those most likely to receive SRS. This lead to the general impression among autogynophilic prospective clients that they needed to craft their personal narratives to more closely adhere to the Feminine Essence narrative that approximated the metaphoric narrative of the homosexual transsexual groping to make her own plight explicable. Indeed, some of the clinics outright rejected any individual who admitted to being attracted to women. However, it was not true that they universally rejected those who admitted to autogynophilic arousal or sexual history with women. The Stanford University clinic in particular was noted for helping admitted heterosexual transsexuals. Dr. Laub, Sr. in particular, stressed that clients should only proceed as far as they needed to be comfortable, encouraging partial-autogynophilics not to proceed to SRS if hormones and breast augmentation was sufficient to ease their gender dysphoria, a term coined by Dr. Fisk at the Stanford clinic (personal recollection). In keeping with their desire to produce socially acceptable results, Stanford clinic offered, one might say, required participation at “grooming seminars” (personal recollection, Sandy Stone) which were designed specifically for autogynophilic transsexuals. The sessions included lectures on feminine voice production, wardrobe selection, and make-up, all in an effort to teach masculine autogynophilic transsexuals how to present a more feminine appearance in public.

             Sexologists associated with the clinics were able to study the prospective transsexual clients. The clinics were very aware that there were two essential categories of transsexual and eventually were willing to accommodate their needs, although they didn’t have a theoretical underpinning to that recognition. However, these clinics tailored their program’s requirements to the needs of the overwhelming majority, which were autogynophilic. The rules, or “hoops” as they were called by the prospective clients, were felt to be primarily designed to legally protect the physicians from malpractice lawsuits should there be post-operative regret. They were also seen as deflecting legal concern about performing “experimental” surgery that many in society thought to be immoral. The least popular “hoop” was the so called “Real Life Test” (RLT), the requirement that a prospective client had to live full time as a woman for some period of time, varying from six months to two years, depending on the clinic, before surgery could be obtained. For autogynophilic transsexuals for whom obtaining surgery was their highest goal, this requirement was felt to be unnecessarily onerous and even further proof that the clinics were restricting surgery to homosexual transsexuals. For the older autogynophilic transsexual who had likely struggled, attempting to suppress her desire for somatic feminization, and now come to embrace this desire, this further, externally imposed delay, was most unwelcome. Many clinicians remarked on the impatience and anger of these “secondary” transsexuals to this delay. One such individual angrily remarked to a group of transsexuals at the Stanford clinic, “They only want to do surgery on secretaries and prostitutes!” alluding to the two most stereotypical occupations of young homosexual transsexuals (personal recollection – the author was a 19 year old secretary at the time).

             The real purpose of the RLT was indeed to reduce the chance of post-operative regret from what was then considered “secondary” transsexuals, about which many clinicians remained uncertain that SRS was a useful treatment. Due to limited financial means, young homosexual transsexuals were rarely in a position to pay for surgery until they were older, most often many years later than any clinically imposed delay. For these kids, transition and hormones alone were both welcome and financially expedient. The older HSTS was likely to have been living as a woman for years, with no help from clinics, having obtained prescriptions for hormones from urban physicians familiar only with homosexual transsexuals that were referred from other transkids. For an HSTS, living full time as a woman is not a “test”, but simply getting on with life. So the “Real Life Test” requirement was indeed literally instituted for the older autogynophilic transsexual client alone.

