Identifying – or self-identifying – a genuinely pre-transsexual HSTS is relatively straightforward. But before we get to the symptoms, let’s look at the cause of all this. It is called Sexual Inversion. There are four basic parameters to consider in diagnosing this: Sex, Sexuality, Gender and Gender Dysphoria.
Sex, of course, is the product of our chromosomes; everyone is either male (XY) or female (XX), apart from a small number who have chromosomal variations, who are usually called ‘intersex’ – but here too, their condition is defined by their chromosomes. Sex can never be changed.
Sexuality describes our basic sexual impulse. We either have male sexuality or female sexuality. Male is sometimes called Active and is the desire to penetrate and female is Passive or the desire to be penetrated. In most people these are aligned but in a small percentage of individuals this is not so. This results in males with female sexuality and females with male sexuality. This is Congenital Sexual Inversion. This is a physiological condition and so forms an aetiology or scale of variation.