There are a number of myths which have existed for a long time. One of them is that in order to actually be a genuine transsexual you had to transition or kill yourself. This was exclusively propagated by some classic (now termed androphilic) transsexuals and even resulted for a time in the invention of a condition known as Harry Benjamin Syndrome.
While these people had very intense gender dysphoria and undoubtedly needed to transition, some then turned around and used that as a weapon against others to bolster their own legitimacy. They would even claim that they are actually women based on a complete psycho sexual inversion; ie. they were feminine during childhood and they grew up to fancy boys.
We currently lack real evidence for such claims and the most we could say is that these people fit the classification of a type V or VI transsexual according to the Benjamin scale. Benjamin could not offer any further explanations because he had none to give and we still can’t to this day.
Benjamin's scale was not a hierarchy centered around orientation but more a measure of gender identity disconnect from birth sex and if you look at his patient history not all high intensity transsexuals he treated could clearly be identified as being androphilic.
Still, some of these more militant androphilics seemed to be adopting a model more closely associated with Ray Blanchard’s which not very flattering since it is based exclusively on abnormal sexual functioning leading to self delusion. What you are basically admitting is that you are a homosexual male who transitioned because you wanted a greater access to same sex partners via the heterosexual male population. This makes little sense as a motivator but then so do the rest of Blanchard's claims.
While Blanchard is clearly off the mark compared to Benjamin, today’s androphilic transsexual is not the same as those from previous generations and feels considerably less threatened and hence less likely to look for battles. Like the rest of us older adults in the gynephilic population, androphilic transsexuals had a much harder time of things and transitioning back then meant going stealth and starting from scratch by covering your previous history.
As bad as things are today for today’s transgender people they were far worse back then and gender dysphoria at its highest levels is no laughing matter.