The link between paraphiliac / perverted (for want of a better word) fetishes and becoming an MtF trans is pretty clear imho. You look at a lot of these MtFs and their journey to 'coming out as trans' and there are so many red flags in common - porn addiction, especially trans and sissification porn (the latter is especially insidious), misogyny, a deeply sexist idea of what women are or should be (see andrea long chu), often also they are self-excluded from society due to mental illness or lack of education / employment. Many of them also previously identified as incels.
A significant proportion of serial killers are KNOWN to have cross dressed as a way of getting off on their sexualised misogyny - Peter Sutcliffe, Hadden Clark, Paul Denyer, Douglas 'Donna' Perry, BTK, Jerry Brudos, 'Beate' Schmidt, Ed Gein, Reginal Arthurell. This is not an exhaustive list by any means.
Then we get men like Barbie Kardashian.
A form of misogynistic violence fetish, is how I would describe it.
And yet we're not allowed to research it!