This term is not only used for the symptoms described by the previous answer. A female friend of mine, now 28, has been convinced since childhood that she is in fact male, but trapped in the body of the wrong gender. She has always been disgusted by her breasts and genitalia, and not until last year did she pluck up the courage to tell her doctor. She was diagnosed as having body dysmorphic disorder and was also referred to a specialist in gender reassignment. She has always found the concept of sexual relations with a male partner to be abhorrent; for a long time she considered herself a lesbian, but now realises that she is definitely male, and, as good as she finds sexual relations with other women, feels inadequate and incomplete lacking the organs she feels she should have been born with. Since she has felt this way since well before puberty, has always considered herself to be a male in the wrong body, she has spent over 20 years in a state of constant misery, afraid of divulging her true feelings to her family, who, she tells me, tried everything to turn her from the 'tomboy' they imagined she was into a 'girlie' girl. To make things worse and even more difficult, she attended a single sex Convent boarding school where from the start she was abused for being, as her peers saw it, a lesbian. These memories and classic Catholic guilt prevented her from 'coming out' until recently. She now wears male clothing, hides her thankfully very small breasts, and feels confident enough to go through an operation to make her physically male to complete herself and finally become the correct gender in all ways.