Is this because trans women are biologically male and that other factors are involved, not just that they want to be women
The other factor being that something is totally wrong, no one is listening to them, there's endless waits for surgery, endless loopholes to jump through, delays, they lose jobs through being trans, can't get jobs, lose family, relationships, depression, a body they can't stand, a life fucked up, a life wasted and a whole fucked up life because they are trans.
Those factors? Do you think that those things could possibly be a factor?