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180 - The Many Roots and Presentations of Gender Dysphoria in Males

"Sexual awakening can occur in a complicated manner."
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SPECIAL ANNOUNCEMENT FROM OUR SPONSOR: Therapy First is hosting a live webinar August 29th at 7pm EDT. “Moral Injury and the Call to Recovery” with therapist, author and social scientist, Amber Ault, PhD. CLICK HERE TO REGISTER. *Therapy First has been approved by NBCC as an Approved Continuing Education Provider,ACEP No. 7505. This webinar provides 1.5 hours of CE credits.

This episode is a special mid-week release! No special guest for this conversation, just an important and thoughtful exchange between hosts, Sasha and Stella, exploring some of the common and yet intensely complex manifestations of gender dysphoria in males. This discussion offers a careful examination of the broad psychological, developmental, and sexual dynamics shaping male identity, the effects of testosterone, and perceptions around gender roles.

Stella and Sasha guide listeners through several frameworks for understanding different experiences of gender dysphoria in males, including autogynephilia (AGP), homosexual transsexual (HSTS), and rapid onset gender dysphoria (ROGD). It’s crucial to recognize that while diagnostic frameworks offer insight, they can oversimplify the complexities of human identity and behavior. Traits associated with AGP, HSTS, ROGD, or even neurodiversity, like autism, may overlap and interact in ways that are not fully understood, underscoring the need for a more integrated understanding that avoids overly simplistic categorizations and fosters more nuanced and optimized support.

Resources & Links

Testosterone: The Story of the Hormone that Dominates and Divides Us, by Carole Hooven

Waking Up after Botched Trans Vaginoplasty: Instant Regret and Horror, from Sasha White

X(Twitter) Exchange b/t Sasha & Aaron T.

What’s Going on with the Boys? by Aaron Terrell


Check it out…

A Trip Down Meme-ory Lane: Trans Tropes are Older Than You Think They Are, by Daniel Howard James

A compelling article from our sponsor, Genspect, exploring how cultural memes and historical influences have shaped the modern understanding and mainstream fascination with gender identity.


Explore other Gender: A Wider Lens Discussions Referenced in this Episode


We're honored to have had the pleasure of hosting many of the experts lined up to present at Genspect's upcoming Bigger Picture Conference in Lisbon, Portugal. Reserve your tickets today to save your spot for a powerfully engaging event, challenging the evidence base for gender medicine and addressing the widespread damage of gender identity ideology. With a focus on "Reframing the Future," Genspect is dedicated to shifting the conversation from identifying problems to exploring solutions. Presentations, panel discussions, debates, and a live-stream interview ensure that all sides of this complex issue are addressed in a compelling manner. We hope to see you there! (Livestream tickets are also available.)

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Gender: A Wider Lens
Gender: A Wider Lens
In this podcast, now in its fourth year, therapists Stella O'Malley and Sasha Ayad take a deep dive into the psychological and cultural forces impacting the social changes around "gender." Through interviews with researchers, doctors, therapists, parents, detransitioners, and others, Sasha and Stella's podcast is a "must listen" for anyone trying to navigate the current gender landscape. With their sharp analytical minds and deep compassionate hearts, Stella and Sasha have also become known throughout many parent networks as lighthouses in the midst of some very stormy seas. Previous guests include Helen Joyce, Jesse Singal, Leor Sapir, Kathleen Stock, Jamie Reed, Peter Boghossian and more.