Gender Incongruence (in Adolescents or Adults)  A. A marked
incongruence between one’s experienced/expressed gender and
assigned gender, of at least 6 months duration, as manifested by
2* or more of the following indicators: [2, 3, 4] 1. a marked
incongruence between one’s experienced/expressed gender and
primary and/or secondary sex characteristics (or, in young
adolescents, the anticipated secondary sex characteristics) [13,
16] 2. a strong desire to be rid of one’s primary and/or
secondary sex characteristics because of a marked incongruence
with one’s experienced/expressed gender (or, in young
adolescents, a desire to prevent the development of the
anticipated secondary sex characteristics)  3. a strong desire
for the primary and/or secondary sex characteristics of the
other gender 4. a strong desire to be of the other gender (or
some alternative gender different from one’s assigned gender) 5.
a strong desire to be treated as the other gender (or some
alternative gender different from one’s assigned gende