Gender Dysphoria - Symptoms, Therapy, Causes, Online Counselling

The word "Dysphoria" means discomfort, uneasiness, and mental stress that causes anxiety and mental health issues. The "Gender Dysphoria" describe the discomfort, and unease with biological sex. It might occur to mental stress, depression, anxiety, trauma, etc.

The term gender dysphoria describes the feeling of mismatch between a person's biological sex/assigned sex by birth and secondary sex/another sex. The person has inner feelings or strong feelings to be the secondary sex characters.


  1. Define Gender Dysphoria
  2. Gender Terms
  3. Gender Dysphoria Causes
  4. Gender Dysphoria Therapy
  5. Treating Gender Dysphoria
  6. FTM Top Dysphoria
  7. FTM Bottom Dysphoria
  8. FAQs

Define Gender Dysphoria

The definition of gender dysphoria is a sense of feeling a mismatch between biological sex and gender identity. Gender dysphoria happens to transgender. Transgender and Non-Binary people fell GD mostly.

Most people in the world are identified as female or male. They are called "Binary" people. They haven't issues or feelings for gender dysphoria. They are also known as "Cis-Gender" by the word used to be like "Cis-man for males" and "Cis-women for females".

Some people in the world are identified something that doesn't match their assigned/biological sex. They are especially known as "Transgender". Near 8-10% of people in the world are identified as Transgender. Now transgender people live general life through hormone replacement therapy and other surgical procedures.

Some people in the world haven't identified their sex. They feel sometimes as male and sometimes as female. Sometimes they feel they have no gender. They called it "Non-Binary" or "Non-Confirming Gender".

Gender Terms

Cis-Gender: A term that describes the traditional sense of a person's biological sex and gender identity is similar. They are also known as "Binary".

Transgender: An umbrella term that describes the mismatch of a person's gender identity and biological sex. Transgender can be various types such as female to male transgender and male to female transgender. Female to male transgender known as Transman and male to female transgender known as Transwomen.

Trans man: A person who assigns females by birth but their biological gender doesn't match with their gender identity. The person is identified as male by gender identity. Transmen pronoun is He/Him.

Transwomen: A person who assigns males by birth but their gender identity isn't matched with biological sex. The person is identified as female by gender identity. The transwomen pronoun is She/Her.

Non-Binary: A person who assigns male/female by birth but they sometimes feel like a male and sometimes as a female. This situation is also called "Non-Confirming Gender". The pronoun of non-binary is They/Them.

Gender Dysphoria: When the gender identity of a person doesn't match with assigned birth sex or biological sex. It may occur mental distress, unease, uncomfortable, anxiety, and depression. The situation is called Gender Dysphoria.

Gender Identity: It's an inside/inner sense of a person and an identity that a person feels that's the person's character. Sometimes gender identity doesn't match with biological sex.

Gender Dysphoria Causes

The Gender Dysphoria Causes is still unknown by psychiatrists. It can happen to hormonal imbalance, depression, environmental issues, and others. Some psychiatrists identified the situation as mental illness before the era. But World Health Organization has announced that it isn't a mental disorder. Gender dysphoria is normal.

Social acceptance helps to decrease gender dysphoria and transgender person can live their life easily.

Gender Dysphoria Therapy

A mental health professional/psychiatrist will use the criteria DSM 5 for gender dysphoria to recognize the mental health and connection of gender identity. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association.

After completing the DSM 5 procedure, a mental health professional will share the result if you can go for gender-confirming surgery or not. The gender dysphoria may include:

  • Hormone Replacement Therapy such as masculinization hormone therapy or feminizing hormone therapy.
  • Surgery such as breast plantation or breast removal procedure, change genitalia
  • Voice Therapy

Gender Dysphoria includes chest dysphoria and bottom dysphoria. More than 65-75% of people have been suffering from gender dysphoria every year. As a result, they have been facing a lot of depression, anxiety, the mental pressure. It may or may not cause self-harm. We would like to support them. Building a community might be useful for us.

Chest Dysphoria

Chest dysphoria describes the unease and depression in the top part of the body. It is different for trans men and transwomen. Transman was born with breasts and they have suffered in their adult age. By using a chest binder, the chest dysphoria may go for some time but it will come back once it starts suffering. The chest dysphoria will vanish after the top surgery of a trans man.

On the other hand, Trans-women are born with small chests. When they grow up, they behave a feminine and it's normal. In adolescents, society starts bullying and harassing them. As a result, they suffer a lot of depression. Most transwomen use silicone brests toms to have a great look at large breasts. For trans women, chest dysphoria might be gone after breast implantation.

Bottom Dysphoria

Bottom dysphoria describes the unease and discomfort in the bottom part of the body. FTM bottom dysphoria includes the depression and anxiety of having female genitalia and sometimes it gets higher. The bottom dysphoria may or may not go after having bottom surgery. FTM Bottom surgery includes the removal of urethras and ovaries, closure of vagina, creation of penis, penile implants, and scrotum implantation. Bottom surgery has many complications and for this reason, many trans men don't undergo bottom surgery. Bottom dysphoria can be reduced by STP packers.