             These clinical practices formed the basis of what would later become the HBGIDA Standards of Care (SOC) when that organization was formed after the closure of the Erickson Education Foundation (EEF). The EEF had been providing funding for much of the research into transsexuality, and in essence, funding the existence of the clinics in the United States, up to that point. The existence of the clinics and the formation of HBGIDA sowed the seeds of the present boutique medical care system of independent gender therapists, private primary care physicians prescribing hormones, and independent surgeons. The availability of independent surgeons and the loss of funding from the EEF in turn led to the demise of the majority of the university based research clinics, as the boutique system was more convenient and lower cost. With their demise the SOCs were locked into place, institutionalizing one-size-fits-all protocols suitable for adult autogynophilic transsexuals, but totally inappropriate for homosexual transsexuals, most of whom present as teenagers or very soon thereafter. Also lost with the demise of the clinics was the institutional recognition of the very existence of homosexual transsexuals by the majority of gender therapists. Thus, the needs of transkids have been made to be invisible. It is no accident that one of the few remaining research clinics, (Blanchard’s) was where the confusing diversity of presentation that non-homosexual transsexuals exhibit was recognized to be autogynophilia, in contrast to the consistent presentation of the homosexual transsexual.

             With the publication of Blanchard’s papers and subsequent dialog that occurred in the AGP led community, notably by Anne Lawrence, a growing sense of unease spread as it became clear to many that the feminine essence and gender identity narrative wasn’t being accepted by everyone.

             Up to this point, the colonization of HSTS narratives by AGPs had been a passive process, largely the result of AGPs simply trying to get what they felt that they personally needed, as individuals. For example, well known professor of economics Deidre (Donald) McCloskey, whose 1999 autobiography Crossing: A Memoir documents numerous episodes of auto-erotic transvestism, writes (using the third person “Dee”) that:
“The young woman psychiatrist asked Dee the usual questions, mentally running down a checklist of the gender-crossing illness. “When did you first want to be female?” “Were you effeminate as a child?” (…) Dee started to lie. They all do it.”
“Of course gender crossers lie. They can read the DSM just as well as the psychiatrists can.”
“Oh yes” Dee said to the Free University psychiatrist “I’ve always had these desires. Oh yes Doctor ever since I can remember. Oh yes it’s just like being a woman in a man’s body. Oh yes Doctor I hate my penis. Oh yes Doctor whatever your dopey list says”.
 (McCloskey 1999) (Bolded text is as originally printed)

             But with the publication of The Man Who Would Be Queen, a new chapter is opened when leaders of the AGP community organized to harass the author who wrote the simple truth in unflattering terms. From this point the redefinition of the homosexual transsexual becomes an active process as the AGP community perceives that the existence and contrast of transkids compared to AGP transsexuals calls into question their own true motivation to seek somatic feminization. On the one hand, they supported early transition for feminine boys who clearly would fit in better as girls, but with the rationalization that they too would have done so had the “proper support systems” been in place, or had they known that such transition was possible. Of course, the existence of an older HSTS population that had transitioned as teenagers in the so called “dark ages” before the internet, who now were deep stealth, occasionally became an embarrassment, but, given the natural reluctance for them to out themselves, didn’t come out in sufficient numbers to upset the public relations spin of the AGP community.

             Presently, there is even an effort by one biological scientist, Julia Serano, to solicit androphilic narratives that include fetishistic cross-dressing, in an effort to refute the HSTS/AGP theory. However, given that these narratives may come from AGPs who have incorporated pseudo-androphilia, of being able to attract straight men, into their autogynophilic fantasy, this may lead to a false picture. Blanchard’s own data showed that 15% of those self-identified as androphilic admitted to fetishistic cross-dressing. But this effort to collect such refuting narratives is not being performed in a controlled setting, but rather through the internet. No effort is being made to collect narratives that may support Blanchard’s theory. Thus, we can safely conclude this is not science, but politics; Ms. Serano seeks to blur the differences between the HSTS and AGP populations. If she can collect enough narratives that support the AGP position that there is no difference between androphilic and gynophilic transsexuals in their fetishistic use of cross-dressing, then it can bolster their delusion that autogynophilia is not the cause of their desire for transition, but an effect of their female “gender identity”. She seeks nothing less than control of HSTS narratives and visibility.

             While transsexual lying may have been necessary initially on the personal level for non-homosexual, autogynephilic, “secondary”, “ego-dystonic” transsexuals to obtain the treatment they needed and were entitled to, this is no longer true. Instead, the singular personal lie has become a social lie, required by non-homosexual transsexuals to maintain the public facade they require to be “real”, but at the expense of those whose lives they are attempting to mimic.

