It's the way they're born. Something goes wrong when they're developing in the womb that ultimately leads to them feeling that they are a woman stuck in a man's body, or less commonly, a man trapped in a woman's body. For one in 10,000 of the population, a hormonal imbalance in the uterus about six to nine weeks after conception is where it all starts. However, knowing that the way you feel is due to a quirk of nature doesn't make life any easier, especially when puberty kicks in and your body starts to head off down a route that is diametrically opposed to the way you want to go. Others are not so lucky.
Many transsexuals go through periods when they attempt to suppress or deny their condition.
Some choose hobbies or jobs that are hyper-masculine in order to try to prove that they are not transsexual. The only specialist nurse gender counsellor in the country, she has worked in the gender field for ten years, and is a member of the Harry Benjamin International Gender Dysphoria Association, an organisation which governs the treatment of transsexuals. The client is then referred to a psychiatrist for further evaluation. They will see more fat on their hips and smoother skin along with a reduction of body hair and loss of libido. Hormones do not usually stop beard growth which has to be removed by electrolysis.