1. According to the studies I posted that prove they do not work:
"The review of more than 100 international medical studies of post-operative transsexuals by the University of Birmingham's aggressive research intelligence facility (Arif)
found no robust scientific evidence that gender reassignment surgery is clinically effective."
Sex changes are not effective, say researchers
"Persons with transsexualism,
after sex reassignment, have considerably higher risks for mortality, suicidal behaviour, and psychiatric morbidity than the general population."
Long-Term Follow-Up of Transsexual Persons Undergoing Sex Reassignment Surgery: Cohort Study in Sweden
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3043071/
This is actually found to be highly dependent on external factors and their increased risk of suicide and such comes from their lives being worse due to mistreatment from others, and not receiving continued psychiatric care afterward. The remainder of the conclusion clarifies this "Our findings suggest that sex reassignment, although alleviating gender dysphoria, may not suffice as treatment for transsexualism, and
should inspire improved psychiatric and somatic care after sex reassignment for this patient group."
2. Now your second point "sources say about the causal factors of these co-morbid conditions?". According to the studies these disorders are more common among transgenders then the general population. There are many studies on this. According to one of the articles:
"Mounting evidence over the last decade points to increased rates of autism spectrum disorders (ASD) and autism traits among children and adults with gender dysphoria, or incongruence between a person’s experienced or expressed gender and the gender assigned to them at birth....significantly higher than among the general population."
There's Growing Evidence For A Link Between Gender Dysphoria And Autism Spectrum Disorders
https://www.forbes.com/sites/zhanav...tF4KCV4axDAOw-AFLSgitkLAaimFsMasWfX1sNlbDSSoM
The article also explains why this might be the case...
"Some researchers have suggested that the increased rates of ASD might be a product of social stigma against transgender expressions. For example, since transgender people experience very high rates of prejudice and discrimination, their aversion to social situations could serve as a self-protective response, thus artificially inflating their levels of autistic traits. Another possibility is that ASD children are just as likely to experience gender dysphoria but are more likely to express it explicitly because of their limited ability to understand social cues and realize they might get stigmatized by others for it."
Comorbid disorders don't mean anything other than they
can be seen at the same time, usually because one is causing the other. For example, someone who is anxious enough that it is imparing their daily life can develop depression. With gender dysphoria, nobody is really suprised that those who experience it also have higher rates of anxiety and especially depression. Gender dysphoria is something that if you don't experience it, it's hard to grasp your head around, but here's some descriptors/metaphors of what it's like...
"Like looking in the mirror and not seeing yourself. You see a body, and it mirrors your movements. You logically know that is you, but that is not you."
"being homesick for a place you've never been"
"A box I was put into without my permission. It's restricting, and suffocating, and for most of my life it completely obscured who I was, like a cloud of pink that hides my inner colors from the world. It often feels like I'll never really be able to break out of the box, so instead I do my best to change its colors and make the box a place I can survive in."
"A complete detach from myself. Like watching myself in third-person view. Now, add in that someone switched your favorite controller settings to the opposite"
"(You feel) all the time, you don't fit or belong, things just aren't right, but it is all the time because what isn't right is your own skin. You can't look in the mirror, or get dressed, or sometimes even look at your own hands, without the feeling of things being off."
"A hideous mask that I cannot take off. It doesn't matter what compliments I receive, how confident I feel, I just do not like what I see in the mirror or a photograph. It's not that I think I look ugly, just that I think I look, for lack of a better term, off."
"It feels like being trapped alone inside an invisible prison that nobody else can see, and you're screaming for help and to be let out but nobody can hear you."
I don't know who could live with that that would not be depressed. I don't know why a member of one of the most hated minorities in the world would not have anxiety.
3. You said "some no longer" but "deal with gender dysphoria many do", yet the study showed that only 27% (12 boys and 9 girls) were still gender dysphoric at the end of the study. So a factual statement would be that many do not deal with this as they get older but some do.
Psychosexual outcome of gender-dysphoric children. - PubMed - NCBI
27% is a high number when it comes to studies like this. It's more than 1 in 4.
