They do not feel that they are women trapped in male bodies and they have no desire at all to 'become female' by taking hormones or having surgery to remove their male genitals.

It is thought that being overweight may also increase the risk of cancer in the reproductive organs for women and in the prostate gland for men.

At 14, when he was finally told what had really happened to him, he immediately began identifying as male and underwent surgery again to attempt to reconstruct his genitals.