they are cross-dressed. 
Development and Course
In males, the first signs of transvestic disorder may begin in childhood, in the form of
strong fascination with a particular item of women’s attire. Prior to  puberty, cross-dress-
ing produces generalized feelings of pleasura ble excitement. With the arrival of puberty,
dressing in women’s clothes begins to elicit pe nile erection and, in some cases, leads di-