I wouldn’t be surprised if a disorder that affects so many forms of thought and cognition also affects the cognitive understanding of gender resulting in feelings of dissonance.
Regardless autism or not I think you should be able to choose to live how makes you most comfortable so long as its not hurting anyone else.
I came to certain conclusions re GID (DX at one time was schizophrenia and disorder of gender identity) a)Given my psych history getting the go ahead to start the transition was very unlikely b) I had problems with functioning that weren’t going to go away with SRS c) It wouldn’t be easy without such problems , but with them it would have been much harder.
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