But in the latter half of the 1800s, cross-dressing and being transgender became viewed as an increasing societal danger.William A. Hammond wrote an 1882 account of transgender Pueblo shamans (mujerados), comparing them to the Scythian disease. Other writers of the late 1700s and 1800s (including Hammonds associates in the American Neurological Association) had noted the widespread nature of transgender cultural practices among native peoples. Explanations varied, but authors generally did not ascribe native transgender practices to psychiatric causes, instead condemning the practices in a religious and moral sense. Native groups provided much study on the subject, and perhaps the majority of all study until after WWII.Critical studies first began to emerge in the late 1800s in Germany, with the works of Magnus Hirschfeld. Hirschfeld coined the term "transvestite" in 1910 as the scope of transgender study grew. His work would lead to the 1919 founding of the Institut für Sexualwissenschaft in Berlin. Though Hirschelds legacy is disputed, he revolutionized the field of study. The Institut was destroyed when the Nazis seized power in 1933, and its research was infamously burned in the May 1933 Nazi book burnings. Transgender issues went largely out of the public eye until after World War II. Even when they re-emerged, they reflected a forensic psychology approach, unlike the more sexological that had been employed in the lost German research. 20th century medical understanding
Benjamin suggested that moderate intensity male to female transsexual people may benefit from estrogen medication as a "substitute for or preliminary to operation."
Tolnaftate (INN) is a synthetic thiocarbamate used as an anti-fungal agent that may be sold  without medical prescription in most jurisdictions. It is supplied as a cream, powder, spray, liquid, and liquid aerosol. Tolnaftate is used to treat fungal conditions such as jock itch, athletes foot and ringworm. Mechanism
Although the exact mechanism of action is not entirely known, it is believed to inhibit squalene epoxidase, an important enzyme in the biosynthetic pathway of ergosterol (a key component of the fungal cell membrane) in a similar way to terbinafine. Uses
Tolnaftate has been found to be generally slightly less effective than azoles when used to treat tinea pedis (athletes foot). It is, however, useful when dealing with ringworm, especially when passed from pets to humans. Side effects
Side effects that may occur include:
allergic reactions like:
skin rash
itching or hives
swelling of the face, lips, or tongue
inflammation, redness, or pain at the affected areaLess severe side effects include:
dry skin
mild skin irritation, burning, or itching at the affected area

See also
Liranaftate, a similar thiocarbamate antifungal

References
External links
Medlines entry for tolnaftate