Causes of transsexuality Docter and others, but opposed by Charles Allen Moser, Larry Nuttbrock, Julia Serano, and the World Professional Association for Transgender Health.<section end="factors" /> A 2008 study compared 112 male-to-female transsexuals (both androphilic and gynephilic), mostly already undergoing hormone treatment, with 258 cisgender male controls. Male-to-female transsexuals were more likely than cisgender males to have a longer version of a receptor gene (longer repetitions of the gene) for the sex hormone androgen or testosterone, which reduced its effectiveness at binding testosterone. The androgen receptor (NR3C4) is activated by the binding of testosterone or dihydrotestosterone, where it plays a critical role in
Sexual frustration For males it could be that they have testicles and no penis; a male might be born without a penis (aphallia) or be born with one and have it removed (penis removal or penectomy). Men can still ejaculate via prostate stimulation in that case. For females they might not have a clitoris which causes sexual pleasure; a female might have had her clitoris forcibly severed (female genital mutilation) or voluntarily removed (female circumcusion) as part of a medical procedure. Involuntary celibacy is a form of sexual frustration. Sexual frustration Sexual frustration in humans is frustration caused by a discrepancy between