Table 70-8 Key history-taking suggestions Timing of onset of cross-gender feelings Onset of first cross-gender experience with clothing, jewelry, cosmetics, etc. Cross-dressing frequencies and their contexts Masturbation frequencies, techniques, rates of orgasm, when cross-dressed and when not cross-dressed, partner involvement Gender of self in erotic fantasies Gender role expression in society Conscious awareness of gender identity development Attitude toward genitals and erotophobic or homophobic concerns Severity, intensity, and duration of a patient's gender identity condition and dysphoria History of illicit or prescribed cross-sex hormone use Position when urinating (standing or sitting) Sexual experience (homosexual, heterosexual, bisexual, based on psychological gender identity and not on anatomy) Duration of "purges" (periods of time in which no cross-gender activities of any kind occurred) Other persons who know about patient's condition and can provide collateral history