{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T13:09:11Z","timestamp":1770901751376,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2007,11,13]],"date-time":"2007-11-13T00:00:00Z","timestamp":1194912000000},"content-version":"vor","delay-in-days":3544,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[1998,3]]},"abstract":"<jats:p>The objective of this study was to compare the features of female\u2010to\u2010male transsexuals (F\u2010M) with those of male\u2010to\u2010female transsexuals (M\u2010F) in the cohort of all applicants for sex reassignment over a 20\u2013year period. In an observational, cross\u2010sectional design the cohort was retrospectively identified, consisting of all 233 subjects who applied for sex reassignment in Sweden during the period 1972\u20131992. The cohort was subdivided into the groups M\u2010F (n=134) and F\u2010M (n=99), and the two groups were compared. M\u2010F were older when applying for sex reassignment surgery than F\u2010M, and more often had a history of marriage and children than their F\u2010M counterparts. M\u2010F also had more heterosexual experience. F\u2010M, on the other hand, more frequently exhibited cross\u2010gender behaviour in childhood than did M\u2010F transsexuals. The present and previous studies strongly support the view that transsexualism manifests itself differently in males and females. 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