Thus, the homosexual transsexual is made to be invisible.

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Homosexual MTF Transsexuals Brains Are More Female Like Than Gay Men’s

Posted in Brain Sex by Kay Brown on September 11, 2025

As our brain imaging tools have gotten better, along with being more careful to differentiate Male-To-Female (MTF) Homosexual Transsexuals (HSTS) from Autogynephilic (AGP), we have learned more about the brains of each and how they differ from controls. In a recently openly published paper (not behind a paywall) using advanced MRI tools, the authors found that HSTS were indeed more female like in certain brain regions than both straight and gay men. This last is important in that it has long been contended that sexual orientation was a confound when comparing HSTS & AGP transsexuals to heterosexual men and women. To wit, that the difference between HSTS and AGP was purely, their sexual orientation, not any intrinsic differences between them. There had been a previous study that found that HSTS and conventional gay had a difference in brain morphology in one region, while both were different than AGPs. But this latest study provides corroborating evidence that there is a difference between gay men and MTF HSTS.

The study was conducted in northern Thailand, where a much higher percentage of the transsexual population is HSTS, called sao praphet song (second type of woman) are exclusively androphilic, attracted to masculine men, than AGP. (The reverse being true in the Western nations, of which many misrepresent their sexuality to researchers, creating a false signal.) The study further differentiated those who had been taking feminizing hormones, Gender Affirming Hormones (GAH = HRT), from those that had not yet taken any, reducing the confound of exogenous hormone use.

The result was confirmation that those HSTS who had not (yet) been on feminizing hormones had brain structures that more closely matched the female controls than gay men. It also confirmed that HRT use further feminized the brains of the HSTS. This means that there was pre-existing female like brain structures that differentiate HSTS from both gay and straight men. This adds weight to the model that the difference between HSTS and gay men is NOT a simple matter of cultural or personal experience, but of in-born differences from pre- or peri-natal time periods. It also puts to rest the supposition that the difference between HSTS and AGPs is purely that of sexual orientation, as prior studies have NOT shown any pre-HRT shifts to female like brain morphology in AGPs.

Further Reading:

Brainstorm

Models of Androphilic Transwomen Etiology

Reference:

Thurston, L.T., Rodkong, A., Saokhieo, P., Supindham, T., Kaewthip, O., Wantanajittikul, K., Skorska, M.N., Lai, M.-C., Chariyalertsak, S., Saekho, S. and VanderLaan, D.P. (2025), White Matter Microstructure Among Straight and Gay Cisgender Men, Sao Praphet Song, and Straight Cisgender Women in Thailand. Hum Brain Mapp, 46: e70188. https://doi.org/10.1002/hbm.70188

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Yes, Women Have Prostates Too

Posted in Editorial by Kay Brown on September 2, 2025

— And no, I’m not talking about transwomen.

I’ve seen a number of very ugly transphobic comments online mocking transwomen about having prostates as though that proved something, as though it debunked the existence of transsexuality or of transsexuals right to live a good enough life. One bigot remarked sarcastically, “I’m waiting for that female prostate exam.”

The joke is on them. Women DO have prostates.

Yes, they do, and I’m not crazy. But, while a healthy, intact, male has a much larger one, women have a small prostate in the exact same location involving much of the same tissue types. Women’s prostates even produce the classic Prostate Specific Antigen “PSA” as men’s.

So why do so many people falsely believe that female mammals don’t have prostates? Probably for the same reason so many people don’t know that men have breast tissue that can become cancerous. Most people like to think that males and females are more different, biologically, than they really are. Consider that many sexually dimorphic organs in the body are really homologous. That is, they develop from the same fetal tissue and often perform similar, though slightly different functions. Take for example testes and ovaries. They are homologous and both produce gametes. But in one, they produce tiny motile gametes, in the other, larger sessile gametes. But both are gonads, produce hormones, and start out the same and in the same bodily positions, though one tends to migrate to a new home during fetal development. In the exact same vein, the penis and the clitoris are homologous. They only differ in size and in one case, develop to fold around the urethra. In the case of prostates, the difference is primarily of size, mediated by hormones. But, historically, because of the size difference, one got called a “prostate gland” while another got called a “Skene’s Gland” (after the man who “discovered” it of course).

