I won’t go into the DSM-V Gender Dysphoria criteria. The involvement of Kenneth Zucker was enough to keep Gender Dysphoria under mental conditions, and people keep weaponizing that decision. They keep doing so even though a lesser known statement by the American Psychiatric Association that clears up that transgender identity is not per se the mental illness, BUT xyz. They screwed us over on purpose and then it was revealed Zucker had vested interest in continuing his own thing.

I am talking about the WHO’s ICD-11 Gender Incongruence which is outside mental illnesses but it is still under Sexual Health related conditions. I find this odd, because I don’t think being transgender is a sexual thing, despite overlapping with sexual health a lot, but I still think is a misclassification and our enemies gleefully take the chance to weaponize this as well. In fact, reducing transness to a “sex thing” is a main line of attack for right-wing strategies, for instance saying “trans stripper” for drag queen story hour, or Project 2025 equating LGBTQ people with “pornography”, especially trans people. Using this argument for book bans etc.

So I got myself thinking, it is not the mind that is wrong it is the endocrine system. After all the gonads are operators for the endocrine system. The intervention is at the endocrine system. So why not start thinking of transness as an endocrine condition primarily?

Now, I start thinking I might be on the asexual spectrum, so I put the fact on the table. But this is not to undermine my proposal, I just think many people might not be seeing that because for most people sex is an important part of life and the overlap between “who you are”, “who are you going to bet with”, and “who you are going to bed as” is bigger. But of the three, I only see “Who you are” relating to gender identity, “Who you are going to bed” as sexual orientation, I don’t see much theory in the latter “going to bed as sth”.

So I think that the classification is in error, and it is motivated by erroneous constructs we tried to shake away by replacing “Transexual” with “Transgender” to focus more on identity and biosocial aspects of gender identity. So I don’t think that gender incongruence belongs in Sexual Health organically, I believe it is primarily and inherently an endocrine condition (your system does not produce the right hormones for you) treated with endocrine interventions (suppress the production of, or remove the organs that are the producers of the wrong hormones, or correct the results of exposure to wrong hormones). Sex hormones for sure, but hormones. The important thing here is the Self. We agreed against conversion; we preserve the Self, fix the hormones, not the other way round. It is an endocrine condition.