You simply know. My parents were certain it wasn't a phase by the time I was 9 or 10. On weekends and when I got home from school, I would play dress-up as a girl. Every day, I would put on a dress or a skirt and top. Thank goodness for understanding parents who permitted me to grow my hair long. They also took me to see a qualified medical professional, who approved of using "puberty blockers" for me. These provided me some time to think about possible long-term impacts before starting hormone therapy.
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