Because as men grow older, the chance of developing prostate cancer becomes increasingly great, many doctors will order a PSA test for their older male patients. In fact about one out of eight men will develop prostate cancer. If cancer does develop, one of the first line treatments is anti-androgens. That is because a curious thing happens to the prostate in the absence of androgens, it shrinks, rapidly and drastically via an active process whereby genes that are suppressed by androgens switch on that kill off prostate cells. The cells that are killed off are the very ones most likely to become cancerous!

Thus, we come to MTF transsexuals, especially those who have not only been on feminizing HRT but also had full “bottom surgery”. Their prostates have involuted to such an extent, with exactly the potentially cancerous cells having been killed off, essentially having been prophylactically treated for such cancer, that the risk of developing such prostate cancer is significantly reduced. But doctors who are not specialized in transsexual medicine are all too often ignorant of this (and other issues) and will mistakenly order a PSA screening. I’ve also seen some older transitioning transwomen recommending such screening, similarly ignorant of our biology and the effects of HRT and surgery. In the case of older transwomen who began HRT as teenagers, such as myself, this is doubly dumb.

Because natal females do have prostates, they can become diseased, including developing cancer. But because of the low androgen exposure, their risk is de minimus. In fact, only twenty cases have been reported in the literature. If cancer or other issues with their prostate is suspected, a PSA test may be ordered.

So, yes Virginia, you may be taking a “female prostate test”.

Further Reading:

Biological Reality! Transsexual Women’s Breasts Are Female Breasts

“Health risks for men your age…”

References:

Milan Zaviačič, Richard J. Ablin, “The Female Prostate”, JNCI: Journal of the National Cancer Institute, Volume 90, Issue 9, 6 May 1998, Page 713, https://doi.org/10.1093/jnci/90.9.713

Zaviacic M, Ablin RJ. “The female prostate and prostate-specific antigen. Immunohistochemical localization, implications of this prostate marker in women and reasons for using the term “prostate” in the human female.” Histol Histopathol. 2000 Jan;15(1):131-42. doi: 10.14670/HH-15.131. PMID: 10668204. https://pubmed.ncbi.nlm.nih.gov/10668204/

Diane Tomalty, Olivia Giovannetti, Johanna Hannan, Barry Komisaruk, Sue Goldstein, Irwin Goldstein, Michael Adams, “Should We Call It a Prostate? A Review of the Female Periurethral Glandular Tissue Morphology, Histochemistry, Nomenclature, and Role in Iatrogenic Sexual Dysfunction”,
Sexual Medicine Reviews, (2022)
https://doi.org/10.1016/j.sxmr.2021.12.002.

Haller, B., Brock, J., Chung, E. and O’Connell, H.E. (2025), Comparison of female and male prostate glands. BJU Int, 135: 582-583. https://doi.org/10.1111/bju.16646

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Homosexual Transsexuals Have Female Typical Brain Responses To Erotic Images

Posted in Brain Sex by Kay Brown on August 30, 2025

Somehow, when I started writing these essays in 2009 I missed a paper published that year. In it, the authors reported on the cerebral responses of 12 Male-To-Female transsexuals to erotic stimuli using fMRI imaging. Two things were of note regarding their study. First, they used the term “transsexual”, NOT “transgender”. Second, they clearly knew about the Two Type Taxonomy and insured that their subjects were only one of the two types; or had they? Consider the demographics:

“12 MTF transsexuals before any treatment viewed erotic film excerpts during fMRI … (mean age 36 years, range 20–55) were studied. The MTF were non-autogynephilic.”

