[AnnieBL]

I've been puzzling how to answer this. It seems to me that there are three different questions here, the title of the thread, the first statement of the question in the original post, and the second rather different statement of it that follows.

I think that if I had been born a genetic female, but with the same scrambled brain that I have, if that were possible, I would have been just as uncomfortable being forced into the female box as I grew up as I was by being forced into the male box. So my answer to the thread title is Environmental. My answer to the first statement is Not Cisgendered, and to the second statement is Yes, my dysphoria is a direct result of being born male. Which makes me both first and second group. I always wanted things both ways.