After the check

What now?

The check gives a score. Not a diagnosis, not advice to take steps or not. What the result is: a starting point to look at yourself more closely.

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High score

Many yes-answers. The feelings are real, that much is certain. But a high score doesn't mean transition is the answer.

The next step is not the GP or a gender clinic. The next step is figuring out what else is going on underneath.

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Average score

Some questions felt familiar, others didn't. That's the pattern for many young people in puberty — and for a great many adults.

Gender questions are then often a symptom of something else. Waiting and seeing is not denial — it's wise.

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Low score

Few yes-answers. It's likely that what you feel is something other than being trans — discomfort with your body, with your role, or with how you feel.

That's real and deserves attention. But via a different track than gender.

What the check is not

Not a diagnosis. Gender dysphoria isn't established via an online questionnaire — and frankly, not via a single appointment with a psychologist either. What the check does: organise signals.

Not advice to transition. No score says: "start hormones." Quite the opposite — the higher your score, the bigger the reason to thoroughly investigate underlying causes first.

No cause for panic or haste. What you feel today doesn't have to be the same in a year. With young people, that's the rule rather than the exception.

Investigate this first

For most people with a high or medium score on the Transcheck, something else turns out to be the real issue. Run through this list before thinking further about transition:

🧠 Autism or ADHD

Up to 35% of those presenting with gender doubt have autism or traits of it.

💔 Trauma

Bullying, boundary-crossing experiences, loss in childhood — changes how you experience your body.

🌧 Depression or anxiety

When you feel bad, you look for a cause. Transition doesn't treat depression.

🍽 Eating disorder

Both revolve around disgust with one's own body. The overlap is large.

📱 Social influence

TikTok, Reddit and Discord pull you towards trans content. The more often you see it, the more it becomes your story.

🏳️‍🌈 Being gay or lesbian

Struggling with attraction to one's own sex is often translated by teens into "then I must be trans." It's actually the opposite.

🪞 Body dysmorphia

General discomfort with your body is common in puberty and is something other than dysphoria about your sex.

👤 AGP (in men)

Late-onset in adult men is usually a sexual paraphilia — not a gender identity.

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Sensible first steps

1. No rush.

Give it a year before considering anything irreversible. No social transition, no new name, no clothing change. Waiting changes nothing — except that you see more clearly what's really going on.

2. Less online, more offline.

Leave trans Discord servers, unfollow trans creators on TikTok and Instagram. The less language you have for your feelings, the more space there is to look underneath.

3. Don't talk to everyone about it.

The more often you tell the story, the more it solidifies. Save it for one or two people you trust — and who don't immediately affirm.

4. Work on what else is going on.

Treat depression, understand autism, process trauma. If the gender feelings are then still equally strong, you know they weren't a symptom.

5. Don't go to an affirming psychologist.

In the Netherlands the standard path is: GP → psychologist → gender clinic → affirmation. Find someone who does broad diagnostics, not someone who has gender affirmation as a starting point.