My apologies, when I said I showed the evidence that the cohort of males who identify as trans does not, as jj1986 continues to claim, consist mostly of transsexuals who intend to transition or have transitioned, I mixed up threads. In the interest of fairness, here is the comment I posted in response to the following question:
Is it true that 80% of transwomen have not had any surgery or have no intention of doing so? Why is that?
The actual number can only be estimated as we do not have an official register for those with a trans status. However, we do have the following:
- the number of genital surgeries carried out through the NHS. This has hovered around 100 to 150 per year for many years. Compare that number to the total estimate of the UK's trans community. Please note this includes male and female patients.
- an estimate from GIRES a trans rights organisation, contained in their submission to the Transgender Equality Inquiry by the House of Commons Women's and Equality Committee.
In their submission GIRES estimated, based on various kinds of scientific and empirical data, that by 2020 a total of 20% of the UK's trans-identifying people will have approached the health service for support. (By 2015 that number was 15% at most.)
Support starts with a diagnosis of gender dysphoria, then counselling, then medication to suppress one's own hormones and prescription of cross-sex hormones. For males, there is a range of surgical interventions called feminisation surgeries. These include shaving the Adam's apple, silicone implants to construct fake breasts and facial feminisation surgery.
Very few males proceed to genital surgery, which starts with the removal of the testes, then the removal of the penis and as a third step, the surgical construction of a so-called neo-vagina, an artificially constructed opening to simulate a vagina (with of course a blind opening as males have no womb for the vagina to connect to) which sometimes involves the inversion of the penis and other times involves creating the pouch by implanting skin from the intestines or stomach. The removal of the testes often alleviates the suffering caused by gender dysphoria enough that the patient can stop there. Unfortunately for some patients this isn't enough or the symptoms return, so they do feel forced to proceed to that last step. But that number is very small.
So we can state with confidence that the percentage of males who identify as trans and who have not sought any medical help at all and who cannot therefore have had medical surgery to alleviate gender dysphoria is at a minimum 80%.
- various papers written by those who treat patients with gender dysphoria about the kinds of interventions they do and how many of their patients require which treatment. I read one such paper which analysed patient data over a longer time frame, including the modern shift from only transsexuals being considered trans to the umbrella encompassing all who are gender-non-conforming. This paper found that the percentage of patients who did seek help for gender dysphoria and who do so by accessing hormonal treatment is going down, as is the percentage who have their testes removed. That latter group made up 1% of all patients seeking help for gender dysphoria. And obviously a smaller percentage then take that final step, but the paper did not give any numbers.
- data from the US which suggests that only 5% of those who claim a trans identity change their name. A social transition is obviously the first step on the road to recovery for those who suffer from gender dysphoria, so if only 5% of the entire community take that step, which is after all not requiring any alteration to the body, then the percentage who have surgery cannot be higher than that 5%.
As for the reason why. The trans umbrella now includes all those who are gender-non-conforming. Most importantly it now includes crossdressers. We know from research that transvestism in women is rare, but in adult men estimates range from 2 to over 6%. It is also the most common paraphilia (that is sexual fetish) found in predatory males.
This does not mean that every male who crossdresses is a predatory male or a violent offender. It also does not mean every paedophile, rapist or murderer crossdresses. It means that when you examine which sexual fetishes predatory males are found to have, crossdressing is the most common.
Crossdressers do not seek to make changes to their body as they do not have gender dysphoria (that is they do not reject their body). A small number of crossdressers do go on to develop serious gender dysphoria caused by an erotic target location error and choose to transition, typically in their late forties to fifties. And with crossdressing being so common, and now included under the trans umbrella, that's why at a minimum 80% do not have surgery.