Trans women, also known as "mtf" (male to female) or "Transgender woman" is a man who regards himself as a female (either privately or publicly).
The overwhelming cause for this state of mind as documented by the literature is Gender Dysphoria(GD)/Autogynephilic(AGP). Both are metal/sexual disorders characterized mainly by the view and feeling of oneself as a female.
GD and AGP are disorders known for making the sufferer feel like the other sex and therefore choosing to be present as a female is the a common treatment.
Drag Queen: I like looking like a woman
Trans women: I actually am a woman
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