OG I think that a part of the problem is that we don't know how rare this is, or what is best to do about it. I think it may be one of those things that is very hard to understand from the outside. Speaking personally, as hetero cis female, I have no idea what it is like to feel female because I have always just felt like me. I have never enjoyed or wanted the "usual" external signs of being female in terms of dress, makeup, hairstyles and so on, never had children and not bothered. If I have no idea what makes me declare as female, how can I understand what makes someone else "feel" female or male and I suspect that this is true for most if not all cis men and women. There was a very intersting program on TV recently...It might have been a Panorama...on gender identity....consensus seems to be that currently its not clear what to do for the best but that's not an argument for doing nothing.