Oops! Mean age 36? Some of them as old as 55 and not yet on hormones? Nope, some of them were lying about their sexuality not being autogynephilic (AGP). Non-autogynephilic MTF transsexuals NEVER wait until they are past the age of 25 to being HRT. Given the age range going down to 20, its possible some of the subjects were non-autogynephilic, that is, that they were homosexual transsexuals (HSTS). But we have not enough data to sort them into the two taxons. Given that, I would confidently predict that we would still see a weak feminized signal when the data is averaged, compared to heterosexual male and female controls, having averaged a strong feminized signal from the HSTS and a strong masculine signal from the AGP subjects.

“We revealed a cerebral activation pattern in MTF transsexuals compared with male controls similar to female controls compared with male controls during viewing of erotic stimuli, indicating a tendency of female-like cerebral processing in transsexualism.”

Note the use of the qualifier “tendency”, which would indicate a weak signal, as predicted.

It was good that the researchers knew about and attempted to differentiate the two types. It was not good that they failed to recognize that their ages militated against having done so.

Reference:

Elke R. Gizewski, Eva Krause, Marc Schlamann, Friederike Happich, Mark E. Ladd, Michael Forsting, Wolfgang Senf, “Specific Cerebral Activation due to Visual Erotic Stimuli in Male-to-Female Transsexuals Compared with Male and Female Controls: An fMRI Study”
The Journal of Sexual Medicine, Volume 6, Issue 2 (2009)
https://doi.org/10.1111/j.1743-6109.2008.00981.x.

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Pushing “Identity Diffusion” Onto Transsexual Youth

Posted in Science Criticism by Kay Brown on August 21, 2025

A year ago, I posted an essay on what appeared to be a new means of pathologizing transkids in a very sneaky way by a clinic in Tyrol Austria. Well, they are at it again. The same people just published a new paper with a ton of data but organized in a rather confusing manner that isn’t very useful, save for a few tidbits.

Once again, they focus on the idea of “identity diffusion” which may not ring alarm bells for most, but certainly did for me last year. That’s because that is a construct that is said by some to underlie Borderline Personality Disorder, which has been bandied about as an explanation for the existence of the putative Rapid Onset Gender Dysphoria (ROGD), a “diagnoses” that has not been recognized as valid diagnoses, nor has it been shown to be supported by the data, given that more parsimonious explanations exist that are supported by the data, to wit, that most teens coming out late claiming to be “trans” or “non-binary” have no clinical gender dysphoria at all, participating in a “cool fad”, and those that do, can be shown to fit the profiles of autogynephilia or autoandrophilia.

But, data is data. And however poorly presented, there were a few data points that are useful, but frankly, mostly reinforce previously known phenomena. For example, in the paper, the authors have divided the teenaged subjects into three categories, low, medium, and high distress based upon responses to various self-scored instruments. Unsurprisingly, when surveyed for “parental understanding and acceptance” the scores were 4.10, 3.73, and 2.48 respectively. Golly gee… how very unsurprising, as we have known for many years that parental understanding, acceptance, and support correlate with lower emotional distress in gender dysphoric teens. Interestingly, there doesn’t seem to be very strong correlation with sexual orientation or “early” vs. “late” onset, which previous researchers have found. So, although the authors also report that “identity diffusion” scores also correlate with distress, which is more important, parental understanding and support or this putative construct of “identity diffusion” that seems largely to be based upon being highly distressed? I’ll go with parental influence.

The one thing that I do find useful in this paper is that they used the age of 10 as the dividing line between “early” and “late” gender dysphoria onset, which I had previously recommended in an earlier post.

Further Reading:

The Sneaky Way That Conversion “Therapists” For Transsexual Teens Signal Their Real Intent

The Origins of the Trauma Narrative of Transsexual Etiology

Reference:

Leonhardt, A., Fuchs, M., Kohlboeck, G. et al. Distress Profiles of Adolescents with Gender Dysphoria: A Cluster Analysis Approach. Arch Sex Behav (2025). https://doi.org/10.1007/s10508-025-03221-3

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