Transvestites act like women even when wearing men's clothes. This is not difficult for most of them because they are usually masculine men. Crossdressers are not necessarily effeminate. In fact, crossdressers are no more effeminate nor more masculine than any other man. While in men's clothes, most crossdressers do not stand out from the general population.
Transvestites suffer from a sexual dysfunction.
While it is true that crossdressing and eroticism are strongly linked for many transvestites, crossdressing and sexual activity are not directly related. Therefore, crossdressing is primarily a gender issue. It is incorrect to speak of it as a sexual dysphoria unless the transvestite is unable to function sexually unless he or she is crossdressed. Transvestism is a mental disorder. Some crossdressers do suffer mental anxiety, but this is a result of the inappropriate guilt they feel because of society's disapproval of their behavior.