Thank you Reine for the differences, I don't try to pretend to know much about any of this and found it helpful. I guess my question to you is how should I refer to Sierra's choice in my future posts. He considers HRT , and has tried to explain it to me by saying " Its like being a lesbian stuck in a mans body. However he doesn't want the final surgery to remove his man parts. He has said he would do everything just short of that. Is that typical of the "Fog"? I know that that is not a clinical thing either. I am just lost as to how to properly explain our situation with out giving someone the wrong info because I don't know the proper terminology.