We don't currently have an explanation
Does transition work?
Yes for some people very well.
Does it work for everyone?
How do you know whether transition will work for you?
You don't but its a long process of reflection that typically decides what path will be taken.
What is the post transition satisfaction percentage between gynephilic and androphilic transsexuals?
What is Autogynephilia?
An invented condition that states that the arousal experienced by gynephilics is the sole driver in their desire for transition and a sexual orientation in its own right. This is not provable scientifically nor is establishing motivation.
What causes arousal to becoming a woman to be a component in the dysphoria of gynephilics?
We don't currently have a definitive explanation. One possibility is that at puberty the orientation becomes intrinsically fused to the dysphoria and hence the wish to be female becomes tinged with sexual ovetones which wane with increasing age. The dysphoria, if untreated, remains intact.
Is it possible that cross gender arousal in gynephilic transsexuals is a symptom of their gender dysphoria?
Do some transsexuals change sexual orientation post transition?
Yes but many do not.
Why don't androphilic transsexuals experience this same arousal?
The simplest explanation might be that they are not attracted to women hence they find nothing about them or their clothing arousing. This is also observed in any homosexual male who crossdresses such as a drag queen. However some pre-transition androphilics do experience body conversion fantasies during intercourse just not in the same percentages as gynephilics according to interview data (see Anne Lawrence).
Are there only two types of transsexuals as per Blanchard taxonomy?
No his taxonomy left out female to male transsexualism as well as late transitioning homosexuals
Does every therapist and/or researcher working in this field accept the Blanchard model?
No researchers, therapists and noteable transgender activists such as Kelley Winters, Anne Vitale, Julia Serano, Jamie Veale, Andrea James, Lynn Conway as well as others reject it or are indifferent to it.
Did Blanchard consider Androphilic transsexuals to be true transsexuals?
Blanchard makes no such hierarchical distinction in his writings.
Are transgender people mentally ill?
If you define mental illness as incapacity to function in daily life, hold down important jobs or have fulfilling lives then the answer is clearly no.
Why are many in society hostile to transgender people?
Because it upsets the accepted wisdom that many hold that the binary is rigid and unflinching and that birth sex determines gender identity which has been proven false most markedly so in the transgender.