I can believe that *some* people come to this realization as adults. I read "The Transsexual Scientist" last year, a self-published account of someone born in the 1940s who always knew there was something different about himself but couldn't figure out what, although he was quite interested when Christine Jorgensen came out as the world's first transsexual. He had joined the army, become a neuroscientist and psychologist, and didn't transition until he was in middle age. He seemed pretty genuine and definitely didn't have anything around him to encourage him down this path unlike today's screwed-up kids. And, homosexuality and bisexuality can present later in life, so it's not beyond the ken to me that genuine dysphoria can too. But I mean *genuine*, not opportunists with suspicious agendas. You're right, most of them start to show signs as kids but they need to grow up first as most of them are simply gay rather than truly transsexual.