Trans-Medicalism

Regarding trans-medicalism, I do tend to view my own transness through a clinical lens, and this lends itself to a lot of superficial overlap with trans-medicalists. However, I don't see a need to equate dysphoria with trans identity nor to gatekeep others in their identity. Politically it is advantageous to have a big tent and to cooperate with one another, and that's the spirit with which I see trans identity, i.e. there isn't a single way of being trans and the thing that brings us all together is our mutual oppression under the hegemonic gender ideology. (For this reason, I think trans people should see intersex individuals as belonging to our political identity and as having a shared struggle, since they are similarly oppressed.)

I certainly would have been denied trans care under the old Benjamin rules, for example because I have attraction to women. I consider trans-medicalism as harmful and likely to lead to trans people being pushed back into the closet and refused services they probably need. I have seen this recently with the talk about the incel "transmaxxing" manifesto, which sounds basically like a way for incels who are trans to rationalize transitioning; truscum seem to view this transmaxxing manifesto as confirmation that men are stealing precious gender affirming care from more deserving and valid trans women, while I tend to think it's more likely that anyone who thinks estrogen makes you happy should probably be permitted access to estrogen and is probably just having a hard time admitting they're a woman.

Identity and Self

There is a lot of wisdom in your comment. I think a big problem I am running into is a weak sense of self and a lack of self-esteem. Because it feels like I just try to fit whatever identity is expected of me, it becomes a crisis when I try to declare an identity outside of that, because I don't really have a strong sense of any identity outside of what is expected of me. This makes me heavily conformist in my thinking and behavior, and I think I'll be happy if I'm just another woman.

Sometimes I get worried that I am going through my transition too quickly, that if I were non-binary, I wouldn't catch those subtleties. Being attracted to women complicates this as well, as a lot of the way we think about femininity gets wrapped up in sexual dynamics - I notice among cis lesbians the incorporation of masculine elements (sometimes it even seems some sapphic women have more masculine features outside of their gender expression!). I don't feel like a butch, but being a sapphic femme can be confusing when you're born in a male body, I feel different from straight women in subtle ways that can lead to "am I non-binary" kind of thinking.

I'm also getting older, and there is a part of me that feels like a lot of my self-doubting has nothing to do with the actual question or exploration of my identity. Instead, it has to do with the fears I have about transitioning. I'm ten months into taking HRT and there has never been a moment where I thought being a man is preferable, nor where I thought a non-binary identity seemed affirming. I don't like being gender-ambiguous or being able to be perceived as either gender, it's clear that I think being a woman is the best, and so I use that as my North star.

Anyway, I need to work on self-construction and affirmation more, because I think you're right that it would probably help with my doubt issue.

Thank you as always for your wisdom. ❤️