The first one are the ones that genuinely feel and experience dysphoria about their gender as a whole. They claim they felt this way at a young age and view themselves as the opposite gender they were born as. Female brain in a male body for trans woman type of experience.

The second one are the ones that never felt out of place as the gender they were born as at a young age. It wasn’t until puberty or after so is when they started experiencing dysphoria. This is sometimes assumed to be caused by trauma or that they’re misinterpreting it as dysphoria when it could be something else.

I am the second one. I was just fine being a girly girl as a young child but once puberty came and my body started experiencing the onset of estrogen being produced it made it all feel wrong. I don’t find any normalcy in being referred to as a woman or having female body parts but sometimes I wish I did. I grew up expecting to become a woman but I was given severe body and gender dysphoria instead. I don’t wish to ever detransition because I know it wouldn’t work out well. But I do mourn the loss of womanhood that I could’ve had.

I’m doing fine living as a man as it is. It makes since to me to be a man most of the time. I’m still a transsexual and that’s never changing. I believe that our current understanding of dysphoria is still flawed and there’s more to be done about it.