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From https://web.archive.org/web/20190513111011/http://www.transkids.us/faq.html#common What are the two types of M2F transsexual/transgender? Its always been acknowledged in the scientific literature that there are two groups of transsexuals/transgender. In different classification schemes these are referred to as primary and secondary, early onset and late onset, true and marginal, core and non-core, ego-syntonic and ego-dystonic, and homosexual and autogynephilic. The first group is similar to homosexuals in development and are most commonly gay boys before they transition, and the second group is similar to heterosexual transvestites in development and most commonly transvestites before they transition. We therefore prefer to use the homosexual/autogynephilic terminology because while the others characterize the two conditions, this terminology articulates the nature of the two conditions and is etiologically more descriptive. Homosexual Transsexuals/Tr...