MTF bottom surgery includes the depression and unease about having male genitalia. Sometimes it takes the worst part. After bottom surgery, the depression may be less or vanish. MTF Bottom surgery includes Penile skin inversion vaginoplasty, with or without scrotal skin grafting. Revision vaginoplasty using the small bowel or the rectosigmoid colon. Secondary genital reconstruction.

Voice Therapy

Voice therapy describes vocal therapy for transgender men and women. Most transwomen take the voice therapy procedure. But Trans men are taking voice therapy as well. Voice therapy helps a patient to take their voice deeper or shallow.

gender dysphoria define

Gender Dysphoria Examples

Noah was born with male genitals. When Noah starts to grow up, Noah feels that their gender identity doesn't match with biological sex. Noah tried to know what it is. Noah shares their feelings with their parents. Parents don't understand and go to a mental health specialist. The psychiatrist told them that its gender dysphoria. Noah has to be mentally strong. Noah likes to wear female clothes and after adolescents, Noah wants to go through gender reassignment surgery. Noah's parents suggest taking time for it. Noah feels the same. Noah starts taking hormone replacement therapy and voice therapy. Now Noah is confident about her. She may or may not go sex reassignment surgery in the future.

Sam was born with female genitals. Sam realizes that gender identity is different from biological sex. Sam was worried and has been depressed for many years. Sam's family isn't trans-friendly. Sam comes out to the family after 18 Sam identified as male. Sam's pronoun is he/him. He went through DSM 5 and after the procedure psychiatrist gave him a gender dysphoria letter. Now Sam can start hormone replacement therapy and he would like to have top surgery as soon as possible. He changed his legal name and now he is confident about himself.

Dealing with bottom dysphoria

Dealing with bottom dysphoria for FTM transgender is a hard thing. Sometimes it feels like hell. Bottom dysphoria can be treated by a psychiatrist. It takes time. Several trans men have done their bottom surgery without complications. Bottom surgery is an extremely painful option. Many transmen live happy without bottom surgery by using an STP device. Bottom surgery isn't a mandatory procedure. Even no surgery is! Let your mind decide this.

What is STP Packer?

STP packer is a Stand to pee device that enables a user to stand pee in front of the restroom or public toilets through the funnel. This packer looks like a real penis. This helps a trans guy to feel real for having a penis on his own. It presents masculinity and it reduces the bottom dysphoria. Suffering from bottom dysphoria may occur distress, depression, anxiety, and other mental health issues. The STP packers is an option for transgender men and Non-Binary folks.

What is the difference between Dildo and STP Packer?

There are several differences. Dildo looks the same way as an STP packer. But both are different. A dildo is very hard. On the other hand, the STP packer is very soft. Using hard things may damage. You can't use dildo a long term and but you can use an STP packer from morning tonight. It doesn't create issues. A dildo is basically for sex. But STP packer is for standing to pee and packing(like you can wear and travel freely). Dildo can't use in public because it looks big and is even not suitable for pants.

How to deal with bottom dysphoria?

Dealing with bottom dysphoria is important to MTF and FTM transgender. We have shared some ideas in FTM Bottom Dysphoria: Deal with Bottom Dysphoria.

Gender Dysphoria Counseling Near Me

Counselling Gender dysphoria is very important to a kid and also for adults. Some people like to ignore but remember a lot of dysphorias can kill a person. The best way to find a psychiatrist for counselling gender dysphoria is by searching "gender dysphoria counselling near me" on google. Google will recommend a psychiatrist based on your location. Suppose, you live in North America, and you need to find out a north American psychiatrist.

Online Gender Dysphoria Therapy

Transgender people may suffer from discrimination and harassment and challenges. Do you find checkups in online for gender dysphoria therapy? If yes, then you might get help from some websites such as Pridecounselling. To know more read: Online Gender Dysphoria Therapy Guide.

The first thing you need to understand is your soul. Then you can set up a mindset about when you come out when you want to start the transition and everything related female to male journey. We know, that some situations may be hard, and some situations may be worse. But you need to fight for it. You aren't a curse. You are a pure soul that needs love, care and independence.

Gender identity represents your inner self and gender dysphoria similarly works for coming out. Accepting your gender identity is the biggest thing.

When you feel you need a friend, you need other trans guys to see, you can join pride day with many trans like you. They share their positive vibes with you. Remember, every story and journey is different.

Difference Between Gender Dysphoria and Gender Identity

Gender dysphoria describes the feeling when someone's identity doesn't match with their assigned birth sex and it feels distressed, depressed, anxious and lonely. Gender dysphoria is called a psychological feeling of a secondary or primary identity.

Gender identity describes the feeling when someone feels their identity is the same as their gender identity. Gender identity may or may not match with biological sex/birth sex.

There are several transgender without gender dysphoria. It's difficult to say that everyone has gender dysphoria. Gender dysphoria or body dysphoria is related to transgender. But not every transgender needs to have gender dysphoria.

Conclusion: Gender dysphoria is not a mental disorder. It's a feeling to have a secondary/primary sex that might be different to birth sex. Transgender people might change their life through hormone therapy and other medical procedures. Being on testosterone or estrogen, the body might have face positive and negative reactions.

Some positive reactions make you happy and some negative reactions might not be good for your body. Life is a beautiful journey. You should live a beautiful life with beautiful souls. You might face some people who always try to discriminate against you. Never feel shame about what you are. We are always here for sharing positive vibes. 

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