This is a testimony from a woman who suffered from dysphoria but never transitioned. I think it’s worth reading.
What if, along with my rejection of my maturing body, my growing depression, the loss of my peer group and my increasing alienation, I’d been told that there was a cure? I, along with a number of my friends, have asked that question. What if I’d been told that I must have a “male brain” or that there was science that showed that I had a “medical condition” that caused all of the problems? What would I have done? It didn’t happen, fortunately, but I think I understand my former self well enough to know: I would have attributed all of my social difficulties to that “condition.” I would have believed that if I could just fix that “condition,” all of the other issues would be resolved or at least lessened. They were, after all, entirely related to being the wrong sex. Weren’t they?
Having been raised in a very religious household, I actually believed as a young child that god would give me a boy’s body if I prayed often enough and hard enough. As a result, every time I was made aware that I was, in fact, a girl, I would repeat my litany with the sincere belief that my prayers would be answered. I would imagine myself as having changed, as having all the qualities I believed that entailed. When I showered, I’d plaster my soapy hair to my head so it would feel and look short. I’d shape lather on my face in the form of a beard, imagining how I would look when things were “fixed.” Each time, as my fantasy washed away, I would experience an even greater disappointment in the reality I faced. The more I engaged in the fantasy in its varying forms, the more distressed I was at what was: my body seemed to grow worse and I prayed even harder. I bargained with god, formulated deals, but each morning I awoke to the same disappointment. Despite my lack of progress, I continued praying for a few years because I convinced myself that my long-term dedication would somehow prove my faith, and that would make a difference. It was only the loss of that faith which eventually caused me to give up: I became convinced that god couldn’t hear me. I hadn’t lost my body shame, only the idea that there was anything I could do about it.
Testosterone and mastectomies don’t require a god or magic–just money and a psychologist’s approval. It’s a real thing that you can find out about now without even trying. You can watch hours of videos online as some girls/women sprout beards and their voices are lowered. You can see them pose with fading scars, pectoral muscles now hormonally enlarged and visible in the absence of those hated breasts. You can read all of the accompanying comments supporting her choice and your desire, and you can find a ready-made community to replace the one you lost, to accept and agree with the idea that something is terribly wrong with the way you are now that can be fixed with hormones and surgery. They’ll even tell you how to go about getting them. This is a real thing. But the magical thinking involved is the belief that you can actually change your sex; that you will be indistinguishable from actual males. The unreality of this is easy enough to overlook if you want something bad enough, even if you have no way of knowing what it actually means to be what you want. With “gender reassignment” and T, there’s no need to ever give up hoping for a miracle, because unlike god, the purveyors of gender change are listening very closely. They even advertise, making sure you can hear them. They are waiting for you. They’ve published books to help you, a teen, lay out all of the talking points that will help you convince your parents that you need this “cure.” They’ve made it easy.
As it was, as a teen, I had nothing of the sort. Oh, I’d heard of “sex change” operations, and for awhile clung to the idea of one as I tried to maintain that possibility, but the reality was that they were still really rare and impossible for someone so young and with no money, and there was no question that my family would not approve. As a result, I was forced to face reality. I was female, and I had to accept that and do what it took to learn to navigate the world as such.
One of the interesting things that happens when someone wants something badly is that they begin to fantasize about having it. They imagine themselves in possession of their want and it gives them pleasure, the fantasy itself becoming the reward. Unfortunately, reality is not changed and it often seems even worse or even less real when compared to what has been imagined. For myself, I know that the more I visualized myself as a boy, the worse I felt about who I actually was. The more I saw myself as being what I wanted, the more that want took on the characteristics of a need, something that I had to have; that I could not live without. I was wrong, of course, but had “gender reassignment” existed back then, it would have served as the material manifestation of that need –the promise of a wish fulfilled, that which god would not grant me. There would have been no reason for me to resolve the conflict that I had with my body. The time and experience I had which allowed me to come to terms with my sex would have been spent instead on fueling the same fantasy which had intensified my previous despair: my fantasy visualization would have prolonged my rejection of my body, and the degree of my dysphoria and dysmorphia would have increased.
The Prime Directive 