Very often, these young crossdressers displayed no other effeminate behaviors. Dr. Richard Green, M.D., of UCLA, concluded a study in which he followed a group of effeminate boys from early childhood into their 20s. As children many of them were dressed as girls. But none developed into crossdressing adults, while very few developed as transsexuals and most developed as homosexuals. Green does not say that the childhood effeminacy or crossdressing caused the later development.
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.