Dependes on you situation in life. Thats what it comes down to. You can be just starting out cding. Or you can just want to dress and not trans or could be in the full process of transition. Or you could be full transitioned and even being a transgendered and feel this. So it is all in the situation your at and what society bull craps is being spread around.
By the way media on spreads hate because of their own insecurities and ignorant they are.