Does this describe you?
At some time you feel a powerful urge to cross-dress and it feels so wonderful, and highly arousing. You find yourself heightening this arousal experience and further stimulating yourself to the point of orgasm. Immediately following orgasm you find that you no longer experience the gratification response from cross-dressing. You may even feel dirty, or disgusted, and you remove your feminine clothing. However, within another hour you discover that cross-dressing, once again, makes you happy and gives you a sense of well-being. What is going on???

Some people who experience this wrongly believe that it only confirms that cross-dressing is a sexual thing. I believe it only supports the theory that cross-dressing is a form of synesthesia. Your brain is hard-wired to interpret cross-dressing as actual contact with a female. As you brain goes into "contact with a female mode" it mimics this to the point of releasing neurotransmitters similar to a sexual encounter. Important neurotransmitters include; dopamine, serotonin and oxytocin. Dopamine is associated with expectation of gratification including sexual gratification. However with orgasm your dopamine levels immediately drop and protactin levels go up. Prolactin is associated with the "pulling away" after sex.
http://www.entelechyjournal.com/pull...after_sex1.htm
http://www.reuniting.info/science/sex_in_the_brain

If this describes you, then I believe that the neurotransmitters responsible for our condition reflect a hard biology issue, and not so much a psychological one. In order to get our neurotransmitters released then there must be neural connections which are communicating with each other. Activity from cognitive/sensory function from feminine objects produces an automatic and involuntary response in a secondary sensory pathway. Simply, if cross-dressing makes you happy, then its just the way your brain is hardwired.

Once you receive the "contact with a female" interpretation from your brain and the neurotransmitters are released then you are forced to take one of two possible routes. You must decide whether the contact with a female is internalized or externalized. If it is internalized then you believe that the female contact is coming from inside yourself. You have a female alter-ego. If you externalize the contact with a female is outside of yourself. You do not accept yourself as a female, but only a man with a dress. That would be similar to Grayson Perry in minute 19:00 of this interview: https://www.youtube.com/watch?v=8G-2rgFLYzo

Your thoughts and comments are greatly appreciated.