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A sexual fetish or paraphilia common among trans women, consisting of a persistent desire to have her authentic identity validated during sexual activity.

Symptoms include positive attitudes towards sex, improved personal hygiene, and augmented self-discipline, especially with respect to diet and exercise. Known risk factors are a desire to cope with a bad situation, affinity for lesbian porn, and an inability to feel present during sex unless presenting as a woman. If you or someone you know exhibits these qualities, they may be completely normal women whose behaviors are pathologized by a bigoted, sex-negative public and should be given titty skittles and headpats.

Oftentimes, the disease begins when the trans woman, horribly abused throughout childhood for her feminine tendencies, nevertheless holds on to a tiny sliver of her true self, a single ray of hope to guide her in a hostile world until she can jump through the hoops necessary to receive treatment. As the disease progresses, the trans woman will usually identify as a crossdresser for a period of time, mostly because of gatekeeping, transmisogyny, and internalized transphobia, before accepting herself and beginning to medically transition.

Long-term, autogynephilia is associated with software engineering, sex work, kink, polyamory, secretly continuing to watch sissy porn, and a goth phase which may resolve in 5 year.

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