gender identity outcome with the degree of prenatal androgen production and utilization.
However, the correlation is not robust enough for the biological factor, where ascertain-
able, to replace a detailed an d comprehensive diagnostic in terview evaluation for gender
dysphoria. 
Functional Consequences  of Gender Dysphoria
Preoccupation with cross-gender wishes may de velop at all ages after the first 2–3 years of
childhood and often interfere with daily activities. In older children, failure to develop
age-typical same-sex peer relationships and skills may lead to isolation from peer groups
and to distress. Some children may refuse to attend school because of teasing and harass-